How do Nigerian women construct the patterns of the meaning of their experiences and identities as breast cancer survivors? Illuminating Newman’s theory of health as expanding consciousness

ABSTRACT Purpose: This study aims to foster a dialog between the experiences and identities of Nigerian female breast cancer survivors and Margaret Newman’s theory of health as expanding consciousness. The theory was employed to explore and describe the structure and meaning of these survivors’ experiences and identities. Methods: Twenty-two participants were interviewed using a qualitative approach. The interviews were digitally recorded and transcribed verbatim. Data analysis was conducted using NVivo 14 software to identify recurring patterns within the data. Results: Three core themes emerged: (1) Encountering Selfhood-Otherhood in the survivorship journey, (2) navigating the rhythms of change, and (3) living the paradox of order and disorder. These themes reflect the unique and paradoxical rhythm of life as a breast cancer survivor, integrating these experiences conceptually. Conclusions: This study illuminates how Nigerian breast cancer survivors construct the patterns of meaning of their experiences by shifting the focus from solely evidence-based interventions to a deeper exploration of lived experience, cultural narratives, and expanding consciousness. Through compassionate and insightful nursing interactions, women can explore their evolving identities, foster resilience, and redefine their lives in meaningful and fulfilling ways within their unique contexts. Implications for Cancer Survivors: Greater attention is required to address the emotional, temporal, and economic dimensions of breast cancer survivorship in Nigeria. Nurses play a crucial role in helping survivors find meaning in their experiences, recognizing that order and disorder in life are integral to expanding consciousness. Survivors should be empowered to identify their patterns of living and leverage their strengths in navigating the survivorship journey and finding meaning in their lives.