Longing for ground in a ground(less) world : a qualitative inquiry of existential suffering

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dc.contributor.authorBruce, Anne
dc.contributor.authorSchreiber, Rita
dc.contributor.authorPetrovskaya, Olga
dc.contributor.authorBoston, Patricia
dc.date.accessioned2014-01-10T18:25:01Z
dc.date.available2014-01-10T18:25:01Z
dc.date.copyright2011en_US
dc.date.issued2011-01-27
dc.descriptionBioMed Centralen_US
dc.description.abstractBackground: Existential and spiritual concerns are fundamental issues in palliative care and patients frequently articulate these concerns. The purpose of this study was to understand the process of engaging with existential suffering at the end of life. Methods: A grounded theory approach was used to explore processes in the context of situated interaction and to explore the process of existential suffering. We began with in vivo codes of participants’ words, and clustered these codes at increasingly higher levels of abstractions until we were able to theorize. Results: Findings suggest the process of existential suffering begins with an experience of groundlessness that results in an overarching process of Longing for Ground in a Ground(less) World, a wish to minimize the uncomfortable or anxiety-provoking instability of groundlessness. Longing for ground is enacted in three overlapping ways: by turning toward one’s discomfort and learning to let go (engaging groundlessness), turning away from the discomfort, attempting to keep it out of consciousness by clinging to familiar thoughts and ideas (taking refuge in the habitual), and learning to live within the flux of instability and unknowing (living in-between). Conclusions: Existential concerns are inherent in being human. This has implications for clinicians when considering how patients and colleagues may experience existential concerns in varying degrees, in their own fashion, either consciously or unconsciously. Findings emphasize a fluid and dynamic understanding of existential suffering and compel health providers to acknowledge the complexity of fear and anxiety while allowing space for the uniquely fluid nature of these processes for each person. Findings also have implications for health providers who may gravitate towards the transformational possibilities of encounters with mortality without inviting space for less optimistic possibilities of resistance, anger, and despondency that may concurrently arise.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipWe would like to acknowledge the Social Science and Humanities Research Council of Canada (SSHRC) for funding this research and the patients, families, and professional health providers who participated. We also acknowledge Linda Shea, Nursing doctoral candidate who contributed with early data collection and analysis.en_US
dc.identifier.citationBruce et al.: Longing for ground in a ground(less) world: a qualitative inquiry of existential suffering. BMC Nursing 2011 10:2.en_US
dc.identifier.urihttp://www.biomedcentral.com/1472-6955/10/2
dc.identifier.urihttp://dx.doi.org/10.1186/1472-6955-10-2
dc.identifier.urihttp://hdl.handle.net/1828/5153
dc.language.isoenen_US
dc.publisherBioMed Centralen_US
dc.titleLonging for ground in a ground(less) world : a qualitative inquiry of existential sufferingen_US
dc.typeArticleen_US

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