Abstract

Aim: To investigate the association between nurse–patient interaction and sense of coherence among cognitively intact nursing home residents. Method: In a cross-sectional design, data were collected in 2017 and 2018 using the Nurse–Patient Interaction Scale (NPIS) and the 13-item Sense of Coherence Scale (SOC-13). Of the 204 cognitively intact nursing home residents who met the inclusion criteria, 188 (92%) participated, representing 27 nursing homes. Multiple regression in a general linear model estimated the possible effects of the 14 NPIS items on SOC-13 sum score, the possible effects of the NPIS (sum score) on SOC-13 (sum score) as well as on the subdimensions of SOC-13, comprehensibility, meaningfulness, and manageability (both without and with adjusting for sex and age). Results: Four of the 14 NPIS items revealed highly significant correlations with SOC-13 (sum score; unadjusted and adjusted for age and gender). Furthermore, the analysis adjusted for age and gender showed significant associations for NPIS (sum score) with SOC-13 (sum score), manageability, and comprehensibility. The correlation between NPIS and meaningfulness was not statistically significant. Conclusion: Nurse–patient interaction is significantly associated with SOC-13 and its subdimensions of comprehensibility and manageability but not meaningfulness. Nurse–patient interaction might be an important resource in relation to residents’ sense of coherence and its subdimensions.

Highlights

  • The number of people 60 years or older in the world is increasing (World Health Organization, 2018), rising from 900 million (12% of the worldNurse–Patient Relationship in Nursing Homes / Drageset et al 17 population) in 2015 to 2 billion (22%) in 2050

  • We investigated the associations between SOC13 and each of the Nurse–Patient Interaction Scale (NPIS) 14 items, SOC-13, and the NPIS sum score, and the associations between NPIS sum score and the three dimensions of SOC13 among the cognitively intact nursing home residents

  • Our results show that nurse–patient interaction was associated with comprehensibility

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Summary

Introduction

The number of people 60 years or older in the world is increasing (World Health Organization, 2018), rising from 900 million (12% of the worldNurse–Patient Relationship in Nursing Homes / Drageset et al 17 population) in 2015 to 2 billion (22%) in 2050. The number of people 60 years or older in the world is increasing (World Health Organization, 2018), rising from 900 million 125 million people are 80 years or older (World Health Organization, 2018). Moving to a nursing home may be related to numerous losses, such as losing one’s home, friends, and family. This makes people realize that their life is ending, and the dependence on other people is a reality that must be accepted in a culture in which autonomy is rated highly (Chow et al, 2004)

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