Crucial aspects promoting meaning and purpose in life: perceptions of nursing home residents

Drageset, Jorunn; Haugan, Gørill; Tranvåg, Oscar

doi:10.1186/s12877-017-0650-x

Cited by 58 publications

(90 citation statements)

References 45 publications

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“…The role of nurses is especially promising because home nurses have many opportunities during daily care to attune to patients' MiL (51). We therefore confirm that nurses have an important supportive role, as described in other papers (24)(25)(26), but our study adds that this role should be considered in the context of many other influencing circumstances. What's more, recent healthcare interest in patients' MiL should not lead to taking over patients' responsibility through a formal approach -a 'registering eye', as Martinson described it (52).…”

Section: Good Care In Relation To Patients' Milsupporting

confidence: 88%

Nurses’ attunement to patients’ meaning in life – A qualitative study of experiences of Dutch adults ageing in place

Hupkens

Goumans

Derkx

et al. 2020

Preprint

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Background: Meaning in life (MiL) is considered to be an important part of health and is associated with many positive outcomes in older adults, such as quality of life and longevity. As health promotors, nurses may take patients’ MiL into account in the care process. There is a knowledge gap in terms of what constitutes good care in relation to older patients’ MiL, and what the benefits may be for patients when nursing is attuned to this aspect. The purpose of this study was to explore the experiences of home nursing older adults in relation to nurses’ attunement to MiL. Methods: Gadamerian hermeneutic phenomenological design with semi-structured interviews. Participants were 24 aged home nursing patients. A framework of care ethical evaluation was used in the analysis. Multiple dialogues enhanced understanding. Results: Patients did not expect nurses’ regard for their MiL. They rather expected ‘normal contact’ and adequate physical care. Nurses showed that they were open to patients’ MiL by being interested in the patient as a person and by being attentive to specific and hidden needs. Participants explained that the nurse’s behaviour upon arrival set the tone: they knew immediately if there was room for MiL or not. All participants had positive and negative experiences with nurses’ behaviour in relation to MiL. Valued nursing care included maintaining a long, kind and reciprocal relationship; doing what was needed; and skilled personalised care. Participants mentioned ‘special ones’: nurses who attuned to them in a special way and did more than expected. Benefits of care that was attuned to patients’ MiL were: experiencing a cheerful moment, feeling secure, feeling like a valuable person and having a good day. Older adults also stressed that consideration for MiL helps identify what is important in healthcare. Conclusion: Aged homecare patients value nurses’ attunement to their MiL positively. Although patients regard MiL mostly as their own quest, nurses play a modest yet important role. Managers and educators should support nurses’ investment in reciprocal nurse-patient relationships.

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Section: Good Care In Relation To Patients' Milsupporting

confidence: 88%

Nurses’ attunement to patients’ meaning in life – A qualitative study of experiences of Dutch adults ageing in place

Hupkens

Goumans

Derkx

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…It has been defined in different ways, yet, two components namely interconnectedness and search for meaning in life (Zibad, Foroughan, Shahboulaghi, Rafiey, & Rassouli, ) are central to most definitions of spirituality. For some, spirituality has been described in terms of connections with higher being/s (De Guzman et al., ; Drageset, Haugan, & Tranvåg, ; Sadler, Biggs, & Glaser, ). However, for others, it has been described as connections with people (Krause & Bastida, ).…”

Section: Introductionmentioning

confidence: 99%

What is known about the spirituality in older adults living in residential care facilities? An Integrative review

Gautam

Neville

Montayre

2019

Int J Older People Nursing

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Aim To synthesize evidence regarding the spiritual needs and care of older adults living in residential care facilities from the perspectives of older adults and nurses or caregivers. Design Integrative review of literature. Data sources Literature search was conducted using CINAHL Plus with Full Text via EBSCO, Scopus, PubMed, PsychInfo, Web of Science, and ProQuest Social Science Databases from March to December 2017. Review methods This integrative review utilised the Whittemore and Knafl framework and PRISMA in the selection of eligible articles. Quality of the articles was evaluated using the Mixed Method Appraisal Tool. Results Seven articles were reviewed and analysed. There is limited evidence \and no agreed definition of spiritual needs and care of older adults living in residential care facilities. Spiritual needs of older adults in residential care facilities is a psycho‐social, religious and existential construct. Spiritual care in residential care facilities is linked to information gathering, religious guidance, maintaining family connections, providing companionship, discussing end of life issues, and providing counseling. Older adults highly value the role of nurses and caregivers in fulfilling their spiritual needs and providing spiritual care. However, nurses and caregivers perceived arranging a referral to a religious advisor as the main aspect of spiritual care. Therefore, nurses’, caregivers’, and older adults’ views on spiritual care differed to some extent. Conclusion The practical aspects of spiritual needs assessment and spiritual care provision requires further investigation, which is essential to improve the effectiveness of service delivery in residential care facilities.

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“…This was also described for nursing home patients (25). Some respondents doubted whether nurses were competent to provide support with MiL.…”

Section: Discussionmentioning

confidence: 99%

Nurses’ attunement to patients’ meaning in life – A qualitative study of experiences of Dutch adults ageing in place

Hupkens

Goumans

Derkx

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Meaning in life (MiL) is considered to be an important part of health and is associated with many positive outcomes in older adults, such as quality of life and longevity. As health promotors, nurses may take patients’ MiL into account in the care process. There is a knowledge gap in terms of what constitutes good care in relation to older patients’ MiL, and what the benefits may be for patients when nursing is attuned to this aspect. The purpose of this study was to explore the experiences of home nursing older adults in relation to nurses’ attunement to MiL. Methods Gadamerian hermeneutic phenomenological design with semi-structured interviews. Participants were 24 aged home nursing patients. A framework of care ethical evaluation was used in the analysis. Multiple dialogues enhanced understanding. Results Patients did not expect nurses’ regard for their MiL. They rather expected ‘normal contact’ and adequate physical care. Nurses showed that they were open to patients’ MiL by being interested in the patient as a person and by being attentive to specific and hidden needs. Participants explained that the nurse’s behaviour upon arrival set the tone: they knew immediately if there was room for MiL or not. All participants had positive and negative experiences with nurses’ behaviour in relation to MiL. Valued nursing care included maintaining a long, kind and reciprocal relationship; doing what was needed; and skilled personalised care. Participants mentioned ‘special ones’: nurses attuned to them in a special way who did more than expected. Benefits of care that was attuned to patients’ MiL were experiencing a cheerful moment, feeling secure, feeling like a valuable person and having a good day. Older adults also stressed that consideration for MiL helps identify what is important in healthcare. Conclusion Aged homecare patients value nurses’ attunement to their MiL positively. Although patients regard MiL mostly as their own quest, nurses play a modest yet important role. Managers and educators should support nurses’ investment in reciprocal nurse-patient relationships.

show abstract

Crucial aspects promoting meaning and purpose in life: perceptions of nursing home residents

Cited by 58 publications

References 45 publications

Nurses’ attunement to patients’ meaning in life – A qualitative study of experiences of Dutch adults ageing in place

Nurses’ attunement to patients’ meaning in life – A qualitative study of experiences of Dutch adults ageing in place

What is known about the spirituality in older adults living in residential care facilities? An Integrative review

Nurses’ attunement to patients’ meaning in life – A qualitative study of experiences of Dutch adults ageing in place

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