Background: Meaning in life of older persons is related to well-being, health, quality of life, and “good life.” However, the topic is scarcely covered in nursing literature. Objective: The aim of this integrative review for nurses is to synthesize knowledge from scholarly literature to provide insight into how older persons find meaning in life, what are influencing circumstances, and what are their sources of meaning. The review serves as a starting point for including meaning in life of older persons as a major concern for nurses in their role as health promoters. Method: An integrative review was performed including empirical research literature and texts on theoretical perspectives. Ethical consideration: Researches agree with ethical codes for research of universities in the Netherlands. For literature reviews no additional procedures are necessary according to Dutch law. Findings: A total of 44 heterogeneous texts were included in this review. Finding meaning in life is challenging for older persons. Older persons find meaning through a developmental process, by creating and discovering. Meaning in life is found in connection with self and others. Health, living together, high socio-economic status, social relations, activities, and religion are associated with experiencing meaning in later life. The main source of meaning in life of older persons is human relationships. Other sources of meaning in life vary by age and culture. Discussion: The review provides insight into meaning in life of older persons. There are several gaps in knowledge: literature is culturally biased, research on discovery of meaning and daily meaning is limited, and research from a nursing perspective is lacking. In practice, nurses have many opportunities to attune to meaning in life of patients. Further development of competence and training are needed. Conclusion: Older persons find meaning in life through different processes. Meaning in life is associated with the circumstances old persons live in. Human relationship is the major source of meaning. The knowledge from this review is a necessary knowledge base for nurses to include meaning in life of older patients in care. Further research is needed to explore the role of nurses.

Older adults are a group of interest in healthcare and social care. The percentage of aged adults in population is growing worldwide, with a projected increase to 29% in high-income countries by 2030 (WHO, 2015). Most older adults age in place (WHO, 2015). Many of them receive help from family and professionals. In the Netherlands, where this study was conducted, more than 90% of

AimTo explore situations in daily home nursing regarding meaning in life of older adults.DesignQualitative research design.MethodsIn total, 197 participant observations were conducted during home nursing visits between September 2015–May 2018. Descriptions were thematically analysed. The themes of this analysis were subsequently linked to dimensions of meaning in life. Dialogue in research groups expanded understanding.Results/FindingsFour main themes were found namely: being in a private environment; nurse–patient encounter embedded in a relationship; personal care; and conversation.ConclusionMeaning in life of older adults may come to light in every situation during daily care. Hence there are many opportunities for nurses to attune their work to patients' meaning in life. Nurse education and health management should enable them to do so.

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In this article, we introduce a general theory about meaning in life developed by our first author, and apply it to the context of ageing. The seven components of meaning distinguished by this theory – purpose, moral worth, selfworth, control, coherence, excitement and connectedness – are discussed in turn. After presenting the theory, we confront the seven  components with extensive life narratives of two older men – in a first empirical qualitative exploration of how meaning dimensions appear in the life experiences of older people. This dialogue between theory and narrative is used to provide concretisation and clarification of the seven components, thereby enhancing the understanding of the theory, while at the same time suggesting possible refinements and directions for future exploration of meaning in life in the context of ageing.