AimTo develop a theoretical understanding of the transition to survivorship in older adult blood cancer survivors.DesignQualitative research employing Classic Glaserian Grounded Theory methods.MethodsPurposive and theoretical sampling recruited 17 participants via Leukaemia & Lymphoma Society© Community webpages (65–83 years) from across the US and Canada. Data from individual semi‐structured interviews using HIPPA‐compliant Zoom© were analysed from September 2020 to March 2021.ResultsParticipants' main concern was losing their sense of self and reclaiming self was the core category. The substantive theory of Reclaiming Self‐Balancing on a Tightrope Across Time is a six‐phase transition process to survivorship: receiving a blood cancer diagnosis, finding bearings, reclaiming self, persevering through, realizing a transition and living in a new reality.ConclusionsThe transition to survivorship in older adult blood cancer survivors is a complex process because of age and disease type.ImplicationsAge‐related aspects of one's sense of self and its relation to health, well‐being and quality of life, as older adult blood cancer survivors advance into older age need further research. Ageism and its impact on cancer survivorship care in older adults should also be explored.ImpactWhat problem did the study address?: Existing theoretical frameworks do not explain the complex process of transition to survivorship for older adult blood cancer survivors. What were the main findings?: A substantive theory Reclaiming Self‐Balancing on a Tightrope Across Time is a six‐phase transition process from cancer diagnosis to survivorship characterized by an uncertain and liminal nature. Where and on whom will the research have an impact?: Understanding how older adults experience the transition to survivorship can inform age‐appropriate person‐centered nursing practices and healthcare policies specific to their needs.Reporting MethodCOREQ.Patient or Public ContributionNo patient or public contribution.

中文翻译：

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在跨时间的钢丝上恢复自我平衡是老年血癌幸存者向生存过渡的基础理论

目的对老年血癌幸存者向生存的转变形成理论理解。设计采用经典格拉泽扎根理论方法进行定性研究。方法通过白血病和淋巴瘤协会©社区网页（65-83岁）招募了 17 名参与者美国和加拿大。我们对 2020 年 9 月至 2021 年 3 月期间使用符合 HIPPA 标准的 Zoom© 进行的个人半结构化访谈的数据进行了分析。结果参与者的主要担忧是失去自我意识和找回自我是核心类别。实质性理论找回自我‐在不同时间的钢丝上保持平衡是生存的六阶段过渡过程：接受血癌诊断,寻找轴承,找回自我,坚持通过,实现转变和生活在新的现实中结论由于年龄和疾病类型的原因，老年血癌幸存者向生存的转变是一个复杂的过程。意义与老年血癌一样，自我意识的年龄相关方面及其与健康、福祉和生活质量的关系幸存者进入老年需要进一步研究。还应探讨年龄歧视及其对老年人癌症生存护理的影响。影响该研究解决了什么问题？：现有的理论框架无法解释老年血癌幸存者过渡到生存的复杂过程。主要发现是什么？：实质性理论找回自我‐在不同时间的钢丝上保持平衡是从癌症诊断到生存的六阶段过渡过程，其特征是不确定和有限的性质。研究将在哪里以及对谁产生影响？：了解老年人如何经历向生存的过渡，可以为适合年龄的以人为本的护理实践和针对其需求的医疗保健政策提供信息。报告方法COREQ。患者或公众贡献没有患者或公众贡献。