Existentiell ensamhet hos sköra äldre personer : ett närståendeperspektiv

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Existentiell ensamhet hos sköra äldre personer : ett närståendeperspektiv

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Publication Doctoral Thesis
Doctoral Thesis, comprehensive summary
Title Existentiell ensamhet hos sköra äldre personer : ett närståendeperspektiv
Author Larsson, Helena
Date 2020
English abstract
The aim of this thesis was to explore existential loneliness from the perspective of significant others, to contrast their perceptions with frail older people’s experiences and to describe significant others’ and family care advisors’ views on existential support. This thesis is part of a larger research project about existential loneliness among frail older people, the LONE study. The thesis embraces three qualitative and one quantitative study. A total of 29 significant others, 15 frail older people and 120 family care advisors participated in the studies. The significant others were husbands, wives, daughters, sons, other relatives and friends to frail older people. The concept ‘frail older people’ was defined as older persons (≥ 75 years old) dependent on long-term health- or social care. The qualitative studies were based on multistage focus-group interviews (study I) and individual interviews (studies II and III). The quantitative study (IV) had a cross-sectional design and was based on a questionnaire specifically developed for the current study. Different methods to analyse data were used; hermeneutics (study I), content analysis (study II), a case study with thematic analysis (study III) and descriptive statistics (study IV). Findings from the four studies show that existential loneliness emerges when: 1) Longing for, but also striving for, a deeper feeling of connectedness, 2) Being in, but also enduring, an unwanted separation, and 3) Not finding, but still trying to recreate meaning. This thesis also shows that existential loneliness is often experienced in so-called limit situations in life and arises in difficult choices related to close relationships, in connection with experiences of meaninglessness and in the absence of connection to something or someone. The results show that existential loneliness emerges in the process of balancing between what was and what is to come in the unknown future. Significant others navigate themselves, and sometimes together with the older person, through an unfamiliar existence that makes them feel ambivalent about the de-cisions they have previously made and the decisions they need to make in the future, while also doubting the meaning in their current situation. Existential support should mainly focus on transition phases and on relational aspects. Person-centredness can be a way to make the existential needs of significant others and older people visible and to provide support based on their needs.
DOI https://doi.org/10.24834/isbn.9789178770625 (link to publisher's fulltext.)
Publisher Malmö universitet
Series/Issue Malmö University health and society dissertations
ISSN 1653-5383
ISBN 978-91-7877-062-5
978-91-7877-061-8
Language swe (iso)
Subject Existential loneliness
Frail older persons
Significant others
Medicine
Research Subject Categories::MEDICINE
Included papers
  1. Larsson, H., Rämgård, M. & Bolmsjö, I. (2017) Older persons’ existential loneliness, as interpreted by their significant others – an interview study. BMC Geriatrics, 17: 138.

  2. Larsson, H., Rämgård, M., Kumlien, C., Blomqvist, K. Spouses’ existential loneliness when caring for a frail older partner late in life – A hermeneutical approach. Submitted.

  3. Larsson, H., Edberg, A-K., Bolmsjö, I. & Rämgård, M. (2019) Contrasts in older persons’ experiences and sig-nificant others’ perceptions of existential loneliness. Nursing Ethics, 26(6): 1623-1637.

  4. Larsson, H., Blomqvist, K., Edberg, A-K. & Kumlien, C. Family care advisors’ view on existential loneliness and existential sup-port to relatives to older people. In manuscript.

Handle http://hdl.handle.net/2043/30658 Permalink to this page
Link to publication in DiVA Find this research publication in DiVA (n/a for student publ.)
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