University College Cork, Cork, Ireland.
Munster Technological University, Kerry Campus, Traleeee, Co. Kerry, Ireland.
J Psychiatr Ment Health Nurs. 2023 Feb;30(1):101-109. doi: 10.1111/jpm.12833. Epub 2022 Apr 24.
WHAT IS KNOWN ON THE SUBJECT?: The delivery of mental health recovery orientated acre is a requirement of mental health professionals and an acknowledged desired outcome for individuals presenting with mental health issues. Hope has been recognized as one of 5 key processes of mental health recovery, and critically as the key catalyst of recovery. Mental health nurses are required to be competent in cultivating service user hope. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: Novel exploration of how people described and made sense of the lived experience of hope in mental health recovery. Participants described hope as intrinsic to life in the context of its ability to cultivate desire and provide energy for life and living. Participants with experience of attempts to end life had a very clear concept of hope as missing at these times. Participants described the concept of hope as present but hidden to explain their survival through tortuous circumstances. The themes generated contribute to a greater understanding of the dynamic role and process of hope in mental health recovery. WHAT ARE THE IMPLICATIONS FOR MENTAL HEALTH NURSING PRACTICE?: Mental health practitioners need to be competent in understanding and cultivating hope as part of a person-centred approach, embedded in a therapeutic relationship. All stakeholders including service users, mental health nurses and educators need a more accessible reified dialogue of "hope" that harnesses its therapeutic potential. ABSTRACT: Introduction Mental health services have embraced the philosophy and practice of recovery. Research has confirmed hope as a micro-process of recovery. The lived experience of hope has received scant attention. This is required to improve understanding and optimize its therapeutic potential. Aim To explore how individuals describe and make sense of their experience of hope in mental health recovery. Method A qualitative interpretative phenomenological analysis (IPA) approach was used. The sample was accessed via email networks. Data were generated through semi-structured interviews and analysed using an IPA framework. Results Three superordinate themes emerged: "Without it we would wither up and die"-Hope as intrinsic to life; "I will be ok"-Having a sense of possibility and "Making it happen"-Moving forward. Individuals referenced hope by its absence when attempts were made to end life, and as present but hidden in tortuous circumstances. Discussion Individuals were more familiar with the concept of hopelessness, had a ready-to-hand vocabulary of "having no hope" and used this by default to inform what hope meant. Implications for Practice It is important that all stakeholders appreciate the context specific interpretation of hope and cultivate dialogue and understanding to harness its therapeutic potential.
提供以心理健康康复为导向的护理是心理健康专业人员的要求，也是有心理健康问题的个人所期望的结果。希望已被公认为心理健康康复的 5 个关键过程之一，也是康复的关键催化剂。心理健康护士需要有能力培养服务用户的希望。本文的新增内容：对人们在心理健康康复中体验和理解希望的生活经历的新探索。参与者将希望描述为生活的内在组成部分，因为它能够激发欲望并为生活和生存提供能量。有过自杀企图经历的参与者非常清楚地意识到，在这些时候希望是缺失的。参与者将希望描述为存在但隐藏的概念，以解释他们在痛苦的环境中生存下来的原因。生成的主题有助于更深入地了解希望在心理健康康复中的动态作用和过程。对心理健康护理实践的影响：心理健康从业者需要具备理解和培养希望的能力，将其作为以人为本的方法的一部分，嵌入治疗关系中。包括服务使用者、心理健康护士和教育工作者在内的所有利益相关者都需要更易于理解的关于“希望”的具体对话，以利用其治疗潜力。摘要：引言 心理健康服务已经接受了康复的理念和实践。研究已经证实希望是康复的一个微观过程。希望的生活体验受到了很少的关注。这是提高理解和优化其治疗潜力所必需的。目的 探索个人如何描述和理解他们在心理健康康复中体验希望的方式。方法 使用定性解释现象学分析（IPA）方法。通过电子邮件网络获取样本。通过半结构化访谈生成数据，并使用 IPA 框架进行分析。结果 出现了三个超主题：“没有它我们会枯萎而死”-希望是生命的内在组成部分；“我会没事的”-有可能性的感觉；“让它发生”-向前推进。当试图结束生命时，人们会提到没有希望，并且在痛苦的情况下，希望是存在的，但隐藏着。讨论 个人更熟悉绝望的概念，有一个现成的词汇“没有希望”，并默认使用这个词汇来解释希望的含义。对实践的影响 所有利益相关者都应该理解希望的具体含义，并培养对话和理解，以利用其治疗潜力，这一点非常重要。
