Self-transcendence, nurse–patient interaction and the outcome of multidimensional well-being in cognitively intact nursing home patients
Article first published online: 31 OCT 2012
© 2012 The Authors Scandinavian Journal of Caring Sciences © 2012 Nordic College of Caring Science
Scandinavian Journal of Caring Sciences
Volume 27, Issue 4, pages 882–893, December 2013
How to Cite
Scand J Caring Sci; 2013; 27; 882–893. Self-transcendence, nurse–patient interaction and the outcome of multidimensional well-being in cognitively intact nursing home patients
- Issue published online: 24 OCT 2013
- Article first published online: 31 OCT 2012
- Manuscript Accepted: 16 SEP 2012
- Manuscript Received: 11 JUN 2012
- nurse–patient interaction;
- multidimensional well-being;
- nursing home;
Aims and objectives
The aim of this study was to investigate the associations between age, gender, self-transcendence, nurse–patient interaction and multidimensional well-being as the outcome among cognitively intact nursing home patients.
Self-transcendence is considered to be a vital resource of well-being in vulnerable populations and at the end of life. Moreover, the quality of care and the nurse–patient interaction is found to influence self-transcendence and well-being in nursing home patients.
Design and method
A cross-sectional design employing the Self-Transcendence Scale, the Nurse–Patient Interaction Scale, the FACT-G Quality of Life and the FACIT-Sp Spiritual Well-Being questionnaires was adopted. A sample of 202 cognitively intact nursing home patients from 44 nursing homes in central Norway was selected. A previous documented two-factor construct of self-transcendence was applied. The statistical analyses were carried out by means of independent sample t-test, correlation and regression analyses.
Multiple linear regression analyses revealed significant relationships between interpersonal self-transcendence and social, functional and spiritual well-being, whereas intrapersonal self-transcendence significantly related to emotional, social, functional and spiritual well-being. Nurse–patient interaction related to physical, emotional and functional well-being. Age and gender were not significant predictors for well-being, except for functional and spiritual well-being where women scored higher than men.
Nurse–patient interaction and self-transcendence are vital resources for promoting well-being physically, emotionally, functionally, socially and spiritually among cognitively intact nursing home patients.
Relevance to clinical practice
Nurse–patient interaction signifies vital and ultimate nursing qualities promoting self-transcendence and multidimensional well-being. These findings are important for clinical nursing intending to increase patients’ well-being.