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Self-transcendence in cognitively intact nursing-home patients: a resource for well-being

Authors

  • Gørill Haugan MA RN,

    Associate Professor and Research Fellow
    1. Faculty of Nursing, Research Centre for Health Promotion and Resources, Sør-Trøndelag University College, , Norway
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  • Toril Rannestad PhD RN,

    Associate Professor
    1. Faculty of Nursing, Research Centre for Health Promotion and Resources, Sør-Trøndelag University College, , Norway
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  • Randi Hammervold PhD,

    Associate Professor
    1. Trondheim Business School, Sør-Trøndelag University College, , Norway
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  • Helge Garåsen PhD MD,

    Associate Professor
    1. Faculty of Medicine and City Executive for Health and Welfare Services, Norwegian University of Science and Technology, Trondheim, , Norway
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  • Geir Arild Espnes MPsych PhD RN

    Professor
    1. Faculty of Nursing, Research Centre for Health Promotion and Resources, Norwegian University of Science and Technology and Sør-Trøndelag University College,, Norway
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Correspondence to G. Haugan: e-mail: gorill.haugan@hist.no

Abstract

Aim

This article reports an empirical study of self-transcendence in cognitively intact nursing-home patients. The aim was to investigate the interrelationships between self-transcendence and nursing-home patients' physical, social, emotional and functional well-being.

Background

Finding new and alternative approaches to increase well-being among nursing-home patients is highly warranted. Self-transcendence is considered a developmental process of maturity in adulthood and a vital resource for well-being at the end of life, thus self-transcendence could be a useful approach.

Design

Cross-sectional

Method

The self-transcendence scale and the Functional Assessment of Cancer Therapy General (FACT-G) Quality of Life questionnaire were used. A sample of 202 cognitively intact nursing-home patients in Mid-Norway was selected to respond to the instruments in 2008 and 2009. Analysis was applied by means of LISREL 8·8 Structural Equation Modelling.

Results

A two-factor construct of self-transcendence showed that intrapersonal self-transcendence directly affected functional well-being and indirectly influenced physical, emotional and functional well-being. Interpersonal self-transcendence directly affected social and emotional well-being. Additionally important influences were disclosed from functional to emotional and from emotional to physical well-being.

Conclusion

Finding nursing interventions to enhance both intrapersonal and interpersonal self-transcendence might benefit nursing-home patients' overall well-being. In a holistic perspective of body-mind-spirit, this research generates new-research questions about the pathways between the different dimensions of well-being in nursing-home patients, which is important to holistic nursing practice.

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