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Meaning‐in‐life in nursing‐home patients: a valuable approach for enhancing psychological and physical well‐being?

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  • Gørill Haugan

Abstract

Aims and objectives To investigate the associations between meaning‐in‐life and physical, emotional, functional and social well‐being in a cognitively intact nursing‐home population. Background Meaning‐in‐life is understood as an influential psychological variable that promotes health and well‐being; meaning‐in‐life has been found to be a mediating variable in both psychological and physical health. Design and methods The study employed a cross‐sectional design. Data were collected in 2008 and 2009 using the purpose‐in‐life test and the FACT‐G quality‐of‐life questionnaire. A total of 250 cognitively intact nursing‐home patients who met the inclusion criteria were approached and 202 attended. The hypothesised relationships between meaning and multidimensional well‐being were tested by means of structural equation modelling. Results The structural equation modelling model fit well with the present data, showing significant direct relationships between meaning‐in‐life and emotional and functional well‐being, and a significant mediated influence of meaning on social and physical well‐being. Conclusion Meaning‐in‐life is associated with all dimensions of well‐being and likely plays an important role in both emotional and physical well‐being. Relevance to clinical practice Facilitating patients' perceived meaning‐in‐life might help ease emotional distress and physical symptoms, thus fostering well‐being in cognitively intact nursing‐home patients. Therefore, advancing staff nurses' competence in facilitating meaningful involvement, connectedness, nurse–patient interaction and symptom management is important for care quality and global well‐being in nursing homes.

Suggested Citation

  • Gørill Haugan, 2014. "Meaning‐in‐life in nursing‐home patients: a valuable approach for enhancing psychological and physical well‐being?," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(13-14), pages 1830-1844, July.
    • Handle: RePEc:wly:jocnur:v:23:y:2014:i:13-14:p:1830-1844
    DOI: 10.1111/jocn.12402
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    References listed on IDEAS

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    1. Jessica Morgan & Tom Farsides, 2009. "Measuring Meaning in Life," Journal of Happiness Studies, Springer, vol. 10(2), pages 197-214, April.
    2. Stefan Schulenberg & Amanda Melton, 2010. "A Confirmatory Factor-Analytic Evaluation of the Purpose in Life Test: Preliminary Psychometric Support for a Replicable Two-Factor Model," Journal of Happiness Studies, Springer, vol. 11(1), pages 95-111, March.
    3. Neal Krause, 2009. "Meaning in Life and Mortality," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 64(4), pages 517-527.
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    2. Hao‐Zhi Xia & Lei Gao & Yang Wang & Hui Song & Bao‐Xin Shi, 2017. "Development of the Chinese version of Meaning in Life Scale for cancer patients and psychometric evaluation," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(21-22), pages 3298-3304, November.
    3. Jianbin Xu & Longtao He & Henghan Chen, 2020. "Balancing instrumental rationality with value rationality: towards avoiding the pitfalls of the productivist ageing policy in the EU and the UK," European Journal of Ageing, Springer, vol. 17(2), pages 251-257, June.
    4. Ju‐Yeun Kim & Young Whee Lee & Hwa‐Soon Kim & Eun‐Hyun Lee, 2019. "The mediating and moderating effects of meaning in life on the relationship between depression and quality of life in patients with dysphagia," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(15-16), pages 2782-2789, August.
    5. Lien Van Malderen & Patricia De Vriendt & Tony Mets & Ellen Gorus, 2016. "Active ageing within the nursing home: a study in Flanders, Belgium," European Journal of Ageing, Springer, vol. 13(3), pages 219-230, September.

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