Self-transcendence and nurse-patient interaction in cognitively intact nursing home patients
Journal of Clinical Nursing December 1, 2012 DOI: 10.1111/j.1365-2702.2012.04217.x (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Cross-sectional study Qualitative Peer reviewed |
|---|---|
| Sample size | 202 |
| Population | Cognitively intact nursing home patients in Norway |
| Measures | Self-Transcendence Scale, Nurse-Patient Interaction Scale (NPIS) |
| Key findings | Nurse-patient interaction significantly affected both interpersonal and intrapersonal self-transcendence among cognitively intact nursing home patients, with a direct influence on intrapersonal and an indirect influence on interpersonal aspects. |
Abstract
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.