The self-transcendence scale: an investigation of the factor structure among nursing home patients

J Holist Nurs. 2012 Sep;30(3):147-59. doi: 10.1177/0898010111429849. Epub 2011 Dec 27.

Abstract

Purpose: Self-transcendence, the ability to expand personal boundaries in multiple ways, has been found to provide well-being. The purpose of this study was to examine the dimensionality of the Norwegian version of the Self-Transcendence Scale, which comprises 15 items.

Background: Reed's empirical nursing theory of self-transcendence provided the theoretical framework; self-transcendence includes an interpersonal, intrapersonal, transpersonal, and temporal dimension.

Design: Cross-sectional data were obtained from a sample of 202 cognitively intact elderly patients in 44 Norwegian nursing homes.

Results: Exploratory factor analysis revealed two and four internally consistent dimensions of self-transcendence, explaining 35.3% (two factors) and 50.7% (four factors) of the variance, respectively. Confirmatory factor analysis indicated that the hypothesized two- and four-factor models fitted better than the one-factor model (cx (2), root mean square error of approximation, standardized root mean square residual, normed fit index, nonnormed fit index, comparative fit index, goodness-of-fit index, and adjusted goodness-of-fit index).

Conclusions: The findings indicate self-transcendence as a multifactorial construct; at present, we conclude that the two-factor model might be the most accurate and reasonable measure of self-transcendence.

Implications: This research generates insights in the application of the widely used Self-Transcendence Scale by investigating its psychometric properties by applying a confirmatory factor analysis. It also generates new research-questions on the associations between self-transcendence and well-being.

MeSH terms

  • Adaptation, Psychological
  • Aged
  • Attitude to Health*
  • Cross-Sectional Studies
  • Female
  • Health Behavior*
  • Holistic Health
  • Holistic Nursing
  • Humans
  • Inpatients / psychology*
  • Inpatients / statistics & numerical data
  • Male
  • Norway
  • Nursing Homes*
  • Quality of Life / psychology*
  • Spirituality*
  • Surveys and Questionnaires / standards*