Volume 10, Issue 1 (March 2023)
Health Spiritual Med Ethics 2023, 10(1): 45-54 |
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Nakhaii S, Ahi Q, Qanifar M H, Shahabizadeh F, Tabatabaii T. The Mediating Role of Self-transcendence in the Relationship Between Psychological Vulnerability. Health Spiritual Med Ethics 2023; 10 (1) :45-54
URL: http://jhsme.muq.ac.ir/article-1-492-en.html
URL: http://jhsme.muq.ac.ir/article-1-492-en.html
Shahin Nakhaii1 
, Qasem Ahi * 2, Mohamad Hasan Qanifar3 , Fatemeh Shahabizadeh3 , Toktamasadat Tabatabaii3
, Qasem Ahi * 2, Mohamad Hasan Qanifar3 , Fatemeh Shahabizadeh3 , Toktamasadat Tabatabaii3
1- Department of Psychology, Faculty of Literature and Humanities, Birjand Branch, Islamic Azad University, Birjand, Iran., Birjand Branch, Islamic Azad University, Birjand, Iran.
2- Department of Psychology, Faculty of Literature and Humanities, Birjand Branch, Islamic Azad University, Birjand, Iran., Birjand Branch, Islamic Azad University, Birjand, Iran ,ahigh1356@yahoo.com
3- Department of Psychology, Faculty of Literature and Humanities, Birjand Branch, Islamic Azad University, Birjand, Iran.
2- Department of Psychology, Faculty of Literature and Humanities, Birjand Branch, Islamic Azad University, Birjand, Iran., Birjand Branch, Islamic Azad University, Birjand, Iran ,
3- Department of Psychology, Faculty of Literature and Humanities, Birjand Branch, Islamic Azad University, Birjand, Iran.
Abstract: (563 Views)
Background and Objectives: Nurses often face many challenges in life which negatively affect their well-being. This study aims to investigate the mediating role of self-transcendence in the relationship between psychological vulnerability and work-related well-being of nurses in Birjand City, Iran.
Methods: The present study was a descriptive correlation with the structural equation modeling (SEM) approach. The statistical population included 795 public hospital nurses in Birjand City, Iran in 2020. The research sample included 440 people selected using the convenience sampling method. Data collection tools included the psychological vulnerability scale, the subscale self-transcendence and character questionnaire, and the work-related well-being scale. The data were analyzed using the SEM approach, SPSS software, version 22 and LISREL software, version 8.8.
Results: The results showed that the direct path of psychological vulnerability to spiritual acceptance, creative self-forgetfulness and transpersonal identity was negative and significant (P<0.01). The direct path of self-forgetfulness, transpersonal identity, and spiritual acceptance to work-related well-being was positive and significant (P<0.01). Also, the indirect route of psychological vulnerability to work-related well-being through spiritual acceptance, self-forgetfulness, and transpersonal identity was significant (P<0.01).
Conclusion: The results of the study indicate that self-transcendence can play a significant indirect role in reducing the adverse effects of psychological vulnerability on nurses’ work-related well-being. Therefore, using the self-care training program based on the theory of self-transcendence, it is possible to improve the three dimensions of self-transcendence of nurses, increase their work well-being, and reduce their psychological vulnerability.
Methods: The present study was a descriptive correlation with the structural equation modeling (SEM) approach. The statistical population included 795 public hospital nurses in Birjand City, Iran in 2020. The research sample included 440 people selected using the convenience sampling method. Data collection tools included the psychological vulnerability scale, the subscale self-transcendence and character questionnaire, and the work-related well-being scale. The data were analyzed using the SEM approach, SPSS software, version 22 and LISREL software, version 8.8.
Results: The results showed that the direct path of psychological vulnerability to spiritual acceptance, creative self-forgetfulness and transpersonal identity was negative and significant (P<0.01). The direct path of self-forgetfulness, transpersonal identity, and spiritual acceptance to work-related well-being was positive and significant (P<0.01). Also, the indirect route of psychological vulnerability to work-related well-being through spiritual acceptance, self-forgetfulness, and transpersonal identity was significant (P<0.01).
Conclusion: The results of the study indicate that self-transcendence can play a significant indirect role in reducing the adverse effects of psychological vulnerability on nurses’ work-related well-being. Therefore, using the self-care training program based on the theory of self-transcendence, it is possible to improve the three dimensions of self-transcendence of nurses, increase their work well-being, and reduce their psychological vulnerability.
Type of Study: Original Article |
Subject:
Special
Received: 2022/07/12 | Accepted: 2023/05/28 | Published: 2023/08/1
Received: 2022/07/12 | Accepted: 2023/05/28 | Published: 2023/08/1
References
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3. Jarden RJ, Sandham M, Siegert RJ, Koziol-McLain J. Intensive care nurses' well-being: A systematic review. Aust Crit Care. 2020; 33(1):106-11. [DOI:10.1016/j.aucc.2018.11.068] [PMID] [DOI:10.1016/j.aucc.2018.11.068]
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8. Hwang HL, Tu CT, Chan HS. Self-transcendence, caring and their associations with well-being. J Adv Nurs. 2019; 75(7):1473-83. [DOI:10.1111/jan.13937] [PMID] [DOI:10.1111/jan.13937]
9. van der Heijden PT, Egger JI, Rossi GM, van der Veld WM, Derksen JJ. Personality and psychopathology: Mapping the MMPI-2-RF on cloninger's psychobiological model of personality. Assessment. 2013; 20(5):576-84. [DOI:10.1177/1073191113490791] [PMID] [DOI:10.1177/1073191113490791]
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11. Fresson M, Dardenne B, Geurten M, Anzaldi L, Meulemans T. The role of self-transcendence and cognitive processes in the response expectancy effect. Psychol Belg. 2017; 57(2):77-92. [DOI:10.5334/pb.364] [PMID] [PMCID] [DOI:10.5334/pb.364]
12. Komeili-Sani M, Etemadi A, Boustani H, Bahreini M, Hakim A. [The relationship between nurses' clinical competency and job stress in Ahvaz University Hospital, 2013 (Persian)]. J Clin Nurs Midwifery. 2015; 4(1):39-49. [Link]
13. Satici SA, Uysal R. Psychological vulnerability and subjective happiness: The mediating role of hopelessness. Stress Health. 2017; 33(2):111-8. [DOI:10.1002/smi.2685] [PMID] [DOI:10.1002/smi.2685]
14. Nogueira MJ, Barros L, Sequeira C. Psychometric properties of the psychological vulnerability scale in higher education students. J Am Psychiatr Nurses Assoc. 2017; 23(3):215-22. [DOI:10.1177/1078390317695261] [PMID] [DOI:10.1177/1078390317695261]
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18. Satici SA. Psychological vulnerability, resilience, and subjective well-being: The mediating role of hope. Pers Individ Dif. 2016; 102: 68-73. [DOI:10.1016/j.paid.2016.06.057] [DOI:10.1016/j.paid.2016.06.057]
19. Satici SA, Uysal R, Yilmaz F, Deniz E. Social safeness and psychological vulnerability in Turkish youth: The mediating role of life satisfaction Seydi Ahmet. Curr Psychol. 2016; 35:22-28. [DOI:10.1007/s12144-015-9359-1] [DOI:10.1007/s12144-015-9359-1]
20. Reed PG, Haugan G. Self-transcendence: A salutogenic process for well-being. In: Haugan G, Eriksson M, editors. Health promotion in health care - vital theories and research. New York: Springer; 2021. [DOI:10.1007/978-3-030-63135-2_9] [DOI:10.1007/978-3-030-63135-2_9]
21. Lalehkani M, Davati A, Isanejad A, Jadid-Milani M. [The correlation between happiness and self-transcendence in the elderly of Khoshkrud, Zarandieh City (Persian)]. Iran J Nurs. 2020; 33(123):6-21. [DOI:10.29252/ijn.33.123.6]
22. Camkiran S. Do self-transcendenc, and meaning in life predict the increase on life satisfaction? An investigation of the relationship between self-transcendence, meaning in life, and life satisfaction: A cross-sectional study [MA thesis]. Utrecht: Utrecht Universit; 2018. [Link]
23. Chana N, Kennedy P, Chessell ZJ. Nursing staffs' emotional well-being and caring behaviours. J Clin Nurs. 2015; 24(19-20):2835-48. [DOI:10.1111/jocn.12891] [PMID] [DOI:10.1111/jocn.12891]
24. Lu MH, Weng LT, Chen YL, Lin C, Wang CH, Pan HH. Predictors of professional quality of life among nursing staff following the Taiwan formosa fun coast explosion. Burns. 2020; 46(2):423-9. [DOI:10.1016/j.burns.2019.02.010] [PMID] [DOI:10.1016/j.burns.2019.02.010]
25. Uğur E, Kaya Ç, Tanhan A. Psychological inflexibility mediates the relationship between fear of negative evaluation and psychological vulnerability. Curr Psychol. 2021; 40(9):4265-77. [DOI:10.1007/s12144-020-01074-8] [PMID] [DOI:10.1007/s12144-020-01074-8]
26. Fiske EA. Self-transcendence, well-being, and vulnerability in healthcare mission participants. Nurs Sci Q. 2019; 32(4):306-13. [DOI:10.1177/0894318419864326] [PMID] [DOI:10.1177/0894318419864326]
27. Reed PG. Theory of self-transcendence. In: Smith MJ, Liehr PR, editors. Middle range theory for nursing. New York: Springer; 2014. [Link]
28. Gemeay E, Mansour E, Albarrak M. Professional quality of life as perceived by nursing students at King Saud University in Riyadh. J Nurs Health Sci. 2016; 5(2):48-53. [Link]
29. Boyle DA. Countering compassion fatigue: A requisite nursing agenda. Online J Issues Nurs. 2011; 16(1):2. [DOI:10.3912/OJIN.Vol16No01Man02] [PMID] [DOI:10.3912/OJIN.Vol16No01Man02]
30. Jarden RJ, Sandham M, Siegert RJ, Koziol-McLain J. Intensive care nurses' well-being: A systematic review. Aust Crit Care. 2020; 33(1):106-11. [DOI:10.1016/j.aucc.2018.11.068] [PMID] [DOI:10.1016/j.aucc.2018.11.068]
31. Johnson J, Hall LH, Berzins K, Baker J, Melling K, Thompson C. Mental healthcare staff well-being and burnout: A narrative review of trends, causes, implications, and recommendations for future interventions. Int J Ment Health Nurs. 2018; 27(1):20-32. [DOI:10.1111/inm.12416] [PMID] [DOI:10.1111/inm.12416]
32. Alves PC, Neves VF, Coleta MF, Oliveira Áde F. Evaluation of well-being at work among nursing professionals at a University Hospital. Rev Lat Am Enfermagem. 2012; 20(4):701-9. [DOI:10.1590/S0104-11692012000400010] [PMID] [DOI:10.1590/S0104-11692012000400010]
33. Angel S, Vatne S. Vulnerability in patients and nurses and the mutual vulnerability in the patient-nurse relationship. J Clin Nurs. 2017; 26(9-10):1428-37. [DOI:10.1111/jocn.13583] [PMID] [DOI:10.1111/jocn.13583]
34. Kim SS, Reed PG, Kang Y, Oh J. Translation and psychometric testing of the Korean versions of the spiritual perspective scale and the self-transcendence scale in Korean elders. J Korean Acad Nurs. 2012; 42(7):974-83. [DOI:10.4040/jkan.2012.42.7.974] [PMID] [DOI:10.4040/jkan.2012.42.7.974]
35. Hwang HL, Tu CT, Chan HS. Self-transcendence, caring and their associations with well-being. J Adv Nurs. 2019; 75(7):1473-83. [DOI:10.1111/jan.13937] [PMID] [DOI:10.1111/jan.13937]
36. van der Heijden PT, Egger JI, Rossi GM, van der Veld WM, Derksen JJ. Personality and psychopathology: Mapping the MMPI-2-RF on cloninger's psychobiological model of personality. Assessment. 2013; 20(5):576-84. [DOI:10.1177/1073191113490791] [PMID] [DOI:10.1177/1073191113490791]
37. Garcia-Romeu A, Alto P. Self- transcendence as a measurable transpersonal construct. J Transpers Psychol. 2010; 42(1):26-47. [Link]
38. Fresson M, Dardenne B, Geurten M, Anzaldi L, Meulemans T. The role of self-transcendence and cognitive processes in the response expectancy effect. Psychol Belg. 2017; 57(2):77-92. [DOI:10.5334/pb.364] [PMID] [PMCID] [DOI:10.5334/pb.364]
39. Komeili-Sani M, Etemadi A, Boustani H, Bahreini M, Hakim A. [The relationship between nurses' clinical competency and job stress in Ahvaz University Hospital, 2013 (Persian)]. J Clin Nurs Midwifery. 2015; 4(1):39-49. [Link]
40. Satici SA, Uysal R. Psychological vulnerability and subjective happiness: The mediating role of hopelessness. Stress Health. 2017; 33(2):111-8. [DOI:10.1002/smi.2685] [PMID] [DOI:10.1002/smi.2685]
41. Nogueira MJ, Barros L, Sequeira C. Psychometric properties of the psychological vulnerability scale in higher education students. J Am Psychiatr Nurses Assoc. 2017; 23(3):215-22. [DOI:10.1177/1078390317695261] [PMID] [DOI:10.1177/1078390317695261]
42. Sheikhi M, Hooman HA, Ahadi H, Sepah Mansour M. [Psychometric characteristics of life satisfaction scale (Persian)]. Thought Behav Clin Psychol. 2011; 5(19):15-26. [Link]
43. Satici B. Testing a model of subjective well-being: The roles of optimism, psychological vulnerability, and shyness. Health Psychol Open. 2019; 6(2):2055102919884290. [DOI:10.1177/2055102919884290] [PMID] [DOI:10.1177/2055102919884290]
44. Heredia LP, Sanchez AI. Vulnerability to alcohol consumption, spiritual transcendence and psychosocial well-being: Test of a theory. Rev Lat Am Enfermagem. 2016; 24:e2702. [DOI:10.1590/1518-8345.0688.2702] [PMID] [DOI:10.1590/1518-8345.0688.2702]
45. Satici SA. Psychological vulnerability, resilience, and subjective well-being: The mediating role of hope. Pers Individ Dif. 2016; 102: 68-73. [DOI:10.1016/j.paid.2016.06.057] [DOI:10.1016/j.paid.2016.06.057]
46. Satici SA, Uysal R, Yilmaz F, Deniz E. Social safeness and psychological vulnerability in Turkish youth: The mediating role of life satisfaction Seydi Ahmet. Curr Psychol. 2016; 35:22-28. [DOI:10.1007/s12144-015-9359-1] [DOI:10.1007/s12144-015-9359-1]
47. Reed PG, Haugan G. Self-transcendence: A salutogenic process for well-being. In: Haugan G, Eriksson M, editors. Health promotion in health care - vital theories and research. New York: Springer; 2021. [DOI:10.1007/978-3-030-63135-2_9] [DOI:10.1007/978-3-030-63135-2_9]
48. Lalehkani M, Davati A, Isanejad A, Jadid-Milani M. [The correlation between happiness and self-transcendence in the elderly of Khoshkrud, Zarandieh City (Persian)]. Iran J Nurs. 2020; 33(123):6-21. [DOI:10.29252/ijn.33.123.6]
49. Camkiran S. Do self-transcendenc, and meaning in life predict the increase on life satisfaction? An investigation of the relationship between self-transcendence, meaning in life, and life satisfaction: A cross-sectional study [MA thesis]. Utrecht: Utrecht Universit; 2018. [Link]
50. Chana N, Kennedy P, Chessell ZJ. Nursing staffs' emotional well-being and caring behaviours. J Clin Nurs. 2015; 24(19-20):2835-48. [DOI:10.1111/jocn.12891] [PMID] [DOI:10.1111/jocn.12891]
51. Lu MH, Weng LT, Chen YL, Lin C, Wang CH, Pan HH. Predictors of professional quality of life among nursing staff following the Taiwan formosa fun coast explosion. Burns. 2020; 46(2):423-9. [DOI:10.1016/j.burns.2019.02.010] [PMID] [DOI:10.1016/j.burns.2019.02.010]
52. Uğur E, Kaya Ç, Tanhan A. Psychological inflexibility mediates the relationship between fear of negative evaluation and psychological vulnerability. Curr Psychol. 2021; 40(9):4265-77. [DOI:10.1007/s12144-020-01074-8] [PMID] [DOI:10.1007/s12144-020-01074-8]
53. Fiske EA. Self-transcendence, well-being, and vulnerability in healthcare mission participants. Nurs Sci Q. 2019; 32(4):306-13. [DOI:10.1177/0894318419864326] [PMID] [DOI:10.1177/0894318419864326]
54. Reed PG. Theory of self-transcendence. In: Smith MJ, Liehr PR, editors. Middle range theory for nursing. New York: Springer; 2014. [Link]
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