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Voices Unheard: A Reflective Lifeworld Research Study of Older Arabic-Speaking Female Migrants and Their Experience of Existential Loneliness
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Malmö University, Citizen Health (CzH).ORCID iD: 0000-0002-1084-8326
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Malmö University, Citizen Health (CzH).ORCID iD: 0000-0002-3594-3944
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Malmö University, Citizen Health (CzH).ORCID iD: 0000-0002-9679-0654
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Malmö University, Citizen Health (CzH).ORCID iD: 0000-0003-1235-620X
2024 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 19, no 4, article id e12633Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Existential loneliness (EL) is an unavoidable, deeper sense of loneliness. EL has been described as disconnection from life and the universe, experienced even in the presence of family and friends. Meaninglessness, loss of health and significant others seem to trigger older persons EL. Older Arabic-speaking women are a large migrant group in Sweden and there is a lack in knowledge about their experience of EL. Therefore, this study aimed to describe the phenomenon of EL as experienced by older Arabic-speaking female migrants.

METHODS: This study was based on a phenomenological approach known as reflective lifeworld research (RLR). Ten older migrated Arabic-speaking women were included in the study. Lifeworld interviews were conducted to collect data. The data were analysed in accordance with the phenomenological RLR principles of openness, flexibility and bridling.

RESULTS: This study shows that EL is experienced when there is a lack of attachment to place and people. EL is experienced more distinctively in the beginning of the migration process. It was difficult sharing feelings of EL with anyone. Feelings of meaninglessness occurred when entering a new lifeworld and triggered EL. EL was however attenuated when being able to practise their religion.

CONCLUSION: Lack of attachment to place and people as well as feelings of meaninglessness brought existential loneliness to the fore for the older Arabic-speaking female migrants. There was a collision of lifeworlds not at least by the fact moving as a Muslim woman to one of the most secular countries in the world. Practising their religion attenuated their EL. To promote better health for this group of women, it is of importance to be aware of EL and its mode of expression.

IMPLICATIONS FOR PRACTICE: It is crucial to let the voice of older Arabic-speaking female migrants be heard and to be aware of their experience of EL and its mode of expression in order to promote better health. Further, educational training for nursing professionals and nursing students needs to be provided to develop skills how to be aware of and address EL.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024. Vol. 19, no 4, article id e12633
Keywords [en]
Arabic‐speaking, existential loneliness, migration, older, reflective lifeworld research, women
National Category
Nursing
Identifiers
URN: urn:nbn:se:mau:diva-70067DOI: 10.1111/opn.12633ISI: 001279355400001PubMedID: 39056557Scopus ID: 2-s2.0-85199631348OAI: oai:DiVA.org:mau-70067DiVA, id: diva2:1886632
Available from: 2024-08-02 Created: 2024-08-02 Last updated: 2026-03-30Bibliographically approved
In thesis
1. The Silent Journey: Existential loneliness from the perspective of older migrants
Open this publication in new window or tab >>The Silent Journey: Existential loneliness from the perspective of older migrants
2025 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of this thesis was to explore existential loneliness from the perspective of older migrants. The phenomenon was examined through the lived experiences of both older migrants and non-migrants, as well as through the perceptions of healthcare support staff involved in their care. The thesis includes four qualitative studies: individual interviews (Studies I and II), lifeworld interviews (Study III), and focus group discussions (Study IV). Different analytical approaches were applied: interpretive description (Thorne, 2004, 2016) in Study I, thematic analysis in Study II, phenomenological analysis based on Reflective Lifeworld Research in Study III, and focus group methodology (Krueger & Casey, 2015) in Study IV.

The findings reveal that existential loneliness was particularly prominent early in the migration process, often linked to the loss of a familiar lifeworld (II and III). Additional triggers included thoughts about death and dying in a foreign country, as well as feelings of existential guilt (II). The results also highlight a deep need for meaning, belonging, and opportunities to maintain or rediscover spiritual practices (I–III). Healthcare support staff perceived existential loneliness among older migrants as a sense of alienation and longing for home (IV). Despite their motivation to provide compassionate care, they reported challenges in addressing these experiences, citing time constraints and limited cultural knowledge as significant barriers.

An awareness of and a sensitivity to what lies between the lines in interpersonal encounters, ranging from fears to hopes, are of importance when encountering older migrants experiencing existential loneliness. Existential loneliness can lead to significant suffering. For older migrants, having the opportunity to share their life stories and reflect on their experiences can be particularly beneficial, as it helps create meaning and context in their current situation.

Place, publisher, year, edition, pages
Malmö: Malmö University Press, 2025. p. 99
Series
Malmö University Health and Society Dissertations, ISSN 1653-5383, E-ISSN 2004-9277 ; 2025:14
National Category
Nursing
Identifiers
urn:nbn:se:mau:diva-79332 (URN)10.24834/isbn.9789178776689 (DOI)978-91-7877-667-2 (ISBN)978-91-7877-668-9 (ISBN)
Public defence
2025-10-10, Allmänna sjukhuset, HS aula, Jan Waldenströms gata 25., 09:00 (English)
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Supervisors
Note

Paper 4 in dissertation as manuscript.

Available from: 2025-09-15 Created: 2025-09-08 Last updated: 2026-03-31Bibliographically approved

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Olofsson, JonasSjögren Forss, KatarinaBramhagen, Ann-CathrineRämgård, Margareta

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