The aim of this assignment is to explore the unique concept of hope by utilizing different author’s definitions. The meaning and the characteristics of this concept will be also analyzed to know the relevance related to the provision of patient care in this piece of work. There may be possible barriers to use this concept in practice setting, which will be further identified for the discussion in this assignment. According to Synder (1998) hope is build on the principal that a good deal of everyday behavior is goal directed. Nurses plays a vital role in utilizing this concept to increase the quality of care delivery to the patients. Hope is like a force that motivates the patient’s to recover faster and can creates positivism in one’s life.
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Defining The Concept
Hope is an emotion and a feeling that is present in every human being. This concept is been defined by different authors in their own views. According to Sigstad et al.( 2005) hope is future oriented and described as a feeling, an emotion”. It indicates that hope is looking for future and this is an emotion and a feeling of individual that comes during an obstacles. Roth and Hammelstein ( 2007 ) defined hope as the expectancy that a possible event, which a person rates positively, will occur in the future. Hope is a acceptable value of life and a possible factor. it indicates that hope is a movement of appetite aroused by the perception of what is agreeable, future, arduous, and possible of attainment said Aquinas ( 1991). An inspiring hope is an important goal in mental health care, a person hope for something. Patient wants to get well, he always hope for getting help, hope for good treatment. Hope is an internal feeling, hope also prevents a feeling of hopelessness. This is an insight power of the human being. Hope is thought to motivated goal directed actions in the face of impediments. ( Gillies et al.( 2001 ). Hope predicts subsequent academic achievement. Synder et al.( 2002 ). Hope also predicts athletic performance. A substantial literature demonstrates that hope is related to physical health. High hope individuals take more preventive actions synder et al. ( 1999 ) . high hope individuals always coping with provider then the outcomes is very effective. The feeling of pleasant comes in mind. In hope there is a chance of possibility occur. When all the doors closed and we feel alone we faith on god that is only the way of hope. This is the basic goodness of mankind. When a staff nurse works in ICU there is a lot of patients with different – different problems, it can be trauma, head injury, post – op patient or with fever so there is a different type of needs of the patients and the nurse have to fulfill their needs then both the patient and the relative hope that she will take care of their patient. Hope is essential for an individual for well being. High level of motivation is needed. Hope is the inner strength to achieve future good. Hope is very effective for that patient who are frustrated . Nurses in hospital give motivation to that type of patient who are not very frustrated. The motivation for this patient is necessary. This is depend on the provider that how is the behavior of her. Because she is only the way and she is very close to the patient. Through her attitude and behavior hope level of the patient will be increased. Hope works like a light in the hopelessness. It comes from god and does miracle in patient life who fights for his life. In life threatening situation, hope works .when no hope is there, miracle does because it is a wishful thinking, who automatically create in mind when relative stand outside the I.C.U. Patient who lies on bed, through the care of nurses he will be motivated. Nurses can make a good interpersonal relationship with the patient. They have all the knowledge about the patient so she can help the patient in all activity. It is an important aspect of life. Increasing hope have an impact for enhancing quality of life. Hope is responsible for the good quality of life. In illness, hope have a curative treatment. Hope is a short term treatment.
Relevance of the concept in nursing practice
In the patient may be there is a low hope, low co-operation is present. But the nurse can be helped the patient for creating a hope. Nurses have to manage their conditions and identify the factors that is helpful in co-operation, good quality of life and hope.
Valuable planned care should be there for the hope of the patient. Nurturing of the body , mind and spirit can help the patient. Holistic and spiritual care have to provide the patient. In the hospital the very close person is nurse so interpersonal relationship between the patient and the nurse should be maintained. Behavior of the nurse towards the patient will be works because belief of the patient is very important. Some of of the patient in hospital are very sensitive so that time nurse have to discuss the problem with patient. This will be minimize the problem of the patient. Then outcomes of hope will be good and increased. Sigstad et al. ( 2005 ) Hope can be seen as a variable that positively contributes to the experience of quality of life. Another study, which focused on sources of hope among people with chronic diseases, emphasized hope as a main coping strategy. In the hospital, when there is a patient who is in advanced cancer stage and patient know that after few days or weeks he will be died. The major responsibilities of the nurse that she have to maintain hope of the patient that remaining days of his life will be spend with confidence. Nurse have to see that the confidence of the patient should not be loose. There are some barriers related to nursing practice. Some system problems are responsible for these barriers. Nurse needs to play an active role to reduce these barriers. Not just simply sit back but applying of care implementation. “lack of awareness,” that is, the inability of health professionals to state that shared decision-making exists, the whole range of barriers initially proposed by Cabana and colleagues (1999) was identified. Lack of technology skills in the nurses is a barrier because if a nurse is do not know about the new technology how can she treat the patient even she will not find out the current research. So technology skills should be learned by the nurses to get the best. In hospital the floor nurses are very busy because of low staff ratio so she have no time that she can attend the patient.
So the lack of time is there, if she will not attend the patient she could not motivate the patient, time is important in caring and hope. Due to lack of motivation patient hope will decrease. With warm touch she can reduce the pain and anxiety. Then she will understand the feeling of the patient. Confidence level will be increased. She should know the every data of the patient. Lack of research team is a barrier. According to Sran and Murphy ( 2009 ) Lack of time, family commitments, and cost or lack of financial support are important barriers to participation and should be considered in programme development. It indicates that lack of time , lack of money, and lack of family support is responsible for this barriers. Presentations are very important to cope up with the patient. He can understand the nature of the disease. He will be able to tell the problem. According to Bair et al. ( 2010 ) some participants cited additional barriers to pain self management, including simply not having the time to engage in self-management practices, lack of self-discipline (“lazy” or “too tired”), and limited financial resources for transportation to and from physician. or physical therapy appointments.
According to Henning Herrested et al.(2010) meaning of hope is “hopes of gaining acceptance from others, “hopes for community with others ,and ” hopes of being remembered.” Seven sub- themes, like ” hope to get well, ” hope to be happy.” Hope to escape from something” referred to internal conditions of the informant. ” hope talked about as an object, ” and hope as compulsory action’s described the activity of hoping itself. Some of these hopes concern internal condition of the informant. They express that they want to get well, be happy, be more accepting toward themselves or have strength . ” I want to get on my feet again, and I want to go forward.” When asked what she meant about getting on her feet, she said , ” I have— a need to get control over myself again.” Meaning of expressions of hopes for internal qualities, like to get well or being happy, is part of a larger narrative of relating to others.
“They express hopes that other will accept them, be with them, allow them social roles, or help them along.” ” hope for me is to live a normal life and have good contact with my grandchildren.” That they[ her children] can trust that I sort ofâ€¦ am proper, that would be the greatest.” One informant also expressed hopes for others being in a situation like herself. ” many who take such an overdose, I hope they survive like me.” Hence, the main bulk of the hopes the informants expressed about their own future are hopes about how others will relate to them or their concern about others.
How the concept is relevant to the role of nurse ?
More conversation between the patient and the provider makes a hope for a patient when hope comes the thinking of the patient become change, behavior of the patient will change. Because through the communication patient will be motivated for his recovery. Nurses in hospital have the opportunity to establish a good relationship because the stay in the hospital of the patient is long so the nurse can give hope to the patient for his recovery. She gives the holistic care to the patient. According to Tennen, H et al ; (2010)Although trait hope is thought to motivate goal directed actions in the face of impediments, few studies have examined directly hope’s role in overcoming obstacles, and none have done so while accounting for related goal constructs. We describe a study of 127 pediatric primary care providers.
How the hope relates to care provision.?
To provide safe care, left alone care of excellent quality, a critical mass of staff is required to actually perform various care acts. However, staff must also have the requisite knowledge to provide care competently, and the organizational context must provide nursing personal with necessary tools and resources to provide care Clark and Lake ( 2007 ) ( including support services), allow them to exercise judgement on behalf of patients with the support of their managers and collaborate with other workers and professionals.
What are the possible barriers to the use of hope in practice setting ?
it is now well accepted that a high percentage of system problems, productivity slowdowns, and cost over runs are not due to problems with the technology, staff needs to play an active role in the process, not simply sit back and passively allow implementation teams and outside consultants to “do their jobs”.
First everyone in the practice must be genuinely motivated to use the technology.
Second, physicians and staff members alike must collaborate- with technical support teams, with consultants and with each other – in order to get the best possible system configuration for the practice, and in order to redesign. Dr. Jane Adler and Dr. Robert Karlsberg ( 2010 )
Practice workflows to get the best possible results from the system.
Lack of staff motivation, collaboration, and participation in the implementation.
Process is a hidden barrier that can easily derail the most promising implementation.
The vital importance of staff motivation and collaboration to successful Electronic Records Implementation comes as no surprise.
Barriers to research based nursing practice.
Lack of :
Interest/ value for research
Awareness of current research
Confidence in research findings
Flexibility /willingness to change
Lack of :
Relevance to practice
Lack of :
Access to journal / research resources
Funding to support new technology
Expectations for research participation
Rewards / positive
Time allocated for research participation
Staff empowerment to make changes
Support from administrators or MD’s
Acceptance of risk taking and change
Lack of :
Collaborations between researchers and clinicians
Presentations to audiences in practice
Publications in clinical journals
Understandable research publications
Availability of consultants to help critique
The nurse’s research values, skills, and awareness of the importance of research in practice presented barriers. The organization also posed barriers and limitations that interfered with the research based practice. The most frequently cited were the nurse’s perceptions that the institution did not allow them the authority to change client care procedures, and the institution did not provide time to read, conduct or implement research. Other issues for nurses who read studies were methodologic inadequacies, lack of replication, and inappropriateness of the report conclusions, which led to skepticism of the research findings. If nurses could not understand the research as it was published, could not find the research. ( Funk et al; 1991)
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To conclude the concept of hope, firstly this is very important that nurse and patient relationship should be very good and maintained because nurse plays a vital role in patient’s care. In hospital, nurse is very close to patient so the attitude of the nurse should be good towards the patient she is the care provider and patient hopes that he will be cure with the care so if the nurse is soft spoken, kind -hearted, empathetic and a good listener then she can under stand the feeling of patient whether the patient is in pain or in stress. with the hope patient will be cure and will feel relax and comfort.
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