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Being acknowledged by others and bracketing negative thoughts and feelings : Frail older people’s narrations of how existential loneliness is eased

Sjöberg, Marina ; Edberg, Anna Karin LU ; Rasmussen, Birgit H. LU and Beck, Ingela LU (2019) In International journal of older people nursing 14(1). p.12213-12213
Abstract

Aims and objectives: The aim of this study was to describe how EL was eased, as narrated by frail older people. Background: Existential loneliness (EL) is an unavoidable part of the human condition. It is a complex phenomenon that has been described as disconnection from life. If EL is acknowledged in the care of older people, the experience of EL can be reduced. Design: In this qualitative study, we used an exploratory and descriptive design. Methods: The study was based on 22 narrative interviews with frail older people, 76 to 101 years old, who were receiving long-term care and services. We analysed the data using conventional content analysis. Results: Being acknowledged by others, that is, being the focus of others’ concern, eased... (More)

Aims and objectives: The aim of this study was to describe how EL was eased, as narrated by frail older people. Background: Existential loneliness (EL) is an unavoidable part of the human condition. It is a complex phenomenon that has been described as disconnection from life. If EL is acknowledged in the care of older people, the experience of EL can be reduced. Design: In this qualitative study, we used an exploratory and descriptive design. Methods: The study was based on 22 narrative interviews with frail older people, 76 to 101 years old, who were receiving long-term care and services. We analysed the data using conventional content analysis. Results: Being acknowledged by others, that is, being the focus of others’ concern, eased the experience of EL, as did encountering intimacy and having meaningful exchanges of thoughts and feelings. Further, EL was pushed into the background and eased when participants could bracket negative thoughts and feelings, that is, when they could adjust and accept the present situation, view life in the rear-view mirror, be in contact with spiritual dimensions and withdraw and distract themselves. Conclusion: Existential loneliness can be eased by experiencing meaningful togetherness with others and oneself when something else comes to the forefront, pushing EL to the background. Frail older peoples’ opportunities to ease EL may be facilitated by health care staff (HCS) providing person-centred care and create possibilities for solitary time and meaningful togetherness. Implications for practice: If frail older people's ongoing processes of adjusting and accepting their situation are understood and confirmed by people in their environment, for example, by nurses, family and friends, the experience of living a meaningful life can be supported, which, in turn, can ease EL.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
content analysis, existential loneliness, experiences, frail older people, home care, palliative care, residential care facilities
in
International journal of older people nursing
volume
14
issue
1
pages
12213 - 12213
publisher
Wiley-Blackwell
external identifiers
  • scopus:85056108469
  • pmid:30403002
ISSN
1748-3735
DOI
10.1111/opn.12213
language
English
LU publication?
yes
id
467b336b-075f-4b86-96be-6c25a5501386
date added to LUP
2018-11-23 07:33:51
date last changed
2025-06-25 09:21:12
@article{467b336b-075f-4b86-96be-6c25a5501386,
  abstract     = {{<p>Aims and objectives: The aim of this study was to describe how EL was eased, as narrated by frail older people. Background: Existential loneliness (EL) is an unavoidable part of the human condition. It is a complex phenomenon that has been described as disconnection from life. If EL is acknowledged in the care of older people, the experience of EL can be reduced. Design: In this qualitative study, we used an exploratory and descriptive design. Methods: The study was based on 22 narrative interviews with frail older people, 76 to 101 years old, who were receiving long-term care and services. We analysed the data using conventional content analysis. Results: Being acknowledged by others, that is, being the focus of others’ concern, eased the experience of EL, as did encountering intimacy and having meaningful exchanges of thoughts and feelings. Further, EL was pushed into the background and eased when participants could bracket negative thoughts and feelings, that is, when they could adjust and accept the present situation, view life in the rear-view mirror, be in contact with spiritual dimensions and withdraw and distract themselves. Conclusion: Existential loneliness can be eased by experiencing meaningful togetherness with others and oneself when something else comes to the forefront, pushing EL to the background. Frail older peoples’ opportunities to ease EL may be facilitated by health care staff (HCS) providing person-centred care and create possibilities for solitary time and meaningful togetherness. Implications for practice: If frail older people's ongoing processes of adjusting and accepting their situation are understood and confirmed by people in their environment, for example, by nurses, family and friends, the experience of living a meaningful life can be supported, which, in turn, can ease EL.</p>}},
  author       = {{Sjöberg, Marina and Edberg, Anna Karin and Rasmussen, Birgit H. and Beck, Ingela}},
  issn         = {{1748-3735}},
  keywords     = {{content analysis; existential loneliness; experiences; frail older people; home care; palliative care; residential care facilities}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{12213--12213}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{International journal of older people nursing}},
  title        = {{Being acknowledged by others and bracketing negative thoughts and feelings : Frail older people’s narrations of how existential loneliness is eased}},
  url          = {{http://dx.doi.org/10.1111/opn.12213}},
  doi          = {{10.1111/opn.12213}},
  volume       = {{14}},
  year         = {{2019}},
}