Research Article

Secular, Spiritual, and Religious Existential Concerns of Women with Ovarian Cancer during Final Diagnostics and Start of Treatment

Table 3

Structure analysis of main theme: hope and existential concerns during final diagnostics and first treatment period.

Empirical findingsMeaning condensationSubthemes

“I believe that in case of serious illness a certain amount of courage might be helpful—but still, I’ve seen people with lots of guts succumb to cancer. I’ve seen that.” Courage to face life is important but not a cureCourage to face life
“If you’re sad sometimes they [the nurses] come and sit with you for a moment—if they can feel there might be something wrong.” Care can influence courage to face life

“There was this out patient visit [at the department of oncology] where they spoke rather negatively of the effect of chemo. Somehow, this took away my hope. Because… well, I was still alive, but I felt like a really poor life when I left the department.” Care influences hope Hope
“I certainly haven’t given up yet. But I try to be realistic—my notion of becoming a very old lady has been somewhat downplayed, due to this.” Notions of the future are being revised
“I have a cousin—she’s had the same kind of disease. She became a very positive person—I hope the same will happen to me” Personal experiences can impact hope
“Well, once you’ve had a cancer disease you’ve got to live with that. There are no guarantees that it won’t ever come back.” Life has forever changed

“Right from the beginning—if I should cut to the bone—I really think it’s about that I haven’t ever been afraid of dying.” Death becomes a reality Existential considerations
“In that sense I still believe that the world can progress. Because, still there are people… who love each other, and who try to understand—I’m part of that” Personal hope can be integrated in a universal understanding of life
“Of cause it would be terrible [to die right away], but I’ve lived my life. I’ve had a good education and children, I’ve worked for many years, and I’ve had friends and experiences—a good deal of failures but also some success, right? I’ve had my life” Existential considerations can add meaning to the disease
“I believe that someone’s holding his hand over me.”