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Keywords:

  • interpersonal;
  • intrapersonal;
  • nurse–patient interaction;
  • nursing home;
  • self-transcendence;
  • 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.