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The relationships between self-transcendence and spiritual well-being in cognitively intact nursing home patients

Authors

  • Gørill Haugan RN, MA,

    Associate Professor, Research Fellow and PhD Candidate, Corresponding author
    1. Faculty of Nursing, Sør-Trøndelag University College, Trondheim, Norway
    2. Research Centre for Health Promotion and Resources, HIST/NTNU, Trondheim, Norway
    • Correspondence:

      Gørill Haugan

      Research Centre for Health Promotion and Resources

      HIST/NTNU

      NTNU, SVT/ISH

      Trondheim 7491

      Norway

      Telephone: +47 73 55 29 27

      E-mail: gorill.haugan@hist.no

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  • Toril Rannestad PhD, RN,

    Associate Professor and Vice-Director
    1. Sør-Trøndelag University College, Trondheim, Norway
    2. Research Centre for Health Promotion and Resources, HIST/NTNU, Trondheim, Norway
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  • Randi Hammervold PhD,

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

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

    Professor and Director
    1. Sør-Trøndelag University College, Trondheim, Norway
    2. Research Centre for Health Promotion and Resources, HIST/NTNU, Trondheim, Norway
    3. Department of Social Work and Health Science, NTNU Dragvoll, Trondheim, Norway
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Abstract

Background

Self-transcendence is considered a developmental process of personal maturity and a vital resource of well-being in later adulthood. Measurement of the associations between self-transcendence and spiritual well-being in cognitively intact nursing home patients has not been previously published.

Aims

The aim of this study was to identify the relationships between self-transcendence and spiritual well-being in cognitively intact nursing home patients.

Methods

A cross-sectional design using the self-transcendence scale and the FACIT-Sp spiritual well-being questionnaire was adopted. A sample of 202 cognitively intact nursing home patients in mid-Norway was selected to respond to the questionnaires in 2008 and 2009. Statistical analyses were conducted using lisrel 8.8 (Scientific Software International, Chicago, IL, USA) and structural equation modelling.

Results

A hypothesised structural equation model comprising a two-factor construct of self-transcendence and a three-factor construct of spiritual well-being demonstrated significant direct relationships between self-transcendence and spiritual well-being and total effects of self-transcendence on spiritual well-being.

Implications for practice

Facilitating patients' self-transcendence, both interpersonally and intrapersonally, might increase spiritual well-being among cognitively intact nursing home patients, which is seen to be of great importance to nursing home patients' overall satisfaction and satisfaction with staff. The two-factor construct of self-transcendence and the three-factor construct of FACIT-Sp allow a more complex examination of the associations between the constructs and prove more specific guidelines for nursing interventions promoting well-being in nursing home patients.

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