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Sårbarhet, mod och inbjudan: Unga vuxnas strävan efter välbefinnande i en tillvaro präglad av existentiell oro
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
2020 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aim: The overall aim of the thesis is to examine how young adults experiences life living with existential concerns and how well-being is enabled when living with existential concerns. 

Approach and method: A reflective lifeworld research (RLR) approach guided this dissertation’s methodological approach. Lifeworld interviews were performed in all four studies and analyses were conducted according to RLR principles: bridled attitude, openness, and compliance to the studies’ different phenomena. Study I describes healthcare professionals’ experiences of conversations with young adults experiencing existential concerns. Eleven lifeworld interviews (seven individual-, two pair- and two group interviews) were conducted with seventeen healthcare professionals from various fields. Data was analysed via phenomenological-based thematic meaning analysis. Studies II and III describes young adults’ experiences of existential concerns from the perspective of young women and young men; nine women (study II) and eight men (study III) participated. All interviews were individual lifeworld interviews. Study IV describes young adults’ experiences of enabling wellbeing in a life with existential concerns. Seventeen adults (same participants as study II and III) participated and all interviews were individual lifeworld interviews. Studies II, III, and IV were analysed by phenomenological analysis. 

Main results: The results show that the lives of young adults with existential concerns are significantly affected by these concerns. Existential concerns awaken vulnerability, characterized by feeling lost in life and living near a bottomless darkness in which life may seem unbearable. In such a vulnerable existence, there is a desire to find a place to rest, thereby enabling wellbeing. For young adults, vulnerability means having the courage to expose their life situation and innermost thoughts. In encounters with others, there is a risk of being condemned, neglected, identified as weak, or rejected. In a caring relationship between young adults and healthcare professionals, both young adults and healthcare professionals’ vulnerability to life’s fragility evokes. Courage means daring to expose one’s vulnerability and sharing one’s life story. Courage also means that healthcare professionals dare to remain in the caring relationship and listen to the young adult’s life story, no matter how dire or dark it seems. In order for the life story to stand out, a mutual invitation between young adults and healthcare professionals is required. The results show that the prerequisites for a caring relationship involve mutual vulnerability, courage, and invitation to reflect on life’s challenges. In a genuinely caring relationship, through existential confirmation, entails finding a place to rest that enables wellbeing when experiencing existential concerns as a young adult. 

Conclusion: The thesis contributes knowledge relating to how young adults experience life with existential concerns and, in turn, how wellbeing is enabled through the experiences of young adults and healthcare professionals. Existential concern is a complex phenomenon, involving vulnerability, courage, and the invitation to enable wellbeing. From a lifeworld theoretical perspective, we see an openness to existential dimensions in young adults’ life stories, providing guidance to caregivers in enabling young adults to find a place where they can be vulnerable and have an opportunity to recover.

Place, publisher, year, edition, pages
Borås: Högskolan i Borås, 2020.
Series
Skrifter från Högskolan i Borås, ISSN 0280-381X ; 115
Keywords [en]
Young adults, healthcare professionals, existential concerns, reflective lifeworld research, caring sciences, caring relationship, phenomenology
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
URN: urn:nbn:se:hb:diva-24028ISBN: 978-91-89271-07-4 (print)ISBN: 978-91-89271-08-1 (electronic)OAI: oai:DiVA.org:hb-24028DiVA, id: diva2:1500469
Public defence
2021-01-15, M404, Sandgärdet, Borås, 09:30
Opponent
Supervisors
Note

Disputationen sänds via videolänk, förinformation se kalendariet på hb.se/forskning.

Available from: 2020-12-18 Created: 2020-11-12 Last updated: 2022-08-15Bibliographically approved
List of papers
1. Healthcare professionals’ lived experiences of conversationswith young adults expressing existential concerns
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2018 (English)In: Scandinavian Journal of Caring Sciences, p. 1-7Article in journal (Refereed) Published
Abstract [en]

Introduction:

This paper describes first-line department healthcare professionals’ experiences of conversations with young adults (16–25 years) who express existential concerns. Existential concerns encompass questions about the meaning of life and the choices people must make, and they are sometimes expressed during the period in which a child is becoming an adult. Sometimes the transition to adulthood can be difficult, and many young adults seek support from people in first-line departments, such as primary care providers, youth guidance centre personnel and student health service employees in high schools and universities. Conversations in which existential concerns are recognised may be important for preventing mental illness in the future.

Aim:

The study aimed to describe healthcare professionals’ lived experiences of conversations with young adults who express existential concerns.

Approach and methods:

This qualitative study utilises thematic meaning analysis. Interviews were conducted with healthcare professionals working in first-line departments, and data were analysed based on the principles of reflective lifeworld research. The study followed ethical codes of conduct and conformed to the ethical guidelines adopted by the Swedish Research Council.

Findings:

The results are presented in three themes of meaning: searching for innermost thoughts requires being present, uncertainty about the unpredictable and awakening of one’s own existential concerns.

Conclusions and implications:

Healthcare professionals are affected when young adults express their existential concerns, and they need more support to strengthen their ability to stay present and create inviting atmospheres

National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15074 (URN)10.1111/scs.12612 (DOI)000462154100014 ()30152541 (PubMedID)2-s2.0-85053204338 (Scopus ID)
Available from: 2018-09-06 Created: 2018-09-06 Last updated: 2022-11-01Bibliographically approved
2. Lost in an unknown terrain: a phenomenological contribution to the understanding of existential concerns as experienced by young women in Sweden
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2019 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim of this study is to describe young women's (16-25 years old) experiences of living with existential concerns for which they have sought support from healthcare professionals, teachers, family, or friends, among others.

Methods: This phenomenological study is based on a reflective lifeworld research (RLR) approach. Nine young women were interviewed about their experience of living with existential concerns.

Results: The results show the essential meaning of the phenomenon of "existential concerns" that can be described as living a life that is marked in a profound way by a feeling of being lost in an unknown terrain. To further understand the essential meaning, four constituents are described: the unpredictable body, longing for comprehension, playing a game, and longing to share one's vulnerability.

Conclusions: Young women with existential concerns are vulnerable, as they are profoundly influenced by these concerns. They have to navigate through daily life while trying to fit in and to make their situation comprehensible. These young women have a longing to share their existential concerns with a trustworthy person, while at the same time they fear revealing their existential concerns and risking being rejected by others. A lifeworld-led, caring science approach, intertwined with the results of the present study, has the potential to direct caring practice.

Keywords
Caring science, existential concerns, mental health, phenomenology, reflective lifeworld research, young women
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-21736 (URN)10.1080/17482631.2019.1658843 (DOI)000482928300001 ()31451104 (PubMedID)2-s2.0-85071260290 (Scopus ID)
Available from: 2019-09-16 Created: 2019-09-16 Last updated: 2022-11-01Bibliographically approved
3. Young men’s experiences of living with existential concerns: “living close to a bottomless darkness”
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2020 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 15, no 1, p. 1-10, article id 1810947Article in journal (Refereed) Published
Abstract [en]

Introduction

Young men may struggle in life with challenges of various concerns about their identity and who they want to be in life. Many health issues arise from social norms and wider societal determinations and for today’s young men, following such norms poses a risk of losing oneself. An essential part of health are connected to the existential dimensions in life and concerns who you are, and how well you know and understand yourself. However; little is known about what it means for young men to live a life with existential concerns.

Purpose and method

The purpose of this phenomenological study, based on reflective lifeworld research (RLR), is to describe young men’s experiences of living with existential concerns for which they have sought support. Eight lifeworld interviews were conducted.

Results

The results essentially show that young men living with existential concerns describe their situations as living close to a bottomless darkness. This is further described according to four constituents: enduring everyday life, striving for a solution, hearing an inner self-critical voice, and wearing a hard shell.

Conclusion

We conclude that strengthening young men’s health processes requires healthcare professionals to create an atmosphere where young men feel safe talking about existential concerns without feeling exposed and vulnerable.

Place, publisher, year, edition, pages
Taylor & Francis, 2020
Keywords
Existential concerns, reflective lifeworld research, phenomenology, qualitative research, young men, young adults
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:hb:diva-24428 (URN)10.1080/17482631.2020.1810947 (DOI)000563076400001 ()32854600 (PubMedID)2-s2.0-85089985748 (Scopus ID)
Available from: 2020-12-16 Created: 2020-12-16 Last updated: 2022-11-01Bibliographically approved
4. Finding an existential place to rest: enabling well-being in young adults
Open this publication in new window or tab >>Finding an existential place to rest: enabling well-being in young adults
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2022 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 17, no 1Article in journal (Refereed) Published
Abstract [en]

What enables well-being when experiencing existential concerns as a young adult is an under-explored area of research. In order to address young adults’ existential concerns and provide caring support that builds their resilience to meet life challenges, the purpose of the study is to describe the meaning of enabling well-being as experienced by young adults living with existential concerns. This phenomenological study is based on a reflective lifeworld research. Seventeen young adults, aged 17–27 years, were interviewed. The results is presented in an essential meaning and further explored with its variations and individual nuances of the phenomenon; enabling well-being. The essential meaning of enabling well-being, when experiencing existential concerns as a young adult, means finding a place to rest. Finding a place to rest means finding both movement and stillness in life to reflect upon one’s life story in order to understand oneself. The results also show that young adults enable their own well-being in many ways when experiencing existential concerns. When their existential concerns feel overwhelming, they need support from healthcare professionals. When young adults seek professional support, the professionals must be open and focus on the young adults’ life story to enable well-being. 

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Existential concerns, phenomenology, qualitative research, reflective lifeworld research, resilience, young adults
National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-28384 (URN)10.1080/17482631.2022.2109812 (DOI)000836916100001 ()PMC9361758 (PubMedID)2-s2.0-85135452942 (Scopus ID)
Available from: 2022-08-15 Created: 2022-08-15 Last updated: 2022-11-01Bibliographically approved

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