Contrasts in older persons’ experiences and significant others’ perceptions of existential loneliness

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Contrasts in older persons’ experiences and significant others’ perceptions of existential loneliness

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dc.contributor.author Larsson, Helena sv
dc.contributor.author Edberg, Anna- Karin sv
dc.contributor.author Bolmsjö, Ingrid sv
dc.contributor.author Rämgård, Margareta en_US
dc.date.accessioned 2018-08-22T06:47:41Z
dc.date.available 2018-08-22T06:47:41Z
dc.date.issued 2018 en_US
dc.identifier.issn 0969-7330 en_US
dc.identifier.uri http://hdl.handle.net/2043/26010
dc.description.abstract Background: As frail older people might have difficulties in expressing themselves, their needs are often interpreted by others, for example, by significant others, whose information health care staff often have to rely on. This, in turn, can put health care staff in ethically difficult situations, where they have to choose between alternative courses of action. One aspect that might be especially difficult to express is that of existential loneliness. We have only sparse knowledge about whether, and in what way, the views of frail older persons and their significant others concerning existential loneliness are in concordance. Objective: To contrast frail older (>75) persons’ experiences with their significant others’ perceptions of existential loneliness. Methods: A case study design was chosen for this study. Individual interviews with frail older persons (n ¼ 15) and interviews with their significant others (n ¼ 19), as well as field notes, served as a basis for the study. A thematic analysis was used to interpret data. Ethical considerations: This study was conducted in accordance with the principles of research ethics. Findings: The findings showed three themes: (1) Meaningless waiting in contrast to lack of activities, (2) Longing for a deeper connectedness in contrast to not participating in a social environment and (3) Restricted freedom in contrast to given up on life. Discussion: Knowledge about the tensions between older persons’ and their significant others’ views of existential loneliness could be of use as a basis for ethical reflections on the care of older people and in the encounter with their significant others. Conclusion: It is of importance that health care professionals listen to both the frail older person and their significant other(s) and be aware of whose voice that the care given is based on, in order to provide care that is beneficial and not to the detriment of the older person. Keywords case study, existential loneliness, frail older person, significant other, thematic analysis en_US
dc.language.iso eng en_US
dc.publisher SAGE en_US
dc.subject existential loneliness
dc.subject case study
dc.subject frail older people
dc.subject significant other
dc.subject thematic analyse
dc.subject.classification Medicine en_US
dc.title Contrasts in older persons’ experiences and significant others’ perceptions of existential loneliness en_US
dc.type Article, peer reviewed scientific en_US
dc.contributor.department Malmö University. Faculty of Health and Society en_US
dc.contributor.department Malmö University. Care Science (VV) en_US
dc.identifier.doi 10.1177/0969733018774828 en_US
dc.subject.srsc Research Subject Categories::MEDICINE en_US
dc.relation.ispartofpublication Nursing Etichs;
dc.description.authorversion Yes en_US
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