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Published in: BMC Geriatrics 1/2017

Open Access 01-12-2017 | Research Article

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

Authors: Jorunn Drageset, Gørill Haugan, Oscar Tranvåg

Published in: BMC Geriatrics | Issue 1/2017

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Abstract

Background

Meaning and purpose in life are fundamental to human beings. In changing times, with an aging population and increased life expectancy, the need for health care services and long-term care is likely to grow. More deeply understanding how older long-term care residents perceive meaning and purpose in life is critical for improving the quality of care and the residents’ quality of life. The purpose of this study was to explore crucial aspects promoting nursing home residents’ experience of meaning and purpose in everyday life.

Method

An exploratory hermeneutical design with qualitative interviews for collecting data.

Results

Four key experiences were found to promote meaning and purpose in life: 1) physical and mental well-being, 2) belonging and recognition, 3) personally treasured activities and 4) spiritual closeness and connectedness.

Conclusion

In supporting meaning and purpose in life of nursing home residents, the residents’ everyday well-being should be a central focus of care and facilitate personally treasured activities. Focused attention should also be given to the meaning-making power of experiencing belonging, recognition and spiritual connectedness.
Literature
3.
go back to reference Selbaek G, Kirkevold O, Engedal K, Selbaek G, Kirkevold O, Engedal K. The prevalence of psychiatric symptoms and behavioural disturbances and the use of psychotropic drugs in Norwegian nursing homes. Int J Geriatr Psychiatry. 2007;22:843–9.CrossRefPubMed Selbaek G, Kirkevold O, Engedal K, Selbaek G, Kirkevold O, Engedal K. The prevalence of psychiatric symptoms and behavioural disturbances and the use of psychotropic drugs in Norwegian nursing homes. Int J Geriatr Psychiatry. 2007;22:843–9.CrossRefPubMed
4.
go back to reference Drageset J, Eide GE, Dysvik E, Furnes B, Hauge S. Loneliness, loss, and social support among cognitively intact older people with cancer, living in nursing homes – a mixed-methods study. Clin Interv Aging. 2015;10:1529–36.CrossRefPubMedPubMedCentral Drageset J, Eide GE, Dysvik E, Furnes B, Hauge S. Loneliness, loss, and social support among cognitively intact older people with cancer, living in nursing homes – a mixed-methods study. Clin Interv Aging. 2015;10:1529–36.CrossRefPubMedPubMedCentral
5.
go back to reference Burack OR, Weiner AS, Reinhardt JP, Annunziato RA. What matters most to nursing home elders: quality of life in the nursing home. J Am Med Dir Assoc. 2012;13:48–53.CrossRefPubMed Burack OR, Weiner AS, Reinhardt JP, Annunziato RA. What matters most to nursing home elders: quality of life in the nursing home. J Am Med Dir Assoc. 2012;13:48–53.CrossRefPubMed
6.
go back to reference Haugan G. Meaning in life in nursing-home patients: a correlate with physical and emotional symptoms. J Clin Nurs. 2014;23:1030–43.CrossRefPubMed Haugan G. Meaning in life in nursing-home patients: a correlate with physical and emotional symptoms. J Clin Nurs. 2014;23:1030–43.CrossRefPubMed
7.
go back to reference Frankl VE. Man’s search for meaning. New York: Washington Square Press; 1963. Frankl VE. Man’s search for meaning. New York: Washington Square Press; 1963.
8.
go back to reference Hedberg P, Brulin C, Alex L, Gustafson Y. Purpose in life over a five-year period: a longitudinal study in a very old population. Int Psychogeriatr. 2011;23:806–13.CrossRefPubMed Hedberg P, Brulin C, Alex L, Gustafson Y. Purpose in life over a five-year period: a longitudinal study in a very old population. Int Psychogeriatr. 2011;23:806–13.CrossRefPubMed
9.
go back to reference Starck PL. Theory of meaning. In: Smith MJ, Liehr PR, editors. Middle range theory for nursing. Second ed. New York: Springer; 2008. p. 81–104. Starck PL. Theory of meaning. In: Smith MJ, Liehr PR, editors. Middle range theory for nursing. Second ed. New York: Springer; 2008. p. 81–104.
10.
go back to reference Reed PG. Theory of self-transcendence. In: Smith MJ, Liehr PR, editors. Middle range theory for nursing. Second ed. New York: Springer; 2008. p. 105–29. Reed PG. Theory of self-transcendence. In: Smith MJ, Liehr PR, editors. Middle range theory for nursing. Second ed. New York: Springer; 2008. p. 105–29.
11.
go back to reference Travelbee J. Interpersonal aspects of nursing. 2nd ed. Philadelphia, PA: F.A. Davis; 1979. Travelbee J. Interpersonal aspects of nursing. 2nd ed. Philadelphia, PA: F.A. Davis; 1979.
12.
go back to reference Dossey B, Keegan L. Holistic nursing: a handbook for practice. Jones and Bartlett: Sudbury, MA; 2009. Dossey B, Keegan L. Holistic nursing: a handbook for practice. Jones and Bartlett: Sudbury, MA; 2009.
13.
go back to reference King LA, Hicks J, Krull J, Del Gaiso A. Positive affect and the experience of meaning in life. J Pers Soc Psychol. 2006;90:179–96.CrossRefPubMed King LA, Hicks J, Krull J, Del Gaiso A. Positive affect and the experience of meaning in life. J Pers Soc Psychol. 2006;90:179–96.CrossRefPubMed
14.
go back to reference Nordby H. The meaning of illness in nursing practice: a philosophical model of communication and concept possession. Nurs Philos. 2016;17:103–18.CrossRefPubMed Nordby H. The meaning of illness in nursing practice: a philosophical model of communication and concept possession. Nurs Philos. 2016;17:103–18.CrossRefPubMed
15.
go back to reference Roberts T, Bowers B. How nursing home residents develop relationships with peers and staff: a grounded theory study. Int J Nurs Stud. 2015;52:57–67.CrossRefPubMed Roberts T, Bowers B. How nursing home residents develop relationships with peers and staff: a grounded theory study. Int J Nurs Stud. 2015;52:57–67.CrossRefPubMed
16.
go back to reference Haugan G. The relationship between nurse–patient interaction and meaning in life in cognitively intact nursing home patients. J Adv Nurs. 2014;70:107–20.CrossRefPubMed Haugan G. The relationship between nurse–patient interaction and meaning in life in cognitively intact nursing home patients. J Adv Nurs. 2014;70:107–20.CrossRefPubMed
17.
go back to reference Haugan G, Moksnes UK, Lohre A. Intrapersonal self-transcendence, meaning-in-life and nurse–patient interaction: powerful assets for quality of life in cognitively intact nursing-home patients. Scand J Caring Sci. 2016;30:790–801.CrossRefPubMed Haugan G, Moksnes UK, Lohre A. Intrapersonal self-transcendence, meaning-in-life and nurse–patient interaction: powerful assets for quality of life in cognitively intact nursing-home patients. Scand J Caring Sci. 2016;30:790–801.CrossRefPubMed
18.
go back to reference Haugan G, Moksnes UK, Espnes GA. Nurse–patient interaction: a resource for hope in cognitively intact nursing home patients. J Holist Nurs. 2013;31:152–63.CrossRefPubMed Haugan G, Moksnes UK, Espnes GA. Nurse–patient interaction: a resource for hope in cognitively intact nursing home patients. J Holist Nurs. 2013;31:152–63.CrossRefPubMed
19.
go back to reference van Leeuwen R, Tiesinga LJ, Jochemsen H, Post D. Aspects of spirituality concerning illness. Scand J Caring Sci. 2007;21:482–9.CrossRefPubMed van Leeuwen R, Tiesinga LJ, Jochemsen H, Post D. Aspects of spirituality concerning illness. Scand J Caring Sci. 2007;21:482–9.CrossRefPubMed
20.
go back to reference Haugan Hovdenes G, Pleier-pasient-relasjonen i. sykehjem: virkeliggjørelse eller tilintetgjørelse [The nurse–patient relationship in nursing homes: fulfillment or destruction?]. Nord. J Nurs Res. 2002;22:21–6. Haugan Hovdenes G, Pleier-pasient-relasjonen i. sykehjem: virkeliggjørelse eller tilintetgjørelse [The nurse–patient relationship in nursing homes: fulfillment or destruction?]. Nord. J Nurs Res. 2002;22:21–6.
21.
go back to reference Dwyer L, Nordenfelt L, Ternestedt BM. Three nursing home residents speak about meaning at the end of life. Nurs Ethics. 2008;15:97–109.CrossRefPubMed Dwyer L, Nordenfelt L, Ternestedt BM. Three nursing home residents speak about meaning at the end of life. Nurs Ethics. 2008;15:97–109.CrossRefPubMed
22.
go back to reference Buck HG, Overcash J, McMillan SC. The geriatric cancer experience at the end of life: testing an adapted model. Oncol Nurs Forum. 2009;36:664–73.CrossRefPubMed Buck HG, Overcash J, McMillan SC. The geriatric cancer experience at the end of life: testing an adapted model. Oncol Nurs Forum. 2009;36:664–73.CrossRefPubMed
23.
go back to reference Mok E, Wong F, Wong D. The meaning of spirituality and spiritual care among the Hong Kong Chinese terminally ill. J Adv Nurs. 2010;66:360–70.CrossRefPubMed Mok E, Wong F, Wong D. The meaning of spirituality and spiritual care among the Hong Kong Chinese terminally ill. J Adv Nurs. 2010;66:360–70.CrossRefPubMed
24.
go back to reference Andersson I, Pettersson E, Sidenvall B. Daily life after moving into a care home – experiences from older people, relatives and contact persons. J Clin Nurs. 2007;16:1712–8.CrossRefPubMed Andersson I, Pettersson E, Sidenvall B. Daily life after moving into a care home – experiences from older people, relatives and contact persons. J Clin Nurs. 2007;16:1712–8.CrossRefPubMed
25.
go back to reference Hellström UW, Sarvimäki A. Experiences of self-determination by older persons living in sheltered housing. Nurs Ethics. 2007;14:423–34. Hellström UW, Sarvimäki A. Experiences of self-determination by older persons living in sheltered housing. Nurs Ethics. 2007;14:423–34.
26.
go back to reference Niu CC, Huang HM, Hung YY, Lee HLA. Study of interpersonal intimacy and meaning of life among elderly institutionalized veterans. J Nurs Res. 2016;24:311–20.PubMed Niu CC, Huang HM, Hung YY, Lee HLA. Study of interpersonal intimacy and meaning of life among elderly institutionalized veterans. J Nurs Res. 2016;24:311–20.PubMed
27.
go back to reference Drageset J, Eide GE, Hauge S. Symptoms of depression, sadness and sense of coherence (coping) among cognitively intact older people with cancer living in nursing homes – a mixed-methods study. PeerJ. 2016;4:e2096.CrossRefPubMedPubMedCentral Drageset J, Eide GE, Hauge S. Symptoms of depression, sadness and sense of coherence (coping) among cognitively intact older people with cancer living in nursing homes – a mixed-methods study. PeerJ. 2016;4:e2096.CrossRefPubMedPubMedCentral
28.
go back to reference Brink P, Wood M. Advanced design in nursing research. Newbury Park, CA: Sage; 1998. Brink P, Wood M. Advanced design in nursing research. Newbury Park, CA: Sage; 1998.
29.
go back to reference Polit DF, Beck CT. Essentials of nursing research: appraising evidence for nursing practice. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins; 2010. Polit DF, Beck CT. Essentials of nursing research: appraising evidence for nursing practice. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins; 2010.
30.
go back to reference Franklin LL, Ternestedt BM, Nordenfeldt L. Views on dignity of elderly nursing home residents. Nurs Ethics. 2006;13:130–46.CrossRefPubMed Franklin LL, Ternestedt BM, Nordenfeldt L. Views on dignity of elderly nursing home residents. Nurs Ethics. 2006;13:130–46.CrossRefPubMed
31.
go back to reference Walker R, Johns J, Halliday D. How older people cope with frailty within the context of transition care in Australia: implications for improving service delivery. Health Soc Care Community. 2015;23:216–24.CrossRefPubMed Walker R, Johns J, Halliday D. How older people cope with frailty within the context of transition care in Australia: implications for improving service delivery. Health Soc Care Community. 2015;23:216–24.CrossRefPubMed
32.
go back to reference Clare L. We’ll fight it as long as we can: coping with the onset of Alzheimer’s disease. Aging Ment Health. 2002;6:139–48.CrossRefPubMed Clare L. We’ll fight it as long as we can: coping with the onset of Alzheimer’s disease. Aging Ment Health. 2002;6:139–48.CrossRefPubMed
33.
go back to reference Tranvåg O, Petersen KA, Nåden D. Crucial dimensions constituting dignity experience in persons living with dementia. Dementia. 2016;15:578–95.CrossRefPubMed Tranvåg O, Petersen KA, Nåden D. Crucial dimensions constituting dignity experience in persons living with dementia. Dementia. 2016;15:578–95.CrossRefPubMed
34.
go back to reference Fleming V, Gaidys U, Robb Y. Hermeneutic research in nursing: developing a Gadamerian-based research method. Nurs. Inquiry. 2003;10:113–20. Fleming V, Gaidys U, Robb Y. Hermeneutic research in nursing: developing a Gadamerian-based research method. Nurs. Inquiry. 2003;10:113–20.
35.
go back to reference Gadamer H-G. Truth and method. In: Second revised edition. London: Bloomsbury Academic; 2004. Gadamer H-G. Truth and method. In: Second revised edition. London: Bloomsbury Academic; 2004.
36.
go back to reference Drageset J, Natvig GK, Eide GE, Bondevik M, Nortvedt MW, Nygaard HA. Health-related quality of life among old residents of nursing homes in Norway. Int J Nurs Pract. 2009;15:455–66.CrossRef Drageset J, Natvig GK, Eide GE, Bondevik M, Nortvedt MW, Nygaard HA. Health-related quality of life among old residents of nursing homes in Norway. Int J Nurs Pract. 2009;15:455–66.CrossRef
37.
go back to reference Hughes CP, Berg L, Danziger WL, Coben LA, Martin RLA. New clinical scale for the staging of dementia. Br J Psychiatry. 1982;140:566–72.CrossRefPubMed Hughes CP, Berg L, Danziger WL, Coben LA, Martin RLA. New clinical scale for the staging of dementia. Br J Psychiatry. 1982;140:566–72.CrossRefPubMed
38.
go back to reference Morris JC. The clinical dementia rating (CDR): current version and scoring rules. Neurology. 1993;43:2412–4.CrossRefPubMed Morris JC. The clinical dementia rating (CDR): current version and scoring rules. Neurology. 1993;43:2412–4.CrossRefPubMed
39.
go back to reference Lowe P, McBride-Henry K. What factors impact upon the quality of life of elderly women with chronic illnesses: three women’s perspectives. Contemp Nurse. 2012;41:18–27.CrossRefPubMed Lowe P, McBride-Henry K. What factors impact upon the quality of life of elderly women with chronic illnesses: three women’s perspectives. Contemp Nurse. 2012;41:18–27.CrossRefPubMed
40.
go back to reference Hedberg P, Gustafson Y, Brulin C. Purpose in life among men and women aged 85 years and older. Int J Aging Hum Dev. 2010;70:213–29.CrossRefPubMed Hedberg P, Gustafson Y, Brulin C. Purpose in life among men and women aged 85 years and older. Int J Aging Hum Dev. 2010;70:213–29.CrossRefPubMed
41.
go back to reference Zimmerman S, Cohen LW, Reed D, Gwyther L, Washington T, Cagle JG, et al. Families matter in long-term care: results of a group-randomized trial. Seniors Hous Care J. 2013;21:3–20.PubMedPubMedCentral Zimmerman S, Cohen LW, Reed D, Gwyther L, Washington T, Cagle JG, et al. Families matter in long-term care: results of a group-randomized trial. Seniors Hous Care J. 2013;21:3–20.PubMedPubMedCentral
43.
go back to reference Haugan G, Hanssen B, Rannestad T, Espnes GA. Self-transcendence and nurse–patient interaction in cognitively intact nursing home patients. J Clin Nurs. 2012;21:3429–41.CrossRefPubMed Haugan G, Hanssen B, Rannestad T, Espnes GA. Self-transcendence and nurse–patient interaction in cognitively intact nursing home patients. J Clin Nurs. 2012;21:3429–41.CrossRefPubMed
44.
go back to reference Finch LP. Patients’ communication with nurses: relational communications and preferred nurse behaviors. Int J human. Caring. 2006;10:14–21. Finch LP. Patients’ communication with nurses: relational communications and preferred nurse behaviors. Int J human. Caring. 2006;10:14–21.
45.
go back to reference McGilton KS, Boscart VM. Close care provider–resident relationships in long-term care environments. J Clin Nurs. 2007;16:2149–57.CrossRefPubMed McGilton KS, Boscart VM. Close care provider–resident relationships in long-term care environments. J Clin Nurs. 2007;16:2149–57.CrossRefPubMed
46.
go back to reference Hedelin B, Jonsson I. Mutuality as background music in women’s lived experience of mental health and depression. J Psychiatr. Ment Health Nurs. 2003;10:317–22.CrossRef Hedelin B, Jonsson I. Mutuality as background music in women’s lived experience of mental health and depression. J Psychiatr. Ment Health Nurs. 2003;10:317–22.CrossRef
47.
go back to reference Haugland BØ. Meningsfulle aktiviteter på sykehjemmet [Meaningful activities at nursing homes]. Sykepleien Forskning. 2012;7(1):42–9. Haugland BØ. Meningsfulle aktiviteter på sykehjemmet [Meaningful activities at nursing homes]. Sykepleien Forskning. 2012;7(1):42–9.
48.
go back to reference Popham C, Orrell M. What matters for people with dementia in care homes? Aging Ment Health. 2012;16:181–8.CrossRefPubMed Popham C, Orrell M. What matters for people with dementia in care homes? Aging Ment Health. 2012;16:181–8.CrossRefPubMed
49.
go back to reference Anderiesen H, Scherder EJ, Goossens RH, Sonneveld MHA. Systematic review – physical activity in dementia: the influence of the nursing home environment. Appl Ergon. 2014;45:1678–86.CrossRefPubMed Anderiesen H, Scherder EJ, Goossens RH, Sonneveld MHA. Systematic review – physical activity in dementia: the influence of the nursing home environment. Appl Ergon. 2014;45:1678–86.CrossRefPubMed
50.
go back to reference Port A, Barrett VW, Gurland BJ, Perez M, Riti F. Engaging nursing home residents in meaningful activities. Ann Long-Term Care. 2011;19:20–6. Port A, Barrett VW, Gurland BJ, Perez M, Riti F. Engaging nursing home residents in meaningful activities. Ann Long-Term Care. 2011;19:20–6.
51.
go back to reference Peterman A, Fitchett G, Brady M, Hernandez L, Cella D. Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy–spiritual well-being scale (FACIT-Sp). Ann Behav Med. 2002;24:49–58.CrossRefPubMed Peterman A, Fitchett G, Brady M, Hernandez L, Cella D. Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy–spiritual well-being scale (FACIT-Sp). Ann Behav Med. 2002;24:49–58.CrossRefPubMed
52.
go back to reference Viglund K, Jonsén E, Strandberg G, Lundman B, Nygren B. Inner strength as a mediator of the relationship between disease and self-rated health among old people. J Adv Nurs. 2014;70:144–52.CrossRefPubMed Viglund K, Jonsén E, Strandberg G, Lundman B, Nygren B. Inner strength as a mediator of the relationship between disease and self-rated health among old people. J Adv Nurs. 2014;70:144–52.CrossRefPubMed
53.
go back to reference Viglund K, Jonsén E, Lundman B, Nygren B, Strandberg G. Sources and expressions of inner strength among old people who have experienced a crisis in life associated with a disease. Nord. J Nurs Res. 2017;37:20–6. Viglund K, Jonsén E, Lundman B, Nygren B, Strandberg G. Sources and expressions of inner strength among old people who have experienced a crisis in life associated with a disease. Nord. J Nurs Res. 2017;37:20–6.
54.
go back to reference Antonovsky A. Unraveling the mystery of health: how people manage stress and stay well. San Francisco: Jossey-Bass; 1987. Antonovsky A. Unraveling the mystery of health: how people manage stress and stay well. San Francisco: Jossey-Bass; 1987.
55.
go back to reference Drageset J, Nygaard HA, Eide GE, Bondevik M, Nortvedt MW, Natvig GK. Sense of coherence as a resource in relation to health-related quality of life among mentally intact nursing home residents – a questionnaire study. Health Qual Life Outcomes. 2008;6:85.CrossRefPubMedPubMedCentral Drageset J, Nygaard HA, Eide GE, Bondevik M, Nortvedt MW, Natvig GK. Sense of coherence as a resource in relation to health-related quality of life among mentally intact nursing home residents – a questionnaire study. Health Qual Life Outcomes. 2008;6:85.CrossRefPubMedPubMedCentral
56.
go back to reference Drageset J, Eide GE, Nygaard HA, Bondevik M, Nortvedt MW, Natvig GK. The impact of social support and sense of coherence on health-related quality of life among nursing home residents – a questionnaire survey in Bergen, Norway. Int J Nurs Stud. 2009;46:65–75.CrossRefPubMed Drageset J, Eide GE, Nygaard HA, Bondevik M, Nortvedt MW, Natvig GK. The impact of social support and sense of coherence on health-related quality of life among nursing home residents – a questionnaire survey in Bergen, Norway. Int J Nurs Stud. 2009;46:65–75.CrossRefPubMed
Metadata
Title
Crucial aspects promoting meaning and purpose in life: perceptions of nursing home residents
Authors
Jorunn Drageset
Gørill Haugan
Oscar Tranvåg
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2017
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-017-0650-x

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