Process of Harmony in the Lives of Recurrent and Metastatic Cancer Survivors during Recuperation

• Published in: Journal of Japan Academy of Nursing Science Vol. 45; pp. 121 - 131
• Main Authors: Okanishi, Sachie, Fujita, Sawa
• Format: Journal Article
• Language: English; Japanese
• Published: Japan Academy of Nursing Science 2025
• Subjects: cancer survivors; harmony; metastasis; recurrence; the modified grounded theory approach
• ISSN: 0287-5330; 2185-8888
• DOI: 10.5630/jans.45.121

Purpose: The purpose of this study was to elucidate the process of harmony in the lives of recurrent and metastatic cancer survivors during recuperation.Methods: Semi-structured interviews were conducted on 16 participants, and the data were analyzed using the Modified Grounded Theory Approach (M-GTA).Results: The process of harmony in the lives of recurrent and metastatic cancer survivors during recuperation centered on “Living with a neutral self”, in which there was an expansive process of self-awareness from [Wavering self-existence in changing circumstances] to [Putting death aside and remaining true to oneself], [Cancer is a part of me], and [Perceiving expansion of the self]. This was supported and facilitated by the interactions of strategies for [Directing one’s attention to what one has at the moment] and [Maintaining a stable self]. “Living with a neutral self” is a state in which the individual maintains an unwavering self amid the constant changes that occur during the process of repeated rounds of recurrence and metastasis of cancer, and was strengthened by cycling through this process.Conclusion: These results suggest that promotion of the recovery and the expansion of self-awareness and sense of control that centers on “Living with a neutral self” serve as support for survivors’ recuperation in maintaining the best possible health.