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

International Journal of Older People Nursing March 1, 2014 DOI: 10.1111/opn.12018 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional study Peer reviewed
Sample size 202
Population Cognitively intact nursing home patients in mid-Norway
Measures Self-Transcendence Scale, FACIT-Sp spiritual well-being questionnaire
Key findings Self-transcendence showed significant direct relationships with spiritual well-being, with total effects indicating that higher self-transcendence is associated with greater spiritual well-being. The authors propose that facilitating self-transcendence may enhance spiritual well-being and satisfaction among nursing home patients.

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.