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Qualitative Health Research
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*Bereavement
*Cancer
*Caregivers
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The Hope Experience of Older Bereaved Women Who Cared for a Spouse With Terminal Cancer

Lorraine F. Holtslander

University of Saskatchewan, Saskatoon, Saskatchewan, Canada

Wendy Diane Duggleby

University of Saskatchewan, Saskatoon, Saskatchewan, Canada

In this study we explore the experience and processes of hope of older women who were bereaved after caring for a spouse with terminal cancer, and we develop a tentative, emerging theory of their hope experience. We used constructivist grounded theory methods. We conducted 30 open-ended, in-depth, audiotaped interviews with 13 western Canadian women, aged 60 to 79 years, within the 1st year of bereavement, and collected 12 hope diaries. Data were analyzed using constant comparative analysis. Participants defined hope as a gradual process of regaining inner strength and building self-confidence to make sense of their completely changed situations. They were learning to stay positive and move ahead with their lives. The participants' main concern was losing hope, which they dealt with by searching for new hope through finding balance, new perspectives, and new meaning and purpose. The emerging theory is conceptualized as a spiral within the complex social context of bereavement after caregiving.

Key Words: bereavement • cancer • psychosocial aspects • caregiving • informal • constant comparison • constructivism • grounded theory • interviews • journals (diaries) • palliative care • women's health • midlife

Qualitative Health Research, Vol. 19, No. 3, 388-400 (2009)
DOI: 10.1177/1049732308329682
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