The meaning of grieving for families living with AIDS
Review TypeNone: Degree-based Submission
Repository Posting Date2020-10-13T21:04:42Z
Author(s)Cody, William K.
Author DetailsDr. William K. Cody, PhD, RN
Level of EvidencePhenomenology
Research ApproachQualitative Research
CINAHL HeadingsAcquired Immunodeficiency Syndrome; Bereavement; Family Coping; Life Experiences; Perception; Acquired Immunodeficiency Syndrome--Psychosocial Factors; Bereavement--Evaluation
The purpose of this nursing study, guided by Parse's human becoming theory, was to investigate the meaning of grieving for families living with AIDS. Parse's research methodology was used to uncover the meaning of grieving for the participant families and to integrate the findings with Parse's theory. Families were considered to be "close others" from the perspective of those involved. Through dialogical engagements with the researcher, which were videotaped, ten families described their lived experiences of grieving in relation to death and other losses. Through dwelling with the descriptions in the process of extraction-synthesis, the researcher generated the structure of grieving for the participant families. This structure is: easing-intensifying with the flux of change through bearing witness to aloneness with togetherness, as possibilities emerge with ambiguity, confirming realms of endearment. Integration with the theory led to the proposal that the meaning of grieving is: pushing-resisting with diverse rhythms of communion-solitude unfolding with certainty-uncertainty through honoring the treasured. Conceptual interpretation led to a theoretical structure drawn from Parse's theory, in which grieving is: powering the connecting-separating in originating valuing. The view of grieving as a multidimensional, intersubjective process of becoming, rooted in Parse's nursing theory, differs from theories of grieving from other disciplines, which are predominantly rooted in an objectivist, linear, homeostatic view of health. This study expands and specifies the theory in the substantive area of grieving and confirms that Parse's methodology is a valuable mode of inquiry for family-centered nursing research. Considerations in the use of videotape with the method are explored. Recommendations for further research include additional research with families and further investigation of lived experiences related to the core concepts in grieving extracted from the descriptions. A practice proposition, congruent with Parse's practice methodology and with the extant Parse studies, is proposed as a heuristic in understanding grieving. The practice proposition is: struggling with the ambiguity of a changing now through bearing witness to an absent presence sheds light on what really matters, as creating new possibilities shifts priorities.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9307924; ProQuest document ID: 304010888. The author still retains copyright.
Advisor(s)Clarke, Pamela N.
Degree GrantorUniversity of South Carolina
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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