A concept analysis of the existential experience of adults with advanced cancer
Open accessAbstract
Background Attention to the existential dimension of an individual's experience during serious illness is important. However, existential concerns continue to be poorly defined in literature, leading to neglect in the clinical realm. Purpose This concept analysis seeks to clarify the concept of the existential experience within the context of adults with advanced cancer. Methods Rodgers' evolutionary method of concept analysis was used. Discussion Existential experience in adults with advanced cancer is a dynamic state, preceded by confronting mortality, defined by diverse reactions to shared existential challenges related to the parameters of existence (body, time, others, and death), resulting in a dialectical movement between existential suffering and existential health, with capacity for personal growth. Personal factors and the ability to cope appear to influence this experience. Conclusion These findings can drive future research and enhance clinician ability to attend to the existential domain, thereby improving patient experience at end-of-life.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
A study found that ALS patients are more agreeable and less neurotic than controls.
“A study titled “Are People With ALS Particularly Nice?” showed that ALS patients are more agreeable and less neurotic than controls.4”
From “When Will All of This End?”: A 65-Year-Old Man With Amyotrophic Lateral Sclerosis and Psychiatric Distress (2023) · cites this paper as [4]
The Results > Attributes section discusses existential experiences of adults with advanced cancer, not personality comparisons in ALS. Searches for “Are People With ALS Particularly Nice?” and for ALS patients being more agreeable and less neurotic than controls found no passage addressing the claim. The cited paper’s full-text copy therefore cannot verify it. (LLM, conf=0.78)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Dignity in the terminally ill: a developing empirical model
Chochinov, H. M., Hack, T., McClement, S., Kristjanson, L., & Harlos, M. (2002) · Social Science & Medicine · doi:10.1016/s0277-9536(01)00084-3 · Cited by 733 · see citing works
Demoralization Syndrome — a Relevant Psychiatric Diagnosis for Palliative Care
Kissane, D. W., Clarke, D. M., & Street, A. F. (2001) · Journal of Palliative Care · doi:10.1177/082585970101700103 · Cited by 624 · see citing works
Robinson, S., Kissane, D. W., Brooker, J., & Burney, S. (2015) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2014.07.008 · Cited by 401 · see citing works
The Posttraumatic Growth Inventory: A Revision Integrating Existential and Spiritual Change
Tedeschi, R. G., Cann, A., Taku, K., Senol‐Durak, E., & Calhoun, L. G. (2017) · Journal of Traumatic Stress · doi:10.1002/jts.22155 · Cited by 345 · see citing works
Treatment of existential distress in life threatening illness: A review of manualized interventions
LeMay, K., & Wilson, K. G. (2008) · Clinical Psychology Review · doi:10.1016/j.cpr.2007.07.013 · Cited by 280 · see citing works
The Relief of Existential Suffering
Kissane, D. W. (2012) · Archives of Internal Medicine · doi:10.1001/archinternmed.2012.3633 · Cited by 175 · see citing works
Demoralization and death anxiety in advanced cancer
An, E., Lo, C., Hales, S., Zimmermann, C., & Rodin, G. (2018) · Psycho-Oncology · doi:10.1002/pon.4843 · Cited by 115 · see citing works
Flagged first, then by citations
Research works printed but not linked: 94
- Adorno G, & Brownell G (2014). Understanding quality-of-life while living with late-stage lung cancer: an exploratory study. J Soc Work End Life Palliat Care, 10(2), 127– 148. doi: 10.1080/15524256.2014.906372 24835383 · DOI
- Ahearn LM (2011). Language, thought, and culture, in living language: An introduction to linguistic anthropology. Oxford, UK: Wiley-Blackwell.
- Ambrosio L, Senosiain Garcia JM, Riverol Fernandez M, Anaut Bravo S, Diaz De Cerio Ayesa S, Ursua Sesma ME,. Portillo MC (2015). Living with chronic illness in adults: a concept analysis. J Clin Nurs, 24(17–18), 2357– 2367. doi: 10.1111/jocn.12827 25951949 · DOI
- Aoun S, Kristjanson LJ, Oldham L, & Currow D (2008). A qualitative investigation of the palliative care needs of terminally ill people who live alone. Collegian, 15(1), 3– 9. doi: 10.1016/j.colegn.2007.11.005 18341071 · DOI
- Asgeirsdottir GH, Sigurbjörnsson E, Traustadottir R, Sigurdardottir V, Gunnarsdottir S, & Kelly E (2014). In the Shadow of Death: Existential and Spiritual Concerns among Persons Receiving Palliative Care. Journal of Pastoral Care & Counseling: Advancing theory and professional practice through scholarly and reflective publications, 68(1), 1– 11. doi: 10.1177/154230501406800104 25241482 · DOI
- Ashworth P (2003). An approach to phenomenological psychology: The contingencies of the lifeworld. Journal of phenomenological psychology, 34(2), 145– 156.
- Benner PE, & Wrubel J (1989). The primacy of caring: Stress and coping in health and illness. Menlo Park, Calif: Addison-Wesley Pub. Co.
- Bentur N, Stark DY, Resnizky S, & Symon Z (2014). Coping strategies for existencial and spiritual suffering in Israeli patients with advanced cancer. Isr J Health Policy Res, 3(1), 21. doi: 10.1186/2045-4015-3-21 24984840 PMC4077153 · DOI
- Blinderman CD, & Cherny NI (2005). Existential issues do not necessarily result in existential suffering: lessons from cancer patients in Israel. Palliative Medicine, 19(5), 371– 380. 16111060
- Bolmsjo I, Hermeren G, & Ingvar C (2002). Meeting existential needs in palliative care--who, when, and why? Journal of palliative care, 18(3), 185. 12418369
- Bolmsjo I, Tengland PA, & Ramgard M (2018). Existential loneliness: An attempt at an analysis of the concept and the phenomenon. Nurs Ethics, 969733017748480. doi: 10.1177/0969733017748480 29471724 · DOI
- Boston P, Bruce A, & Schreiber R (2011). Existential suffering in the palliative care setting: an integrated literature review. J Pain Symptom Manage, 41(3), 604– 618. doi: 10.1016/j.jpainsymman.2010.05.010 21145202 · DOI · Paper page
- Boston P, Mount BM, Orenstein S, & Freedman O (2001). Spirituality, religion, and health: The need for qualitative research. Annals-Royal College of Physicians and Surgeons of Canada, 34(6), 368– 374. 12755127
- Breitbart W (2002). Spirituality and meaning in supportive care: spirituality-and meaning-centered group psychotherapy interventions in advanced cancer. Supportive care in cancer, 10(4), 272– 280. 12029426
- Brennan J (2006). A conflation of existential and spiritual beliefs. Psychooncology, 15(10), 933– 934. doi: 10.1002/pon.1099 17001736 · DOI
- Broadhurst K, & Harrington A (2016). A mixed method thematic review: the importance of hope to the dying patient. J Adv Nurs, 72(1), 18– 32. doi: 10.1111/jan.12765 26350621 · DOI
- Browall M, Melin-Johansson C, Strang S, Danielson E, & Henoch I (2010). Health care staff’s opinions about existential issues among patients with cancer. Palliat Support Care, 8(1), 59– 68. doi: 10.1017/S147895150999071X 20163761 · DOI
- Carter H, MacLeod R, Brander P, & McPherson K (2004). Living with a terminal illness: patients’ priorities. J Adv Nurs, 45(6), 611– 620. 15012639
- Cassell EJ (1982). The nature of suffering and the goals of medicine. The New England Journal of Medicine, 306(11), 639– 645. 7057823
- Charmaz K (1980). The Social Reality of Death. Reading, MA: Addison-Wesley.
- Charmaz K (1983). Loss of self: a fundamental form of suffering in the chronically ill. Sociol Health Illn, 5(2), 168– 195. 10261981
- Clarke DM, & Kissane DW (2002). Demoralization: its phenomenology and importance. Aust N Z J Psychiatry, 36(6), 733– 742. doi: 10.1046/j.1440-1614.2002.01086.x 12406115 · DOI · Paper page
- Cohen SR, Mount BM, Bruera E, Provost M, Rowe J, & Tong K (1997). Validity of the McGill Quality of Life Questionnaire in the palliative care setting: a multi-centre Canadian study demonstrating the importance of the existential domain. Palliat Med, 11(1), 3– 20. doi: 10.1177/026921639701100102 9068681 · DOI
- Cohen SR, Mount BM, Tomas JJ, & Mount LF (1996). Existential well-being is an important determinant of quality of life. Evidence from the McGill Quality of Life Questionnaire. Cancer, 77(3), 576– 586. doi: 10.1002/(sici)1097-0142(19960201)77:3<576::Aid-cncr22>3.0.Co;2-0 8630968 · DOI
- Corbeil A, Laizner AM, Hunter P, & Hutchison N (2009). The experience of uncertainty in young adults with cancer. Cancer Nurs, 32(5), E17– 27. doi: 10.1097/NCC.0b013e3181a5690d 19661789 · DOI
- Coward DD (1989). The lived experience of self-transcendence in women with advanced breast cancer. Nursing Science Quarterly, 3(4), 162– 169. 2250835
- Coyle N (2004). In their own words: Seven advanced cancer patients describe their experience with pain and the use of opioid drugs. Journal of pain and symptom management, 27(4), 300– 309. 15050657
- Coyle N (2006). The hard work of living in the face of death. J Pain Symptom Manage, 32(3), 266– 274. doi: 10.1016/j.jpainsymman.2006.04.003 16939851 · DOI
- Edwards A, Pang N, Shiu V, & Chan C (2010). The understanding of spirituality and the potential role of spiritual care in end-of-life and palliative care: a meta-study of qualitative research. Palliat Med, 24(8), 753– 770. doi: 10.1177/0269216310375860 20659977 · DOI
- Ekwall E, Ternestedt BM, & Sorbe B (2007). Recurrence of ovarian cancer-living in limbo. Cancer Nurs, 30(4), 270– 277. doi: 10.1097/01.NCC.0000281729.10362.3a 17666975 · DOI
- Emanuel LL, Reddy N, Hauser J, & Sonnenfeld SB (2017). “And Yet It Was a Blessing”: The Case for Existential Maturity. J Palliat Med, 20(4), 318– 327. doi: 10.1089/jpm.2016.0540 28128674 PMC5385420 · DOI
- Endacott R (1997). Clarifying the concept of need: a comparison of two approaches to concept analysis. J Adv Nurs, 25(3), 471– 476. 9080272
- Ettema EJ, Derksen LD, & van Leeuwen E (2010). Existential loneliness and end-of-life care: a systematic review. Theor Med Bioeth, 31(2), 141– 169. doi: 10.1007/s11017-010-9141-1 20440564 PMC2866502 · DOI
- Ferrell BR, & Coyle N (2008). The nature of suffering and the goals of nursing. Oncol Nurs Forum, 35(2), 241– 247. doi: 10.1188/08.ONF.241-247 18321836 · DOI
- Friberg F, & Öhlen J (2007). Searching for knowledge and understanding while living with impending death—a phenomenological case study. International Journal of Qualitative Studies on Health and Well-being, 2(4), 217– 226.
- Friedrichsen M, Lindholm A, & Milberg A (2011). Experiences of truth disclosure in terminally ill cancer patients in palliative home care. Palliat Support Care, 9(2), 173– 180. doi: 10.1017/S1478951511000046 24468485 · DOI
- Greisinger AJ, Lorimor RJ, Aday LA, Winn RJ, & Baile WF (1997). Terminally ill cancer patients. Their most important concerns. Cancer practice, 53(3), 147– 154. 9171550
- Griffiths C, Norton L, Wagstaff G, & Brunas-Wagstaff J (2002). Existential concerns in late stage cancer. Eur J Oncol Nurs, 6(4), 243– 246. doi: 10.1054/ejon.2002.0205 12849584 · DOI
- Guo Q, & Jacelon CS (2014). An integrative review of dignity in end-of-life care. Palliat Med, 28(7), 931– 940. doi: 10.1177/0269216314528399 24685648 · DOI
- Henoch I, & Danielson E (2009). Existential concerns among patients with cancer and interventions to meet them: an integrative literature review. Psychooncology, 18(3), 225– 236. doi: 10.1002/pon.1424 18792088 · DOI
- Hirai K, Morita T, & Kashiwagi T (2003). Professionally perceived effectiveness of psychosocial interventions for existential suffering of terminally ill cancer patients. Palliat Med, 17(8), 688– 694. doi: 10.1191/0269216303pm825oa 14694920 · DOI
- Hui D, Hannon BL, Zimmermann C, & Bruera E (2018). Improving patient and caregiver outcomes in oncology: Team-based, timely, and targeted palliative care. CA Cancer J Clin, 68(5), 356– 376. doi: 10.3322/caac.21490 30277572 PMC6179926 · DOI
- Källerwald S (2007). In the Shadow of a Threatened Existence–On the Unnecessary Battle between Biology and Existence in the Care of Malignant Lymphoma Patients. (PhD Thesis), Växjö University: Institutionen för vårdvetenskap och socialt arbete,
- Karlsson M, Friberg F, Wallengren C, & Ohlen J (2014). Meanings of existential uncertainty and certainty for people diagnosed with cancer and receiving palliative treatment: a life-world phenomenological study. BMC Palliat Care, 13(1), 28. doi: 10.1186/1472-684X-13-28 24936149 PMC4059734 · DOI
- Kissane DW (2000). Psychospiritual and existential distress. The challenge for palliative care. Aust Fam Physician, 29(11), 1022– 1025. 11127057
- Krikorian A, & Limonero JT (2012). An integrated view of suffering in palliative care. J Palliat Care, 28(1), 41– 49. 22582471
- la Cour K, & Hansen HP (2012). Aesthetic Engagements: “Being” in Everyday Life With Advanced Cancer. American Journal of Hospice and Palliative Medicine, 29(2), 126– 133. 21712307
- Lee GL, Pang GS, Akhileswaran R, Ow MY, Fan GK, Wong CC,. Cheung YB (2016). Understanding domains of health-related quality of life concerns of Singapore Chinese patients with advanced cancer: a qualitative analysis. Support Care Cancer, 24(3), 1107– 1118. doi: 10.1007/s00520-015-2886-3 26266660 · DOI
- Lee V, & Loiselle CG (2012). The salience of existential concerns across the cancer control continuum. Palliat Support Care, 10(2), 123– 133. doi: 10.1017/S1478951511000745 22464280 · DOI
- Leung D, & Esplen MJ (2010). Alleviating existential distress of cancer patients: can relational ethics guide clinicians? Eur J Cancer Care (Engl), 19(1), 30– 38. doi: 10.1111/j.1365-2354.2008.00969.x 19912294 · DOI
- Lovgren M, Hamberg K, & Tishelman C (2010). Clock time and embodied time experienced by patients with inoperable lung cancer. Cancer Nurs, 33(1), 55– 63. doi: 10.1097/NCC.0b013e3181b382ae 19926976 · DOI
- Mako C, Galek K, & Poppito SR (2006). Spiritual pain among patients with advanced cancer in palliative care. Journal of palliative medicine, 9(5), 1106– 1113. 17040148
- McSherry W, & Cash K (2004). The language of spirituality: an emerging taxonomy. Int J Nurs Stud, 41(2), 151– 161. doi: 10.1016/s0020-7489(03)00114-7 14725779 · DOI
- Melin-Johansson C, Odling G, Axelsson B, & Danielson E (2008). The meaning of quality of life: narrations by patients with incurable cancer in palliative home care. Palliat Support Care, 6(3), 231– 238. doi: 10.1017/S1478951508000370 18662416 · DOI
- Merleau-Ponty M (1962). Phenomenology of Perception London: Routledge.
- Missel M, & Birkelund R (2011). Living with incurable oesophageal cancer. A phenomenological hermeneutical interpretation of patient stories. Eur J Oncol Nurs, 15(4), 296– 301. doi: 10.1016/j.ejon.2010.10.006 21111678 · DOI
- Moadel A, Morgan C, Fatone A, Grennan J, Carter J, Laruffa G,. Dutcher J (1999). Seeking meaning and hope: Self-reported spiritual and existential needs among an ethnically-diverse cancer patient population. Psycho-Oncology, 8(5), 378– 385. doi:Doi 10.1002/(Sici)1099-1611(199909/10)8:5<378::Aid-Pon406>3.0.Co;2-A 10559797 · DOI
- Moestrup L, & Hansen HP (2015). Existential concerns about death: a qualitative study of dying patients in a Danish hospice. Am J Hosp Palliat Care, 32(4), 427– 436. doi: 10.1177/1049909114523828 24595321 · DOI
- Morita T (2004). Differences in physician-reported practice in palliative sedation therapy. Support Care Cancer, 12(8), 584– 592. doi: 10.1007/s00520-004-0603-8 14991486 · DOI
- Mount BM (2003). Existential suffering and the determinants of healing. European Journal of Palliative Care, 10(S2), 40– 42.
- Mount BM, Boston PH, & Cohen SR (2007). Healing connections: on moving from suffering to a sense of well-being. J Pain Symptom Manage, 33(4), 372– 388. doi: 10.1016/j.jpainsymman.2006.09.014 17397699 · DOI · Paper page
- O’Connor AP, Wicker CA, & Germino BB (1990). Understanding the cancer patient’s search for meaning. Cancer Nurs, 13(3), 167– 175. 2354429
- Ohlen J (2002). Practical wisdom: competencies required in alleviating suffering in palliative care. J Palliat Care, 18(4), 293– 299. 12611321
- Parker M (2004). Medicalizing meaning: demoralization syndrome and the desire to die. Aust N Z J Psychiatry, 38(10), 765– 773. doi: 10.1080/j.1440-1614.2004.01460.x 15369534 · DOI
- Parker M (2011). Not so great expectations: why we should accept and respect hopelessness and futility. Journal of law and medicine, 19(1), 36– 42. 21988008
- Patton MQ (2001). Qualitative Research & Evaluation Methods (3rd ed.). Newbury Park, CA: Sage.
- Philip J, Collins A, Brand CA, Moore G, Lethborg C, Sundararajan V,. Gold M (2014). “ I’m just waiting.”: an exploration of the experience of living and dying with primary malignant glioma. Support Care Cancer, 22(2), 389– 397. doi: 10.1007/s00520-013-1986-1 24072476 · DOI
- Piderman KM, Kung S, Jenkins SM, Euerle TT, Yoder TJ, Kwete GM, & Lapid MI (2015). Respecting the spiritual side of advanced cancer care: a systematic review. Curr Oncol Rep, 17(2), 6. doi: 10.1007/s11912-014-0429-6 25681038 · DOI
- Robinson S, Kissane DW, Brooker J, & Burney S (2016). A Review of the Construct of Demoralization: History, Definitions, and Future Directions for Palliative Care. Am J Hosp Palliat Care, 33(1), 93– 101. doi: 10.1177/1049909114553461 25294224 · DOI
- Rodgers BL (2000). Concept analysis: An evolutionary view In Rodgers BL & Knafl KA (Eds.), Concept development in nursing: Foundations, techniques, and applications (2nd ed.,pp. 77– 102). Philadelphia: W-B Saunders Company.
- Rodrigues P, Crokaert J, & Gastmans C (2018). Palliative Sedation for Existential Suffering: A Systematic Review of Argument-Based Ethics Literature. J Pain Symptom Manage, 55(6), 1577– 1590. doi: 10.1016/j.jpainsymman.2018.01.013 29382541 · DOI
- Saeteren B, Lindstrom UA, & Naden D (2011). Latching onto life: living in the area of tension between the possibility of life and the necessity of death. J Clin Nurs, 20(5–6), 811– 818. doi: 10.1111/j.1365-2702.2010.03212.x 20695947 · DOI
- Sand L, Olsson M, & Strang P (2009). Coping strategies in the presence of one’s own impending death from cancer. J Pain Symptom Manage, 37(1), 13– 22. doi: 10.1016/j.jpainsymman.2008.01.013 18676119 · DOI
- Sand L, Olsson M, & Strang P (2018). Supporting in an existential crisis: A mixed-methods evaluation of a training model in palliative care. Palliat Support Care, 16(4), 470– 478. doi: 10.1017/S1478951517000633 28629488 · DOI
- Sand L, & Strang P (2006). Existential loneliness in a palliative home care setting. J Palliat Med, 9(6), 1376– 1387. doi: 10.1089/jpm.2006.9.1376 17187546 · DOI
- Sand L, Strang P, & Milberg A (2008). Dying cancer patients’ experiences of powerlessness and helplessness. Support Care Cancer, 16(7), 853– 862. doi: 10.1007/s00520-007-0359-z 18026998 · DOI
- Strang P (1997). Existential consequences of unrelieved cancer pain. Palliative Medicine, 11(4), 299– 305. 9373581
- Strang P, Strang S, Hultborn R, & Arner S (2004). Existential pain--an entity, a provocation, or a challenge? J Pain Symptom Manage, 27(3), 241– 250. doi: 10.1016/j.jpainsymman.2003.07.003 15010102 · DOI
- Strang S, Henoch I, Danielson E, Browall M, & Melin-Johansson C (2014). Communication about existential issues with patients close to death--nurses’ reflections on content, process and meaning. Psychooncology, 23(5), 562– 568. doi: 10.1002/pon.3456 24323829 · DOI
- Strang S, Strang P, & Ternestedt BM (2002). Spiritual needs as defined by Swedish nursing staff. Journal of Clinical Nursing, 11(1), 48– 57. 11845755
- Svenaeus F (2001). The phenomenology of health and illness In Toombs SK (Ed.), Handbook of phenomenology and medicine (pp. pp. 87– 108). Boston: Kluwer Academic.
- Thome B, Dykes AK, Gunnars B, & Hallberg IR (2003). The experiences of older people living with cancer. Cancer Nurs, 26(2), 85– 96. 12660557
- Tofthagen R, & Fagerstrom LM (2010). Rodgers’ evolutionary concept analysis--a valid method for developing knowledge in nursing science. Scand J Caring Sci, 24 Suppl 1, 21– 31. doi: 10.1111/j.1471-6712.2010.00845.x 21070310 · DOI · Paper page
- Van Manen M (2014). Phenomenology of practice: Meaning-giving methods in phenomenological research and writing. Walnut Creek, California: Left Coast Press.
- Weathers E, McCarthy G, & Coffey A (2016). Concept analysis of spirituality: An evolutionary approach. Nursing Forum, 51(2), 79– 96. 25644366
- Weisman AD, & Worden JW (1976). The existential plight in cancer: significance of the first 100 days. Int J Psychiatry Med, 7(1), 1– 15. doi: 10.2190/uq2g-ugv1-3ppc-6387 1052080 · DOI
- Westman B, Bergenmar M, & Andersson L (2006). Life, illness and death—existential reflections of a Swedish sample of patients who have undergone curative treatment for breast or prostatic cancer. European Journal of Oncology Nursing, 10(3), 169– 176. 16095967
- Whitehead D (2003). Beyond the metaphysical: health‐promoting existential mechanisms and their impact on the health status of clients. Journal of Clinical Nursing, 12(5), 678– 688. 12919214
- Williams BR (2004). Dying young, dying poor: A sociological examination of existential suffering among low-socioeconomic status patients. Journal of palliative medicine, 7(1), 27– 37. 15000780
- Willig C (2015). “ My bus is here”: a phenomenological exploration of “living-with-dying”. Health Psychol, 34(4), 417– 425. doi: 10.1037/hea0000176 25822056 · DOI
- Willig C, & Billin A (2012). Existentialist-informed hermeneutic phenomenology In Harper D & Thompson AR (Eds.), Qualitative research methods in mental health and psychotherapy: A guide for students and practitioners (pp. 117– 130). Chichester: Wiley-Blackwell.
- Wilson KG, Chochinov HM, Skirko MG, Allard P, Chary S, Gagnon PR,. Clinch, JJ (2007). Depression and anxiety disorders in palliative cancer care. J Pain Symptom Manage, 33(2), 118– 129. doi: 10.1016/j.jpainsymman.2006.07.016 17280918 · DOI · Paper page
- Wright ST, Grant PC, Depner RM, Donnelly JP, & Kerr CW (2015). Meaning-centered dream work with hospice patients: A pilot study. Palliat Support Care, 13(5), 1193– 1211. doi: 10.1017/S1478951514001072 25315257 · DOI
- Young PD, & Rushton CH (2017). A concept analysis of moral resilience. Nursing Outlook, 65(5), 579– 587. 28434608
Cited by
Sorted by citations
Lester, E. G., Vitolo, O. V., Flaherty, A., Beaussant, Y., Cramer, M., Harley, R., & Cohen, J. N. (2023) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.23ct15038 · Cited by 2 · see citing works
- Authors
- Tarbi, E. C., & Meghani, S. H.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Tarbi, Elise C.
- Venue
- Nursing Outlook
- Publisher
- Elsevier BV
- Published
- 2019-09
- Volume
- 67
- Issue
- 5
- Pages
- 540-557
- ISSN
- 0029-6554 (ISSN-L)
- PMC
- PMC6764914
- OpenAlex
- W2924682096
- Cited by
- 61
- References
- 7
- Citations by year
- 2026: 13 · 2025: 11 · 2024: 6 · 2023: 7 · 2022: 13 · 2021: 8 · 2020: 3
- FWCI
- 5.53
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Nursing Outlook (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Nursing Research (T32NR009356)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Keywords
- existential experience, advanced cancer, existential concerns, existential suffering, existential health, mortality, coping, personal growth, end-of-life care, serious illness, adult cancer patients
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Existentialism, Female, Humans, Male, Middle Aged, Neoplasms
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review