title: Self-transcendence and nurse-patient interaction in cognitively intact nursing home patients.
abstract: OBJECTIVE
  The aim of this study was to test whether nurse-patient interaction affects cognitively intact nursing home patients' interpersonal and intrapersonal self-transcendence, as well as testing the psychometric properties of the Nurse-Patient Interaction Scale (NPIS).
  
  
  BACKGROUND
  Self-transcendence is considered a spiritual developmental process of maturity in adulthood, and a vital resource of well-being at the end of life. The concept of self-transcendence has previously been explored in various populations, yet the nurse-patient interactions' potential influence on self-transcendence in nursing home patients has not been published previously.
  
  
  METHODS
  A cross-sectional design employing the Self-Transcendence Scale and the NPIS was adopted. A sample of 202 cognitively well-functioning nursing home patients in Norway was selected. The statistical analyses were carried out using lisrel 8.8 and structural equation modelling.
  
  
  RESULTS
  Structural equation modelling-analysis indicates statistical significant effect of nurse-patient interaction on the patients' self-transcendence. Direct influence on the intrapersonal and indirect influence on the interpersonal self-transcendence aspects was disclosed.
  
  
  CONCLUSIONS
  Nurse-patient interaction significantly affected both interpersonal and intrapersonal self-transcendence among cognitively intact nursing home patients. Hence, facilitating caring interventions can be significantly beneficial to older patients' self-transcendence and thereby well-being, both emotional and physical.
  
  
  CONCLUSIONS
  Caring behaviour signifies the vital and ultimate qualitative nursing behaviour, which promotes self-transcendence and thereby well-being. These findings are important for clinical nursing that intends to increase patients' well-being.
authors.affiliation: Faculty of Nursing, Sør-Trøndelag University College, Trondheim, Norway. gorill.haugan@hist.no
authors.forename: Gørill
authors.initials: G
authors.lastname: Haugan
authors.forename: Toril
authors.initials: T
authors.lastname: Rannestad
authors.forename: Brith
authors.initials: B
authors.lastname: Hanssen
authors.forename: Geir A
authors.initials: GA
authors.lastname: Espnes
mesh_terms: D003071:Cognition; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D009664:Norway; D009723:Nurse-Patient Relations; D010549:Personal Satisfaction; D029181:Spirituality