Self-transcendence and nurse–patient interaction in cognitively intact nursing home patients
Article first published online: 12 NOV 2012
© 2012 Blackwell Publishing Ltd
Journal of Clinical Nursing
Volume 21, Issue 23-24, pages 3429–3441, December 2012
How to Cite
Haugan, G., Rannestad, T., Hanssen, B. and Espnes, G. A. (2012), Self-transcendence and nurse–patient interaction in cognitively intact nursing home patients. Journal of Clinical Nursing, 21: 3429–3441. doi: 10.1111/j.1365-2702.2012.04217.x
- Issue published online: 12 NOV 2012
- Article first published online: 12 NOV 2012
- Accepted for publication: 8 April 2012
- nurse–patient interaction;
- nursing home;
- structural equation modelling-analysis
Aims and objectives. The aim of this study was to test whether nurse–patient interaction affects cognitively intact nursing home patients’ interpersonal and intrapersonal self-transcendence, as well as testing the psychometric properties of the Nurse–Patient Interaction Scale (NPIS).
Background. Self-transcendence is considered a spiritual developmental process of maturity in adulthood, and a vital resource of well-being at the end of life. The concept of self-transcendence has previously been explored in various populations, yet the nurse–patient interactions’ potential influence on self-transcendence in nursing home patients has not been published previously.
Design and methods. A cross-sectional design employing the Self-Transcendence Scale and the NPIS was adopted. A sample of 202 cognitively well-functioning nursing home patients in Norway was selected. The statistical analyses were carried out using lisrel 8.8 and structural equation modelling.
Results. Structural equation modelling-analysis indicates statistical significant effect of nurse–patient interaction on the patients’ self-transcendence. Direct influence on the intrapersonal and indirect influence on the interpersonal self-transcendence aspects was disclosed.
Conclusion. Nurse–patient interaction significantly affected both interpersonal and intrapersonal self-transcendence among cognitively intact nursing home patients. Hence, facilitating caring interventions can be significantly beneficial to older patients’ self-transcendence and thereby well-being, both emotional and physical.
Relevance to clinical practice. Caring behaviour signifies the vital and ultimate qualitative nursing behaviour, which promotes self-transcendence and thereby well-being. These findings are important for clinical nursing that intends to increase patients’ well-being.