title: Self-transcendence, nurse-patient interaction and the outcome of multidimensional well-being in cognitively intact nursing home patients.
abstract: OBJECTIVE
  The aim of this study was to investigate the associations between age, gender, self-transcendence, nurse-patient interaction and multidimensional well-being as the outcome among cognitively intact nursing home patients.
  
  
  BACKGROUND
  Self-transcendence is considered to be a vital resource of well-being in vulnerable populations and at the end of life. Moreover, the quality of care and the nurse-patient interaction is found to influence self-transcendence and well-being in nursing home patients.
  
  
  METHODS
  A cross-sectional design employing the Self-Transcendence Scale, the Nurse-Patient Interaction Scale, the FACT-G Quality of Life and the FACIT-Sp Spiritual Well-Being questionnaires was adopted. A sample of 202 cognitively intact nursing home patients from 44 nursing homes in central Norway was selected. A previous documented two-factor construct of self-transcendence was applied. The statistical analyses were carried out by means of independent sample t-test, correlation and regression analyses.
  
  
  RESULTS
  Multiple linear regression analyses revealed significant relationships between interpersonal self-transcendence and social, functional and spiritual well-being, whereas intrapersonal self-transcendence significantly related to emotional, social, functional and spiritual well-being. Nurse-patient interaction related to physical, emotional and functional well-being. Age and gender were not significant predictors for well-being, except for functional and spiritual well-being where women scored higher than men.
  
  
  CONCLUSIONS
  Nurse-patient interaction and self-transcendence are vital resources for promoting well-being physically, emotionally, functionally, socially and spiritually among cognitively intact nursing home patients.
  
  
  CONCLUSIONS
  Nurse-patient interaction signifies vital and ultimate nursing qualities promoting self-transcendence and multidimensional well-being. These findings are important for clinical nursing intending to increase patients' well-being.
authors.affiliation: Faculty of Nursing, Sør-Trøndelag University College HIST, Trondheim, Norway; Research Centre for Health Promotion and Resources HIST/NTNU, Trondheim, Norway.
authors.forename: Gørill
authors.initials: G
authors.lastname: Haugan
authors.forename: Brith
authors.initials: B
authors.lastname: Hanssen
authors.forename: Unni K
authors.initials: UK
authors.lastname: Moksnes
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D009723:Nurse-Patient Relations; D009735:Nursing Homes / Q000458:organization & administration*; D016896:Treatment Outcome
keywords: multidimensional well-being; nurse-patient interaction; nursing home; self-transcendence