Background: Meaning in life of older persons is related to well-being, health, quality of life, and “good life.” However, the topic is scarcely covered in nursing literature. Objective: The aim of this integrative review for nurses is to synthesize knowledge from scholarly literature to provide insight into how older persons find meaning in life, what are influencing circumstances, and what are their sources of meaning. The review serves as a starting point for including meaning in life of older persons as (...) a major concern for nurses in their role as health promoters. Method: An integrative review was performed including empirical research literature and texts on theoretical perspectives. Ethical consideration: Researches agree with ethical codes for research of universities in the Netherlands. For literature reviews no additional procedures are necessary according to Dutch law. Findings: A total of 44 heterogeneous texts were included in this review. Finding meaning in life is challenging for older persons. Older persons find meaning through a developmental process, by creating and discovering. Meaning in life is found in connection with self and others. Health, living together, high socio-economic status, social relations, activities, and religion are associated with experiencing meaning in later life. The main source of meaning in life of older persons is human relationships. Other sources of meaning in life vary by age and culture. Discussion: The review provides insight into meaning in life of older persons. There are several gaps in knowledge: literature is culturally biased, research on discovery of meaning and daily meaning is limited, and research from a nursing perspective is lacking. In practice, nurses have many opportunities to attune to meaning in life of patients. Further development of competence and training are needed. Conclusion: Older persons find meaning in life through different processes. Meaning in life is associated with the circumstances old persons live in. Human relationship is the major source of meaning. The knowledge from this review is a necessary knowledge base for nurses to include meaning in life of older patients in care. Further research is needed to explore the role of nurses. (shrink)

This chapter is meant to give an interpretation of humanism and to indicate what this implies for the hopes one might have for the future. A meaning frame is a set of assumptions, principles, and values embedded in a cultural environment, in groups and organizations, social institutions, and, last but not least, in (memories of) important life experiences and a network of relatives, friends, exemplary figures. A meaning frame provides orientation with a sense of direction, stability, identity, continuity, and with (...) the criteria to evaluate situations and life course. Interpreting humanism as a meaning frame implies that it is more than a moral, ethical, and political position. The ethical aspect of a meaning frame is often a very important one, but the meaning frame is not an ethical frame only. In principle there are as many meaning frames as there are human beings. (shrink)

This book addresses the ethical and political questions flowing from the vastly increased possibilities to manipulate the genetic properties of organisms, including human beings. Due to the great complexity of the scientific fields involved, these questions are framed and answered mostly by scientific experts. But the new technological possibilities and social practices connected with genetic manipulation intrude into domains that for a long time have been the provenance of religious and secular worldviews and touch upon deep-seated convictions and emotions. Moreover (...) they are strongly influenced by economic and political interests. As a consequence, questions of scientific truth and technical control are getting more and more mixed up with questions regarding values and interests. Against this background, this book starts from the premise that neither clinging to the idea of value-neutral, disinterested science, nor the complete abandonment of this idea in favour of postmodern relativism will be of much help here. Instead the different contributions to this book explore the idea of a ‘lingua democratica’ for the life sciences and sketch the contours of this notion by focusing on a broad range of conceptual and practical issues in the field of genomics. (shrink)

Aging is a topic of growing interest. As life expectancy in western societies is increasing, the growing number and proportion of ‘elderly’ persons raise urgent questions on how to age ‘well’. Predominantly, questions on aging are taken from biomedical and economic paradigms, which are intertwined. While people of age are seen as a cost in society, biomedical research aims at curing the declining effects of aging, thus furthering ideals of ‘healthy’ aging, ‘active’ aging, or ‘successful’ aging. In this book, Peter (...) Derkx offers a comprehensive account of meaningful aging with Anthony Pinn responding in a fruitful and constructive way, for the benefit and edification of all of us. (shrink)