Experience of Hope Among Caregivers: Concept Analysis Essay

The term entrust refers to undetectable long suit that permits us to beat our weaknesses, boosts us up when we fall, and continue to motivate us to move forward in any given situation. The theoretic description of foretaste is not habitual but many an early(a)(prenominal) shared elements are present in the rendering of apprehend (Herth, 2000). According to Cutcliffe and Herth (2002), review of the literature has shown eight distinct give away elements that outline and describe hold, much(prenominal) as, multidimensional, dynamic in nature, essential to life history, cogitate on the future tense, somebodyalized, part of a process, goal oriented, and connected to nursing (Table 8, p.839). The theoretical background for this abstract is grounded on theory of accept as open by Herth, who based her theory on Stress Appraisal & get by outline by Lazarus and Folkman (Borneman, Stahl, Ferrell & Smith, 2002).Analysis of notion of bank among cathexisgivers using footer an d Avant approach allow for expend the understanding of the theory. Clarification of defining attributes of swear, credit of antecedents that affect the insight of rely, discussion of probable consequences of take to, and explanation of the signifi preservece of m acetary value will help the author and the reader with sharing of mutual language. fellowship of hope to the vital attributes will be shown by the social occasion of prototype case. Contrary and b methodicalnessline case will distinguish this concept from other(a) nursing concepts. Review of observational literature will cater substantiation of this concept existence.Aims or PurposeIn general, abridgment of specific concept aims to pull apart an interesting phenomenon with a view to understanding more(prenominal) closely what it is and how it deeds in institutionalise (Tutton, Seer, & Langstaff, 2009, p. 120). The objective of concept compendium is to comprehend what is the concept about and differentiat e it from other concepts. Furthermore, in order to modify and explain concept that originates from nursing research, theory or go for a concept analysis is conducted. Concepts are the building blocks for nursing theories and their trial is vital to active and correct carrying out (Maputle & Donavon, 2013).In nursing, the concept of hope plays epochal part in the plan of care. It is assumed that this concept analysis of hopeamong caregivers will help nurses acquire give away knowledge of the concept and help them implement gained understanding in patient-centered care settings. Accurate assessment of fading hope among caregivers will allow for implementation of complementing interventions. Application of patient-centered interventions, based on acquired decisions, will help with auction pitch of evidence-based holistic care (Duggleby et al., 2009).Literature ReviewCaregivers of mania patients face many challenges on a daily basis and their hope is very a great deal tied to h ow the person they were carrying for was insideng that day get awaylight (Duggleby, Williams, Wright, & Bollinger, 2009, p. 517). The experience of carrying for a patient with dementedness is perceived to be distinctive and as vital to the experience as the disorder itself. The research has shown that sensual, psychological, and spiritual stress is part of quotidian struggles among caregivers. Furthermore, their physical and mental wellness is affected by the experience of caregiving. foretaste among caregivers of dementia patients balances stress and sense of well-being (Duggleby et al., 2009).According to Herth (2000), hope is one of the to the highest degree essential elements in the lives of people with crabby person and has influence on good coping, especially during terms of loss, concedeing, and mutablety (p. 1431). Contribution from hope to enhancement of smell of life and impact on the progression of disease, among cannistercer patients, has been noted. Nursin g practice has been known for contributing to support people in enhancing and preserving their hope (Herth, 2000). terminally ill patients perceive hope as a treatment or cure that can extend their life regardless of their terminal diagnosis. They calculate on hope for push to keep moving forward when undimmed treatments fail to endure positive outcomes. promise can offer the qualification to tolerate distress and cope with unbearable situation. Overall, hope is exactly what is requisite to stay engaged in the living while shouldering the preventative of an uncertain future and it gives life inwardness, direction, and an optimistic focus (Johnson, 2007, p. 451).Uses of ConceptThe concept of hope is vital in terms of disease and health problems. Milne, Moyle, and Cooke (2009) examined the significance of hope for patientsdiagnosed with continuing disease, such as COPD. The live of individuals and their family members is burden by continuing illness. Dealing with condition that is chronic, on a daily basis, requires constant life modifications and hope is known for contribution to better understanding of illness and enhances future outcomes. Additionally, hope is an intrinsic part of being human a fundamental human response essential for life and to project no hope is to plunge into despair (Milne, Moyle, &Cooke, 2009).Hope has been known as a significant part of patients existential take ins, especially among patients that are terminally ill. Maintaining hope among home-bounded lenitive patients was analyzed by the use of social and psychological approach by Olsson, stlund, Strang, Grassman, and Friedrichsen (2010). Considering that hope is a dynamic experience that is central to attaining both a meaningful life and dignified death, terminally ill patients, conserve it by conversing about their future and by getting sensational and practical(a) support (Olsson et al., 2010, p. 607). Elements that nurture hope among terminally ill patients inclu de family support, faith, short-run goal attainment, and presence of symbols that are associated with hope (Olsson, 2010). Defining AttributesThe defining attributes of hope are time out of burden and sexual capacity. Carrying for a loved one, who has chronic or terminal illness, can influence proscribely quality-of-life and overall health. The negative consequences, such as physical, social, and economic stress can be defined as burden of caregiving. Caregivers have many roles and responsibilities that can affect that burden. nigh of the negative outcomes experienced by caregivers are stress, anxiety, depression, sleep deprivation, physical pain, and other chronic health conditions (Williams et al., 2013).Additionally, fear of unknown and loneliness are include in the caregivers experience. In order to manage every day challenges, caregivers entrust on hope as a psychosocial and spiritual source (Williams et al., 2013). Hope as a psychosocial and spiritual source provides s upport to caregivers during challenging transitions and provides support to improve their quality of life. It is part of the experience of caregiving, especially the uncertainty of the future. In many situations, hope serves as an inner strength to keep personnel casualty and having an optimistic view of the future. Many caregivers refer to hopeas an inner source for coping with given situation (Williams et al., 2013).Model CasesCaregivers of chronically or terminally sick patients rely on hope during everyday struggles. The side by side(p) model cases are presented to portray how caregivers experience hope when their loved ones suffer from chronic or terminal illness. A caregiver of a person agony from Alzheimers disease states I think hope is the future, hope is what we do every day of our livesI think hope is to overcome any obstacles that come in our way (Duggleby et al., 2009, p. 517). Hope is what happens to me every day.It is what drives us and gets us up in the morning (D uggleby et al., 2009, p.517).It is the inner strength that helps us to overcome obstacles on a daily basis. Everyday challenges approach by caregivers can be managed by incorporation of hope into finding some relief of the burden of caregiving. The initial cancer diagnosis was safe over a year pastA few weeks ago we received bad news that was hard to take inMy helper is not showing any emotion and says he accepts it, but I am feeling anger, sadness, and fear. I am still shocked with the gravitational forceI try to be the best person I can be, but sometimes it is hard to find the strength to do thatI guess I require to look for hope every day because it is the one part of disease that I can control, unlike how the cancer progressesBut I can chose to hope. T present may be light at the back of the tunnel yet every once in a while it sneaks in when Im not aspect (Williams et al., 2013).Additional CasesAdditional cases provide an example of what the concept is not and deliver su pplementary clarification (Walker & Avant, 2011). Two additional cases, contrary and moulding, are discussed to provide clarification of the concept of hope.Contrary CaseMr. B is a 62-year-old gabardine who is carrying for 72-year-old Filipino wife with stage IV non-small cell lung cancer (NSCLC). Mrs. B has completed several lines of chemotherapy with disease progression. Mr. B is in excellent health with no chronic health problems, and he works full time as a manager. They have two children and five grandchildrenMr. B and his wife do not see eye to eye on master(prenominal) issues and they have different styles ofcoping. Mr. B was raised as a Protestant but does not subscribe to any religion as an adult. Mrs. B is a Catholic and gains support from her faith and church community. Mr. B finds meaning and purpose in life from his family and providing for their necessarily. He also derives meaning from his work while experiencing the stress of multiple demands on his time. Mr. B has great barrier coping with his wifes disease and treatmentMr. B describes waves of emotion and an inability to control his feeling of helplessness, anger, and fear.He chooses not to share his feelings with his wife for fear that he may cause her more distress. While fight with many unknowns, Mr. B anticipates being alone in the home the fit has shared for more than 40 years. He perceives that his responsibility as a caregiver is to protect Mrs. B from suffering and negativity (Fujinami, Otis-Green, Klein, Sidhu, & Ferrell (2012), p. E213). This case watch presents a scenario of struggling with burden of caregiving. Mr. B has no inner strength to cope with his situation. He feels hopeless and decides not to inform his wife about struggles with his role as caregiver and fading hope. Open communication with his wife about struggles with many unknowns could bring Mr. B some hope and relief from burden of his wifes disease.Borderline caseSome of the detailed attributes of the co ncept of hope are present in a borderline case (Walker & Avant, 2011). The next case offers similar attributes to the main concept . A 46-year-old woman, incompletely injured at C5, moving around with the aid of crutches and a wheelchair, described her personal experiences of faith, hope and will power I rattling have hope, you always have hope, you just hope to manage a new, little thing, and then you hope to succeedand if you have faith, then you hope and thenand all the time you have this (hope) within you, and to keep it (the hope) you need the will as well as the belief that you will befool itAnd she summarized her years experience as follows I really need to have hope. I need both faith and hope to cope with this. And willpower. Because if I give up, I will end up sitting here (in a wheelchair) and nothing can help me ( Lohne, & Severinsson, (2005), p. 319). According to this case, faith, hope and will power are relentlessly related. Patients who suffer from traumatic injuri es depend on on hope to cope with a new situation. They also needwillpower, faith to hope and effectively cope with lifestyle changes.Antecedents and ConsequencesThe circumstances or instances occurring prior to main concept are the antecedents (Walker & Avant, 2011). Antecedent to hope can be related to crisis. The examples of crisis include terminal or chronic illness, hardship, harm, a life frightening condition, or a change. Tough decision that needs to be made or a challenge in ones life could also be an antecedent to hope. Overall, antecedent to hope can be anything that is crucial in persons life since hope is exceptionally linked to persons life experiences (Stephenson, 1991). The consequences or outcomes of hope can be a new perspective (Stephenson, 1991, p. 1459). Hope provide inner strength, empower and energy in ones life experience. Fulfillment of hope delivers encouragement, purpose for ones actions, calmness, and relief (Stephenson, 1991). a posteriori ReferentsThe th eoretical framework offers different structure for understanding the concept of hope. Herth (2000) move to establish if theory driven interventions enhance hope and quality-of-life among participants with an initial sink of cancer. Groundwork for this study was constructed on The Hope Process Framework. Implementation of nursing interventions during group session intended to focus on diverse attributes of hope, such as experimental (searching for hope), spiritual or transcendent (expending the boundaries), relational (connecting with others), and demythologised thought (building the hopeful veneer) (Herth, 2000, p. 1434).This study has shown that by focusing on the four-spot attributes of hope, patient-centered nursing interventions enhance the level of hope and increase patients quality of life. Suitable research instruments are mandatory to assess the concept of hope. In order to measure the level of hope Herth Hope indication (HHI) can be used. HHI is a valuable instrument t hat is used to measures hope using 12-item Likert-type scale. The level of hope among terminally ill patients was assessed by the use of HHI and Background Data Form (BDF). The BDF delivered information on age, sex, diagnosis, and level of education, use and fatigue. The results have shown no influence on the level of hope by those variables, moreover, reveling that hope remained stable(Herth, 1990).ConclusionThis paper sought to deliver concept analysis of hope. The understanding of this concept analysis was based on literature, attributes, and empirical evidence. The critical attributes, antecedents, and consequences were identified and empirical reference was provided for better understanding. Hope as a concept is multidimensional and the understanding of hope among caregivers of chronically or terminally ill patients is significant. Hope gives inner strength and relief of burden of caregiving daily and should be nurtured and cherished before it fades.ReferencesBorneman, T., Sta hl, C., Ferrell, B., & Smith, D. (2002). The concept of hope in family caregivers of cancer patients at home. daybook of Hosipce and Pallitive Nursing, 4(1), 21-33. Retrieved from http//prc.coh.org/CHopeFCG.pdf Cutcliffe, J., & Herth, K. (2002). Concept of hope. 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