Dialectical contradictions experienced when a loved one is dying in a hospital setting.

A family member who is present when a loved one is dying in a hospital setting may be profoundly affected by interactions with others in that setting, including the dying person. Interaction shapes how one experiences a loved one's death and dying. Framed in relational dialectics theory, this qualitative case study describes dialectical contradictions I experienced in the context of my grandmother dying in a hospital setting. Personal journals were analyzed, with three primary dialectics being identified: certainty-uncertainty, control-lack of control, and autonomy-connection. Understanding dialectical contradictions experienced by a family member when a loved one is dying in a hospital setting could lead to enhanced support services for family members.