Meaning‐in‐life in nursing‐home patients: a correlate with physical and emotional symptoms

Haugan, Gørill

doi:10.1111/jocn.12282

Cited by 83 publications

(107 citation statements)

References 121 publications

(103 reference statements)

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“…Perceived meaning‐in‐life probably relieves physical and emotional stresses, supporting inner strength. Perceived “meaning‐in‐life” is found to positively affect nursing home patients’ well‐being, in physical, emotional, social and functional ways (Haugan, ). Moreover, significant associations between meaning‐in‐life and physical symptoms, such as pain, fatigue, nausea and vomiting, insomnia and dyspnoea, have been shown (Haugan, ).…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, significant associations between meaning‐in‐life and physical symptoms, such as pain, fatigue, nausea and vomiting, insomnia and dyspnoea, have been shown (Haugan, ). Patients with high scores on meaning‐in‐life displayed a significantly lower perceived symptom burden and better physical and emotional functioning, compared to those experiencing low meaning (Haugan, , ). These findings are probably transferable to long‐term ICU patients who suffer from similar symptoms.…”

Section: Discussionmentioning

confidence: 99%

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“Never in my mind to give up!” A qualitative study of long‐term intensive care patients’ inner strength and willpower—Promoting and challenging aspects

Alexandersen

Stjern

Eide

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To explore aspects that promote and challenge long‐term ICU patients’ inner strength and willpower. Background Considerable research has been devoted to ICU patients’ experiences; however, research on long‐term ICU patients is limited. Studies in a health‐promoting perspective focusing on long‐term ICU patients’ inner strength and willpower are scarce. Design A qualitative, hermeneutic‐phenomenological approach, using in‐depth interviews. Methods Seventeen long‐term Norwegian ICU patients were interviewed once, at 6–18 months after ICU discharge. The consolidated criteria for reporting qualitative research was used (Data S1). Results The lived experience of the phenomenon “inner strength and willpower” and what promotes and challenges this phenomenon in long‐term ICU patients were represented by four main themes and nine subthemes. Promoting aspects comprised of two main themes and five subthemes: (a) “No doubt about coming back to life” with subthemes; “Strong connectedness to life; feeling alive and present,” “Meaning and purpose; feeling valuable to somebody.” (b) “How to ignite and maintain the spark of life,” with the subthemes: “Practical solutions, coping skills from previous life experiences,” “Provocative and inspiring experiences” and “Vivid dream experiences that ignite the willpower.” Two main categories and four subcategories represented challenging aspects: (a) Exhaustion, weakness and discomfort; subthemes; “Physical challenges” and “Mental discomfort” and (b) “Tiring delusions,” subthemes; “Living in the worst horror movie” and “Feeling trapped.” Conclusion This study expands on previous studies by providing insights about what promotes and challenges long‐term ICU patients’ inner strength and willpower during their recovery trajectory. Relevance to clinical practice Insights into the variety of long‐term ICU patients’ experiences during the recovery trajectory are important for ICU nurses to support and facilitate ICU patients’ inner strength and willpower.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“Never in my mind to give up!” A qualitative study of long‐term intensive care patients’ inner strength and willpower—Promoting and challenging aspects

Alexandersen

Stjern

Eide

et al. 2019

Journal of Clinical Nursing

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“…The interviews were audio recorded. Since older persons in nursing homes can be expected to have multiple symptoms such as fatigue, pain, depression, and anxiety [4], the reflective conversations were conducted when the older persons had strength to participate in their home within the nursing home. The researcher (IJ), who according to the larger project also followed staff in their work, discovered that conversations with older persons with, for example, cognitive impairments, arise naturally during work; therefore, some interviews were conducted in relation to the observations.…”

Section: Methodsmentioning

confidence: 99%

“…This can result in an extensive need for elderly care [4] such as long-term care in a nursing home [1,4]. …”

Section: Introductionmentioning

confidence: 99%

A meaningful daily life in nursing homes - a place of shelter and a space of freedom: a participatory appreciative action reflection study

2014

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Background: Shortcomings in elderly care have been reported in many parts of the world, including Sweden. However, national guidelines for elderly care have been introduced in Sweden, which contain core values and local guarantees of dignity. These highlight the need for dignity and well-being, and organising the older person's daily life so that they perceive it as meaningful. Therefore, the aim of the present study was to describe older persons' experience and knowledge about obstacles, opportunities and solutions to developing a meaningful daily life for those living in nursing homes. Methods: This study combined the Participatory Appreciative Action Reflection (PAAR) and hermeneutic approaches. Twenty-five older persons participated and persons with dementia or cognitive impairments were included. Repeated interviews were carried out as reflective conversations, leaving 50 interviews in total, wherein the older persons provided their analyses and reflections on a meaningful daily life. Finally, an analysis of the data was completed based on a life-world hermeneutic approach. Results: We identified five tentative interpretations that describe obstacles, opportunities and solutions for a meaningful daily life. Themes 2 and 4 outline obstacles for a meaningful daily life, and Themes 1, 3 and 5 describe opportunities and solutions for a meaningful daily life: (1) Having space to be yourself; (2) No space to be yourself; (3) Belonging and security; (4) A feeling of insecurity; and (5) Longing for something to happen. In the main interpretation, we found that the five tentative interpretations are related to Tuan's concepts of space and place, where place can be described as security and stableness, and space as freedom and openness. Conclusions: The reciprocal relationship is a solution for a meaningful daily life and occurs in the interaction between staff and older persons in nursing homes. It is the balance of power, and constitutes a place of shelter and a space of freedom for a meaningful daily life. The older person must have balance between shelter and freedom to have a meaningful daily life.

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“…Possible scores range from 20 to 140, with higher scores indicating stronger purpose‐in‐life. The PIL has been translated into Norwegian , used among older Norwegians ages 65–103 and has revealed reliable scores among NHs patients . In this study, Cronbach's α of the scale was 0.82.…”

Section: Methodsmentioning

confidence: 69%

The FACIT‐Sp spiritual well‐being scale: an investigation of the dimensionality, reliability and construct validity in a cognitively intact nursing home population

Haugan¹

2014

Scandinavian Caring Sciences

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Meaning‐in‐life in nursing‐home patients: a correlate with physical and emotional symptoms

Cited by 83 publications

References 121 publications

“Never in my mind to give up!” A qualitative study of long‐term intensive care patients’ inner strength and willpower—Promoting and challenging aspects

“Never in my mind to give up!” A qualitative study of long‐term intensive care patients’ inner strength and willpower—Promoting and challenging aspects

A meaningful daily life in nursing homes - a place of shelter and a space of freedom: a participatory appreciative action reflection study

The FACIT‐Sp spiritual well‐being scale: an investigation of the dimensionality, reliability and construct validity in a cognitively intact nursing home population

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