Learning Objective #1: Discuss the various ways women use “inner strength” in living through an experience with cancer

Learning Objective #2: Discuss benefits of use of the focus group as a preliminary method of data collection as the basis for further development of a research area

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Statement of Problem: As medical science has developed new technology, medications, and surgical procedures, life span has lengthened. Along with this, many issues related to quality of life have surfaced: loss of functional or financial independence, living with long-term side effects of lifesaving medications or treatments, and increased uncertainty. The purpose of this one pilot study, out of a series, was to learn from the wisdom of women who have found inner strength to keep going in the face of illness, and found meaning and purpose in their lives. Theoretical/Conceptual Framework: Watson's Theory of Human Caring (1979) is the framework used for this study. Watson's framework fits for exploration of how a group of women cancer survivors maintained a sense of well being through the treatment process and beyond, while finding meaning and purpose in their lives. Participants: The sample consisted of five women cancer survivors, age 25-55, who had been identified as “strong” or “spirited”. Methodology: Focus group methodology was used for this pilot study. The group of women was asked to share a brief life review, and the meaning of inner strength and spirit in their lives. Guiding questions were used to facilitate sharing. Response were clarified and validated as appropriate. The session was audio taped, transcribed verbatim, and analyzed using Colaizzi's method. Results/Implications: Themes resulting from this study included: 1) Life's most difficult and joyous moments in perspective; 2) The meaning of inner strength; 3) Resources for making it through illness/treatment; and 4) Importance of spirituality and religion in daily life. Implications from this study highlight different ways women experienced cancer in their lives, and commonalities and unique perspectives on quality of life/inner strength as cancer survivors. This information can increase nurses' sensitivity to women living with cancer.