RCN Research Institute, University of Warwick, UK.
Int J Nurs Stud. 2012 Jul;49(7):872-9. doi: 10.1016/j.ijnurstu.2012.01.013. Epub 2012 Feb 16.
Hope is identified as an important aspect of life and recovery from illness and injury but less is known about how hope is constructed within an acute trauma care environment. An understanding of what hope means would help to identify its therapeutic potential and the challenges that exist regarding its use in practice.
The objective of the study was to ascertain experiences of hope on a Trauma Unit from both people living with trauma and health care professionals.
The study drew on the principles of ethnography undertaking in depth qualitative interviews with 10 patients and 10 multidisciplinary members of staff, 21 h of participant observation followed by observation interviews and informal discussion with patients. Two focus groups with health care professionals were held to explore and expand initial findings. Data collection took place between March 2007 and November 2007.
The findings identified three themes: (a) moving forward, (b) finding a future and (c) realistic hopefulness. Moving forward identified hope as a dynamic and purposeful force that was important for recovery but also connected to the meaning life had for participants. Finding a future identified the challenges that exist within the process of recovery from injury. Health care professionals identified the importance of finding an acceptable future and people living with injury struggled to be hopeful whilst feeling frustrated with the process of treatment and recovery. Realistic hopefulness was the process by which health care professionals facilitated the emotional and physical progression of people living with injury through recovery.
Health care professionals construct hope as a fundamental aspect of their work in trauma care and people living with injury focus on suffering in the present and frame their hopes on their immediate future and the context of their lives prior to injury.
希望被认为是生活和从疾病与伤害中康复的一个重要方面，但人们对希望如何在急性创伤护理环境中构建知之甚少。了解希望的含义将有助于确定其治疗潜力以及在实践中使用时存在的挑战。
本研究旨在从创伤患者和医疗保健专业人员两方面确定创伤病房的希望体验。
该研究借鉴了人种学的原则，对 10 名患者和 10 名多学科工作人员进行了深入的定性访谈，进行了 21 小时的参与观察，随后对患者进行观察访谈和非正式讨论。举行了两次医疗保健专业人员焦点小组，以探讨和扩展初步发现。数据收集于 2007 年 3 月至 11 月进行。
研究结果确定了三个主题：(a) 向前迈进，(b) 寻找未来，(c) 现实的希望。向前迈进确定希望是一种动态的、有目的的力量，对康复很重要，但也与参与者对生活的意义有关。寻找未来确定了从伤害中恢复过程中存在的挑战。医疗保健专业人员确定了寻找可接受的未来的重要性，而受伤的人在对治疗和康复过程感到沮丧的同时，努力保持希望。现实的希望是医疗保健专业人员通过康复促进受伤者的身体和情感进展的过程。
医疗保健专业人员将希望构建为创伤护理工作的基本方面，而受伤的人则关注当下的痛苦，并将希望寄托在他们的近期未来以及受伤前生活的背景上。
