Abstract：
AIM:This paper is a report of narrative review of psychosocial instruments measuring two aspects of meaning: the search for meaning and meaning in illness. BACKGROUND:Studies have shown that meaning has significance for well-being, particularly for those experiencing illness/negative events. Understanding a person's ascription of meaning to a stressful event can facilitate planning of supportive nursing interventions. METHOD:A literature search was conducted using Medline, PsycInfo, PsycArticles, CINAHL, ProQuest, Ebsco and MasterFile Premier for the period 1956-2006. The search terms were: meaning instruments, search for meaning, meaning in illness, significance of meaning and positive meaning. Only studies that employed measurement of one of these two aspects of meaning were included. FINDINGS:Twelve instruments were retrieved from the search. Five were measures of search for meaning and seven were measures of meaning in illness. With a few exceptions these instruments were conceptually and operationally congruent and had acceptable psychometric properties. Limiting factors were the infrequent use of some of the instruments clinically or in research, and lack of evidence that cultural or age-specific factors had been considered in the development of the instruments. CONCLUSION:Progress with research into meaning and clinical use of meaning instruments may be augmented by refinement of instruments in the areas of conceptual clarity, operational congruence, psychometric properties and cultural and age-specific considerations. Good quantitative assessment will facilitate analysis of the relationship between ascriptions of meaning and psychosocial functioning, and lead to improved nursing interventions.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Fjelland JE,Barron CR,Foxall Mdoi
10.1111/j.1365-2648.2008.04597.xsubject
Has Abstractpub_date
2008-05-01 00:00:00pages
394-406issue
4eissn
0309-2402issn
1365-2648pii
JAN4597journal_volume
62pub_type
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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