Department of Nursing and Health Promotion, OsloMet - Oslo Metropolitan University, Postbox 4 St. Olavs plass. 0130, Oslo, N-0783, Norway.
Scand J Caring Sci. 2022 Mar;36(1):36-48. doi: 10.1111/scs.12961. Epub 2021 Mar 3.
Hope has a contextual dimension and experiences of hope seem to be an important part of everybody's life irrespective of changing and challenging health conditions. However, less focus has been placed on the similarities and differences in the experiences of hope among patients and family caregivers in different contexts of suffering and health, such as the nursing contexts of acute and critical care, rehabilitation and long-term care and prevention and health promotion.
This paper focuses on experiences of hope and hoping in different clinical nursing contexts, based on a meta-synthesis of seventeen empirical studies on hope and hoping. These studies highlight experiences of hope and advance our theoretical and clinical understanding of the phenomenon.
This study on hope and hoping from seventeen empirical research studies was based on a meta-synthesis, by clarifying and modifying the essence of hope and hoping, aiming to identify the unique conditions in the different clinical contexts.
A new understanding of the empirical findings emerged from the text: Hope means transformation and hope is indispensable in the acute and critical nursing context, and hope as an inner flame and hope as a lighthouse related to rehabilitation and long-term care. Hope means pushing limits and expanding hope was experienced in the context of prevention and health promotion.
According to the findings, dimensions of hope and hoping were always present but also influenced by contextual suffering and losses.
Hope means metaphorically a lighthouse, meaning a bright and shining centre, which must be promoted and protected in patients and their families.
希望具有情境维度，无论健康状况如何变化和具有挑战性，体验希望似乎都是每个人生活的重要组成部分。然而，人们对不同受苦和健康情境（如急性和重症监护、康复和长期护理以及预防和健康促进的护理情境）中患者和家庭照顾者的希望体验的相似之处和差异关注较少。
本文基于对 17 项希望和希望研究的元综合，重点关注不同临床护理情境中的希望体验。这些研究强调了希望体验，并推进了我们对这一现象的理论和临床理解。
这项关于希望和希望的研究基于 17 项实证研究的元综合，通过澄清和修改希望和希望的本质，旨在确定不同临床背景下的独特条件。
从文本中出现了对实证发现的新理解：希望意味着转变，希望在急性和重症护理环境中不可或缺，希望是内心的火焰，希望是与康复和长期护理相关的灯塔。希望意味着突破极限，在预防和健康促进的背景下扩展希望。
根据研究结果，希望和希望的维度始终存在，但也受到情境痛苦和损失的影响。
根据研究结果，希望在隐喻上意味着灯塔，意味着一个明亮而闪耀的中心，必须在患者及其家庭中得到促进和保护。
