Aim
To investigate the associations between nurse–patient interaction and meaning‐in‐life in a nursing home population.
Background
Meaning has been found to be a strong individual predictor of ...successful ageing and life satisfaction as well as an important psychological variable that promotes well‐being. Meaning seems to serve as a mediating variable in both psychological and physical health. Connecting and communicating with others have been seen to facilitate meaning‐in‐life among older individuals.
Design
Cross‐sectional descriptive study.
Methods
The data were collected in 2008–2009 using the Nurse–Patient Interaction Scale and the Purpose‐in‐Life test. A total of 250 cognitively intact nursing home patients met the inclusion criteria and 202 (81%) participated. A structural equation model of the hypothesized relationship between nurse–patient interaction and meaning was tested by means of LISREL 8.8.
Findings
The structural equation model fit well with the data. A significant direct relationship between nurse–patient interaction and meaning‐in‐life in cognitively intact nursing home patients was displayed.
Conclusion
Nurse–patient interaction significantly relates to meaning and purpose‐in‐life among cognitively intact nursing home patients and might be an important resource in relation to the patient's mental health and global well‐being. High‐quality nurse–patient interaction and in‐house activities aiming to increase patients’ meaning might increase psychological and physical health, well‐being and psycho‐spiritual functioning in this vulnerable population.
Aims and objectives
To investigate the prevalence of physical and emotional symptoms and the associations between symptoms and meaning‐in‐life in a cognitively intact nursing‐home population.
...Background
Meaning has been found to be a strong individual predictor of successful ageing and life satisfaction as well as an important psychological variable that promotes well‐being. Meaning serves as a mediating variable in both psychological and physical health.
Design and methods
The study employed a cross‐sectional design. Data were collected in 2008 and 2009 using the QLQ‐C15‐PAL quality‐of‐life questionnaire, the purpose‐in‐life test and the Hospital Anxiety and Depression Scale. A total of 250 cognitively intact nursing‐home patients who met the inclusion criteria were approached and 202 attended.
Results
The prevalence of symptoms was fairly high, with fatigue (57%), pain (49%), constipation (43%) and dyspnoea (41%) as the most frequent physical symptoms, while 30% were depressed and 12% had anxiety. Significant correlations between meaning‐in‐life and symptom severity were displayed.
Conclusions
The level of symptom severity among cognitively intact nursing‐home patients is high, requiring highly competent staff nurses. Meaning‐in‐life might be an important resource in relation to a patient's physical and emotional health and global well‐being.
Relevance to clinical practice
Facilitating patients' meaning‐in‐life might help reducing symptom severity and fostering quality of life in cognitively intact nursing‐home patients. However, advancing staff nurses' competence in palliative care, symptom management and nurse–patient interaction is important for care quality and quality if life in nursing homes.
Background
Spiritual dimensions such as hope, meaning in life and self‐transcendence have been found to be predictors of successful ageing, life satisfaction and well‐being in older individuals. ...Connectedness and communicating with others have been seen to facilitate hope, meaning in life and self‐transcendence among nursing home patients.
Aims
This study aimed to investigate the associations between hope, meaning in life, self‐transcendence and nurse–patient interaction in a nursing home population.
Design and methods
A cross‐sectional design was employed, collecting data in 44 different Norwegian nursing homes (NHs) from 250 patients who met the inclusion criteria. Approval by all regulatory institutions dealing with research issues in Norway and the Management Unit at the 44 NHs was obtained. A sample of 202 cognitively intact nursing home patients responded to the Herth Hope Index, the Purpose in Life test, the Self‐Transcendence Scale and the Nurse–Patient Interaction Scale. A structural equation model (SEM) of the hypothesized relationships between the constructs was tested.
Results
The SEM model fit well with the present data. Significant direct relationships of nurse–patient interaction on hope, meaning in life and self‐transcendence were displayed. Meaning and the interconnectedness dimension of hope appeared to be particularly dynamic resources, revealing significant influences on all the constructs in the SEM model tested.
Conclusion
Nurse–patient interaction influences hope, meaning in life and self‐transcendence in cognitively intact nursing home patients and might be an important resource in relation to patients' health and global well‐being. Thus, care providers are above all fundamental for nursing home patients. Advancing caregivers' interacting and communicating skills might facilitate patients' health and global well‐being and inspire professional caregivers as they perform their daily care practices. More research of the effectiveness of such strategies is greatly needed.
Limitations
The SEM model tested comprised 20 variables, indicating a desirable sample size of n = 200, while the present effective sample was n = 187. Also, cross‐sectional data do not allow making conclusion on the causality.
Active attitude toward treatment and health (ATH) leads to improved cooperation and better health outcomes in patients. Supporting it in the population of older adults is a growing need in primary ...care. Recognising the role of gender, health and other sociodemographic factors can help to distinguish patients who need the most assistance in activation from general practitioners (GPs). The objective of the study was to investigate gender differences in ATH as well as the moderating role of self-assessed health (SAH) and selected sociodemographic factors (age, education, financial status, marital status).
A cross-sectional, multicentre study among 4936 primary care older patients (aged 50+) was conducted. The PRACTA-Attitude toward Treatment and Health questionnaire (PRACTA-ATH) was used to measure the cognitive, emotional (positive and negative affect), and motivational dimensions of ATH. Patients were approached before and after their visits in the primary health-care facilities randomly selected in Central Poland.
Generalised linear models (GENLIN) revealed the main effects of gender, SAH, and sociodemographic characteristics, such as financial status, marital status and education. Interaction effects of gender and age (Wald's χ
= 24.767, p < 0.001 for ATH Global), as well as gender and SAH (Wald's χ
= 16.712, p < 0.002 for ATH Global) on ATH were found. The most assistance in regard to ATH was required by men aged 50-74 and men declaring good self-assessed health. Generally, women declared a more active attitude than men, showing more knowledge (M = 5.40, SD = 0.07 and M = 5.21, SD = 0.07, for women and men, respectively, p = 0.046), positive emotion (M = 5.55, SD = 0.06 and M = 5.33, SD =0.06, for women and men, respectively, p = 0.015) and motivation to be involved in their health issues (M = 5.71, SD = 0.07 and M = 5.39, SD = 0.07, for women and men, respectively, p = 0.001). The level of negative emotions related to health was not significantly different between genders (p = 0.971).
The need to create health promoting programmes taking account of particular gender differences in older adults emerges. In regard to clinical practice, building a sense of efficacy and individual responsibility for health, providing information about the means of health promotion and prevention, and recognising health-related cognitions, is recommended especially for men who feel well and are less advanced in age (50-74).
Background
Spiritual well‐being has been found to be a strong individual predictor of overall nursing home satisfaction and a fundamental dimension of global as well as health‐related quality‐in‐life ...among nursing home patients. Therefore, access to a valid and reliable measure of spiritual well‐being among nursing home patients is highly warranted.
Objectives
The aim of this study was to investigate the dimensionality, reliability and construct validity of the Functional Assessment of Chronic Illness Therapy Spiritual Wellbeing scale in a cognitively intact nursing home population.
Design and method
A cross‐sectional design was applied, selecting two counties in central Norway from which 20 municipalities representing 44 different nursing homes took part in this study. Long‐term care was defined as 24‐hour care with duration of 6 months or longer. Participants were 202 cognitively intact long‐term nursing home patients fulfilling the inclusion criteria. Approval by all regulatory institutions dealing with research issues in Norway and the Management Unit at the 44 nursing homes was obtained. Explorative and confirmative factor analyses as well as correlation with selected construct were used.
Results
Though three items loaded very low (λ = 0.22, 0.26, 0.32) indicating low reliability, the three‐factor model for the FACIT‐Sp spiritual well‐being scale provided an acceptable fit (χ2 = 101.15 (df = 50), p‐value <0.001, RMSEA = 0.075 p = 0.030, NFI = 0.90, GFI = 0.91, AGFI = 0.85) for older nursing home patients, demonstrating acceptable measurement reliability. Construct validity was supported by significant correlations in the hypothesised direction with the selected constructs.
Conclusion
The three‐factor model is an improvement over the original two‐factor construct, based on these nursing home data. The measure yielded significantly factor loadings, good composite reliability and construct validity.
The aim of this longitudinal study was to investigate the relationships between work-related sense of coherence (work-SOC) and the two well-being concepts of job satisfaction and work engagement. The ...study was conducted among nursing home employees, who answered a survey in two waves with a one-year interval. The results of structural equation modelling analyses showed that work-SOC was related to future work engagement but not job satisfaction, indicating that work-SOC contributes to active rather than passive states of well-being. Hypotheses of neither reversed nor reciprocal relationships were supported. The longitudinal relationship with work engagement suggests that work-SOC is an important factor to consider in workplace health promotion and management of employee health, and further research is therefore recommended to learn more about the nature and development of work-SOC.
Parents of children with autism are faced with higher risks of unemployment, divorce, and poorer mental health than parents of children with other disorders. Such parenting stress can be further ...exacerbated by cultural and environmental factors such as the more conservative and collectivistic Asian values. Therefore, this review identifies and synthesizes literature on the parenting experiences and needs of Asian primary caregivers of children with autism using a critical interpretive method. A qualitative meta-summary was conducted. Seven electronic databases (CINAHL, Embase, ProQuest, PsycINFO, PubMed, Scopus, and Web of Science) were searched from each database’s date of inception to November 2018. In total, 44 studies were included in this review. Thirteen studies examined Asian immigrant parents’ experiences, and 31 studies were done among Asia-based parents. Six domains were identified: “personal parenting journey”; “adaptation and coping strategies”; “family, community, and social support”; “experiences with healthcare, education, and social services”; “future hopes and recommendations”; and “unique experiences of immigrants.” The distinctive influence of religious beliefs, cultural values, and environmental factors on Asian parenting experiences were discussed, and recommendations were proposed to better meet the needs of parents with autistic children.
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