Owen D C
Oncol Nurs Forum. 1989 Jan-Feb;16(1):75-9.
This study focused on developing an understanding of the meaning of hope for patients with cancer by eliciting vivid descriptions of hopeful cancer patients from clinical nurse specialists. The qualitative methodology for this study was based on one form of grounded theory. An inductive approach was applied to the development of generalized knowledge about the concept of hope. A conceptual model of hope was derived from critical attributes of hope identified within descriptions of hopeful cancer patients. Six oncology clinical nurse specialists were interviewed about their clinical experience with patients with cancer who were hopeful. Interviews were documented through process recordings. Attributes of hope were isolated and coalesced into six subthemes: goal setting, positive personal attributes, future redefinition, meaning in life, peace, and energy. Thematic analysis was used to develop a conceptual model of hope. Energy emerged as a strand running through each of the six subthemes and served as a focal point in the description and model of hope. Each of the subthemes described a component of the process whereby energy was exchanged, transformed, or moved, resulting in the preservation or loss of hope. This study generates a new way of viewing the patient with cancer and suggests several approaches for fostering hope.
本研究旨在通过从临床护士专家那里引出对充满希望的癌症患者的生动描述，来深入理解癌症患者希望的含义。本研究的定性方法基于一种扎根理论形式。采用归纳法来发展关于希望概念的一般性知识。希望的概念模型源自对充满希望的癌症患者描述中所确定的希望的关键属性。对六位肿瘤临床护士专家进行了访谈，了解他们对充满希望的癌症患者的临床经验。访谈通过过程记录进行记录。希望的属性被分离并合并为六个子主题：目标设定、积极的个人属性、未来重新定义、生活意义、平和与活力。采用主题分析法来构建希望的概念模型。活力成为贯穿六个子主题的一条主线，并在希望的描述和模型中作为一个焦点。每个子主题都描述了活力交换、转化或转移过程的一个组成部分，从而导致希望的保留或丧失。本研究产生了一种看待癌症患者的新方式，并提出了几种培养希望的方法。
