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- Arman, Maria, et al.
(author)
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Indications of change in life perspective among women with breast cancer admitted to complementary care
- 2001
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In: European Journal of Cancer Care. - OXFORD : BLACKWELL SCIENCE LTD. - 0961-5423 .- 1365-2354. ; 10:3, s. 192-200
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Journal article (peer-reviewed)abstract
- In this study, qualitative content analysis was used in order to understand the reported changes of life perspective in interviews with 59 women with breast cancer who were admitted to complementary care. The aim of this research was to study women's perceived consequences as well as perceived causes of breast cancer and to explore aspects of importance to the women. The material was collected in semistructured interviews from women with breast cancer at different stages of the disease. The women received complementary care at an anthroposophic clinic in Sweden. Findings showed that these women's view of their relationships with others grew more valuable. Their self-confidence and experience of strength improved, and they regarded life as being more enriched. A change in their disposition towards becoming more fragile and low-spirited was experienced as a hardship by the women. Am interesting finding was that the patients described the aetiology of the disease from several interacting perspectives, which also affected their ideas of how to achieve wellbeing and health. The findings support the view that changes of both benefit and harm are present in the experience of breast cancer.
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| 3. |
- Arman, Maria, et al.
(author)
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Living with breast cancer : a challenge to expansive and creative forces
- 2002
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In: European Journal of Cancer Care. - OXFORD : BLACKWELL PUBLISHING LTD. - 0961-5423 .- 1365-2354. ; , s. 290-296
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Journal article (peer-reviewed)abstract
- The aim of this qualitative case study is to obtain a deeper and more profound understanding of the life world of women living with breast cancer focusing particularly on changes in life perspective. The study is based on a series of interviews carried out within the space of one year and involving four women with breast cancer; each woman was interviewed four times. The participants were between 42 and 54 years of age; three of the four interviewed were in an advanced stage, with metastasis or recurrent breast cancer. There was an increased awareness of the relationship between life and death, which constituted a disclosure rather than an actual change in life perspective. The four women were 'opening up' to the beauty and the essentials in life and experienced an increased desire to live their life in accordance with their own values. Their revitalised view of life increased their desire for authenticity. When it proved impossible to live in accordance with new insights the women were particularly frustrated. From a caring perspective our findings suggest that an awareness of patients' increased openness to their own needs and desires is an important resource in the healing and rehabilitative process of breast cancer patients. The paradoxes and the struggles involved disguise a hidden potential for health.
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| 5. |
- Arman, Maria, et al.
(author)
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The face of suffering among women with breast cancer : Being in a field of forces
- 2002
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In: Cancer Nursing. - : Lippincott Williams & Williams. - 0162-220X .- 1538-9804. ; 25:2, s. 96-103
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Journal article (peer-reviewed)abstract
- Through qualitative interviews, the suffering experiences of women with breast cancer and their significant others were disclosed. Seventeen women with different stages of breast cancer and 16 significant others from 4 different care cultures in Sweden and Finland participated. Five of the women had advanced metastatic breast cancer, and 12 had a localized disease. Mean age was 48 years. As a methodology, a team approach, inspired by the Vancouver School of Doing Phenomenology, was used. The findings elucidate how the suffering experience touched the women's inner existence and values. This can metaphorically be described as a "field of force" and affected everything in the women's lives, including their views of themselves and their relationships. Existential questions were raised about life and death and the meaning of life. In their suffering, the women's dependency upon significant others, as well as healthcare personnel, was prominent. Suffering related to healthcare was a strong theme. Different faces of suffering related to breast cancer may still be unknown by healthcare professionals working in cancer care.
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| 7. |
- Arman, Maria, et al.
(author)
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The hidden suffering among breast cancer patients : A qualitative metasynthesis
- 2003
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In: Qualitative Health Research. - THOUSAND OAKS : SAGE PUBLICATIONS INC. - 1049-7323 .- 1552-7557. ; , s. 510-527
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Journal article (peer-reviewed)abstract
- The aim of this study was to review literature on how the lived experience of breast cancer and suffering was described in nursing/caring literature between 1990 and 2000, and to interpret and discuss the result from the perspective of suffering. The frequent reports of changing courses, called by various names, such as transition, transformation, transcendence, and finding meaning, werefound as paths whereby the person regained integrity, balance, and wholeness. When findings were interpreted from the perspective of suffering and an ontological health model, actions, values, and existential concerns were understood as both expedients for alleviating suffering and a sign of the patient's inner struggle.
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| 9. |
- arman, maria, et al.
(author)
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Vittnesbördet som etisk grund i vårdandet
- 2003
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In: Gryning II, Klinisk Vårdvetenskap. - Vasa : Institutionen för Vårdvetenskap. - 9521212373 - 9789521212376 ; , s. 109-123
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Book chapter (other academic/artistic)
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| 10. |
- Arman Rehnsfeldt, Maria, 1954-, et al.
(author)
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Suffering related to health care : a study of breast cancer patients' experiences.
- 2004
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In: International Journal of Nursing Practice. - 1322-7114 .- 1440-172X. ; 10:6, s. 248-256
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Journal article (peer-reviewed)abstract
- A previous study indicated that patient narratives include experiences of suffering caused or increased by health-care encounters. The aim of this study was to interpret and understand the meaning of patients' experiences of suffering related to health care from an ethical, existential and ontological standpoint. Sixteen women with breast cancer in Sweden and Finland took part in qualitative interviews analysed with a hermeneutic, interpretive approach. The outcome showed that suffering related to health care is a complex phenomenon and constitutes an ethical challenge to health-care personnel. The women's experiences of suffering related to health care tended to be of similar seriousness as their experiences of suffering in relation to having cancer. In an ethical, existential and ontological sense, suffering related to health care is basically a matter of neglect and uncaring where the patient's existential suffering is not seen and she is not viewed as a whole human being.
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