%0 Journal Article
%T Longing for ground in a ground(less) world: a qualitative inquiry of existential suffering
%A Anne Bruce
%A Rita Schreiber
%A Olga Petrovskaya
%A Patricia Boston
%J BMC Nursing
%D 2011
%I BioMed Central
%R 10.1186/1472-6955-10-2
%X 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.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).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.Existential and spiritual concerns are fundamental issues in palliative care and patients frequently articulate these concerns. Although research on existential concerns has slowly emerged in recent years, there remains a scarcity of studies about how existential issues are understood,
%U http://www.biomedcentral.com/1472-6955/10/2