Effect of Self-transcendence, Self-distancing, and Family Functionality on Self-care Agency in Older Adults.
Josué Medina-Fernández, Claudia Nelly Orozco-González, Nissa Yaing Torres-Soto and 3 others
PMID 39083835WHAT IT FOUND
Older adults who reported more ability to see beyond themselves, more ability to step back from personal situations, and better family functioning also reported greater self-care agency.
The study did not test an intervention, so it cannot show that changing these factors improves self-care.
Key findings
01In the structural model, self-distancing, self-transcendence and family functionality were positively linked with self-care agency.
02The three factors together accounted for 37% of the variation in self-care agency.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was correlational and did not assign or test an intervention, so it cannot show that changing self-transcendence, self-distancing or family functionality improves self-care agency. Participants were older adults from six public centres in Chetumal, Mexico, and people with hearing or speech limitations or possible cognitive impairment were excluded, so the results may not apply to all older adults. The authors noted that the population size was not updated at state level and lack of government support limited access to other public centres, which may affect how representative the sample is. The paper uses 'effect' language, but the design was correlational and no intervention was tested, so causal wording is stronger than the study supports.
The easy way to misread this
Do not read this as proof that helping older adults think differently about themselves or strengthening family ties will improve self-care. The study was correlational and did not test an intervention.