{"title":"老年超越是养老院居民的一种生活观点:关于依赖全天候护理的积极老龄化的定性研究","authors":"Merle Tip, Arjan Braam, Wander Van Der Vaart","doi":"10.1111/jan.16488","DOIUrl":null,"url":null,"abstract":"AimsTo examine whether and how older nursing home residents recognise characteristics of gerotranscendence, and to contribute to a critical and comprehensive view of gerotranscendence in this particular group.BackgroundGerotranscendence is a psychosocial, spiritual development theory within the field of positive ageing that represents: a shift in meta‐perspective, from a materialistic and rational vision to a cosmic and transcendent life perspective, followed by an increase in life satisfaction.DesignA qualitative study using a narrative hermeneutical approach.MethodsParticipants were 20 residents of a nursing home in the Netherlands, aged 77 to 105 (mean age: 90). The semi‐structured interviews, conducted in April 2023, were based on Tornstam's 10‐item Gerotranscendence Scale. Special attention was paid to the technique of interviewing these frail, older adults, some of them diagnosed with dementia.FindingsAll respondents recognised several characteristics of gerotranscendence, or signs of it emerged from the research data. There is a larger middle group with respondents who call themselves ‘down‐to‐earth’. They mainly recognise the relational characteristics. Another group appears to be more contemplative and shows more affinity with the abstract, cosmic characteristics. They have developed a gerotranscendent wisdom: there is insight, contextualism and relativism, peace of mind, room for life's paradoxes, a high degree of (self‐)acceptance and an ability to ‘let go’. The data show considerable heterogeneity in thoughts, perspectives and degrees of gerotranscendence.DiscussionRespondents found some questions difficult to answer, resulting in a critical assessment of how to understand the responses given. This puts pressure on data quality for this current study and for critical gerotranscendence research in general. Furthermore, interviewing older nursing home residents requires a custom setting and possibly a new interview methodology.Reporting MethodThis report adheres to the standards for reporting qualitative research (SRQR).Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8000,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Gerotranscendence as a Life Perspective Among Nursing Home Residents: A Qualitative Study Into Positive Ageing While Dependent on 24/7 Care\",\"authors\":\"Merle Tip, Arjan Braam, Wander Van Der Vaart\",\"doi\":\"10.1111/jan.16488\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"AimsTo examine whether and how older nursing home residents recognise characteristics of gerotranscendence, and to contribute to a critical and comprehensive view of gerotranscendence in this particular group.BackgroundGerotranscendence is a psychosocial, spiritual development theory within the field of positive ageing that represents: a shift in meta‐perspective, from a materialistic and rational vision to a cosmic and transcendent life perspective, followed by an increase in life satisfaction.DesignA qualitative study using a narrative hermeneutical approach.MethodsParticipants were 20 residents of a nursing home in the Netherlands, aged 77 to 105 (mean age: 90). The semi‐structured interviews, conducted in April 2023, were based on Tornstam's 10‐item Gerotranscendence Scale. Special attention was paid to the technique of interviewing these frail, older adults, some of them diagnosed with dementia.FindingsAll respondents recognised several characteristics of gerotranscendence, or signs of it emerged from the research data. There is a larger middle group with respondents who call themselves ‘down‐to‐earth’. They mainly recognise the relational characteristics. Another group appears to be more contemplative and shows more affinity with the abstract, cosmic characteristics. They have developed a gerotranscendent wisdom: there is insight, contextualism and relativism, peace of mind, room for life's paradoxes, a high degree of (self‐)acceptance and an ability to ‘let go’. The data show considerable heterogeneity in thoughts, perspectives and degrees of gerotranscendence.DiscussionRespondents found some questions difficult to answer, resulting in a critical assessment of how to understand the responses given. This puts pressure on data quality for this current study and for critical gerotranscendence research in general. Furthermore, interviewing older nursing home residents requires a custom setting and possibly a new interview methodology.Reporting MethodThis report adheres to the standards for reporting qualitative research (SRQR).Patient or Public ContributionNo patient or public contribution.\",\"PeriodicalId\":54897,\"journal\":{\"name\":\"Journal of Advanced Nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.8000,\"publicationDate\":\"2024-09-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Advanced Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/jan.16488\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Advanced Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jan.16488","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Gerotranscendence as a Life Perspective Among Nursing Home Residents: A Qualitative Study Into Positive Ageing While Dependent on 24/7 Care
AimsTo examine whether and how older nursing home residents recognise characteristics of gerotranscendence, and to contribute to a critical and comprehensive view of gerotranscendence in this particular group.BackgroundGerotranscendence is a psychosocial, spiritual development theory within the field of positive ageing that represents: a shift in meta‐perspective, from a materialistic and rational vision to a cosmic and transcendent life perspective, followed by an increase in life satisfaction.DesignA qualitative study using a narrative hermeneutical approach.MethodsParticipants were 20 residents of a nursing home in the Netherlands, aged 77 to 105 (mean age: 90). The semi‐structured interviews, conducted in April 2023, were based on Tornstam's 10‐item Gerotranscendence Scale. Special attention was paid to the technique of interviewing these frail, older adults, some of them diagnosed with dementia.FindingsAll respondents recognised several characteristics of gerotranscendence, or signs of it emerged from the research data. There is a larger middle group with respondents who call themselves ‘down‐to‐earth’. They mainly recognise the relational characteristics. Another group appears to be more contemplative and shows more affinity with the abstract, cosmic characteristics. They have developed a gerotranscendent wisdom: there is insight, contextualism and relativism, peace of mind, room for life's paradoxes, a high degree of (self‐)acceptance and an ability to ‘let go’. The data show considerable heterogeneity in thoughts, perspectives and degrees of gerotranscendence.DiscussionRespondents found some questions difficult to answer, resulting in a critical assessment of how to understand the responses given. This puts pressure on data quality for this current study and for critical gerotranscendence research in general. Furthermore, interviewing older nursing home residents requires a custom setting and possibly a new interview methodology.Reporting MethodThis report adheres to the standards for reporting qualitative research (SRQR).Patient or Public ContributionNo patient or public contribution.
期刊介绍:
The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy.
All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.