'Experience of Hope Among Caregivers: Concept Analysis Essay\r'

'The term wish confabs to undetectable capability that permits us to whip our weaknesses, boosts us up when we fall, and continue to motivate us to motivate forward in any given situation. The theoretical description of foretaste is non universal precisely numerous shargond elements ar present in the definition of hold (Herth, 2000). accord to Cutcliffe and Herth (2002), review of the lit has shown eight distinct key elements that outline and name accept, such as, multidimensional, dynamic in nature, essential to c atomic number 18er, focus on the future, personalized, let on of a process, goal oriented, and machine-accessible to breast feeding (Table 8, p.839). The theoretical fundamentground for this analytic thinking is grounded on fantasy of anticipate as established by Herth, who based her theory on Stress estimation & deoxyadenosine monophosphate; Coping outline by Lazarus and Folkman (Borneman, Stahl, Ferrell & vitamin A; Smith, 2002).\r\nAnalysis o f apprehension of go for among headachegivers using baby carriage and Avant approach get out expend the apprehensiveness of the supposition. harmuminance of defining attri furt presents of wish, identification of antecedents that affect the insight of believe, password of probable consequences of accept, and explanation of the signifi grassce of terms ordain avail the author and the reader with sharing of plebeian language. Connection of believe to the alert attributes will be shown by the wasting disease of model strip. unconnected and molding shield will distinguish this concept from other nursing concepts. Review of empirical literature will raise proof of this concept existence.\r\nAims or think\r\nIn general, compend of specific concept â€Å"aims to bow out a start an interesting phenomenon with a view to understanding more next to what it is and how it works in exert” (Tutton, Seer, & axerophthol; Langstaff, 2009, p. 120). The objective o f concept analysis is to snatch what is the concept about and differentiate it from other concepts. Furthermore, in order to modify and explain concept that originates from nursing research, theory or practice a concept analysis is conducted. Concepts atomic number 18 the building blocks for nursing theories and their test is vital to active and correct implementation (Maputle & adenylic acid; Donavon, 2013).\r\nIn nursing, the concept of try for plays real part in the plan of c atomic number 18. It is assumed that this concept analysis of desire among angel dusts will help nurse’s acquire bettor knowledge of the concept and help them implement gained understanding in patient-centered care settings. unblemished assessment of attenuation apprehend among caregivers will book for implementation of obligateing interventions. Application of patient-centered interventions, based on acquired findings, will help with accepty of evidence-based holistic care (Duggleby et al., 2009).\r\nLiterature Review\r\nCaregivers of mania patients face some challenges on a day-after-day basis and their bank is â€Å"very much tied to how the person they were carrying for was insideng that mean solar day” (Duggleby, Williams, Wright, & adenosine monophosphate; Bollinger, 2009, p. 517). The experience of carrying for a patient with dementia is perceived to be distinctive and as vital to the experience as the illness itself. The research has shown that physical, psychological, and spiritual stress is part of every(prenominal)day struggles among caregivers. Furthermore, their physical and psychogenic strongness is affected by the experience of caregiving. accept among caregivers of dementia patients’ balances stress and sense of well-being (Duggleby et al., 2009).\r\nAccording to Herth (2000), hope is â€Å" whizz of the most essential elements in the lives of people with bottomcer” and has exploit on â€Å" legal act, especially du ring ms of loss, suffering, and uncertainty” (p. 1431). Contribution from hope to enhancement of quality of keep and impact on the progression of disease, among lavatorycer patients, has been noted. Nursing practice has been cognise 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 heart regardless of their terminal diagnosis. They wager on hope for energy to concord lamentable forward when promising treatments fail to deliver verifying outcomes. consent can offer the capability to confirm distress and know with unbearable situation. Overall, â€Å"hope is on the button what is conducted to stay engaged in the life while shouldering the gist of an uncertain future” and it â€Å"gives life subject matter, direction, and an optimistic focus” (Johnson, 2007, p. 451).\r\nUses of Concept\r\nThe concept of hope is vital in terms of disease and health problems. Milne, Moyle, and Cooke (2009) examined the significance of hope for patients diagnosed with degenerative disease, such as COPD. The live of individuals and their family members is burden by degenerative illness. relations with condition that is degenerative, on a daily basis, requires unremitting life modifications and hope is known for contribution to better understanding of illness and enhances future outcomes. Additionally, â€Å"hope is an inbred part of being human; a staple human response essential for life and to swallow no hope is to plunge into despair” (Milne, Moyle, &Cooke, 2009).\r\n foretaste has been known as a significant part of patients’ existential admits, especially among patients that are terminally ill. Maintaining hope among home-bounded lenitive patients was analyzed by the drill of social and psychological approach by Olsson, Ãstlund, Strang, Grassman, and Friedrichsen (2010). Considering that hope à ¢â‚¬Å"is a dynamic experience that is central to attaining two a meaningful life and dignified close”, terminally ill patients, uphold it by conversing about their future and by getting emotional and interoperable support (Olsson et al., 2010, p. 607). Elements that nurture hope among terminally ill patients complicate: family support, conviction, short-term goal attainment, and presence of symbols that are associated with hope (Olsson, 2010). Defining Attributes\r\nThe defining attributes of hope are comfort of burden and inner strength. Carrying for a love one, who has continuing or terminal illness, can persuade negatively quality-of-life and overall health. The negative consequences, such as physical, social, and economic stress can be defined as burden of caregiving. Caregivers exhaust umteen roles and responsibilities that can affect that burden. Some of the negative outcomes experienced by caregivers are: â€Å"stress, anxiety, depression, sleep deprivation, physical pain, and other chronic health conditions” (Williams et al., 2013).\r\nAdditionally, fear of unknown and loneliness are included in the caregivers’ experience. In order to have intercourse every day challenges, caregivers rely on hope as a psychosocial and spiritual source (Williams et al., 2013). wish as a psychosocial and spiritual source provides support 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 going and having an optimistic view of the future. Many caregivers refer to hope as an inner source for head with given situation (Williams et al., 2013).\r\nModel Cases\r\nCaregivers of chronically or terminally sick patients rely on hope during everyday struggles. The pursual model cases are presented to render how caregivers experience hope when their loved ones suffer from chronic or terminal illness. A caregiver of a person suffering from Alzheimer’s disease states: â€Å"I think hope is the future, hope is what we do every day of our lives…I think hope is to overcome any obstacles that come in our way” (Duggleby et al., 2009, p. 517). â€Å" apprehend is what happens to me every day….It is what drives us and gets us up in the morning” (Duggleby et al., 2009, p.517).\r\nIt is the inner strength that helps us to overcome obstacles on a daily basis. prevalent challenges faced by caregivers can be managed by incorporation of hope into finding some succor of the burden of caregiving. â€Å"The initial genus Cancer diagnosis was skilful over a year ago…A few weeks ago we received bad tidings that was hard to take in…My partner is not showing any emotion and says he accepts it, but I am feeling anger, sadness, and fear. I am still shocked with the soberness…I train to be the best p erson I can be, but sometimes it is hard to find the strength to do that…I guess I need to look for hope every day because it is the one part of disease that I can control, unconnected how the cancer progresses…But I can chose to hope. in that location may be light at the back of the tunnel yet †every once in a while it sneaks in when I’m not looking” (Williams et al., 2013).\r\nAdditional Cases\r\nAdditional cases provide an example of what the concept is not and deliver adjuvant clarification (Walker & Avant, 2011). Two additional cases, opposed and borderline, are discussed to provide clarification of the concept of hope.\r\nContrary Case\r\nâ€Å"Mr. B is a 62-year-old Caucasian 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 man ager. They have two children and five grandchildren…Mr. B and his wife do not see eye to eye on important issues and they have different styles of coping. 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 needs. He too derives meaning from his work while experiencing the stress of bigeminal demands on his time. Mr. B has great difficulty coping with his wife’s disease and treatment…Mr. B describes waves of emotion and an inability to control his feeling of helplessness, anger, and fear.\r\nHe chooses not to share his feelings with his wife for fear that he may cause her more distress. While assay with many unknowns, Mr. B anticipates being alone in the home the couple has shared for more than 40 long time. He perceives that his responsibility as a caregiver is to protect M rs. B from suffering and negativity (Fujinami, Otis-Green, Klein, Sidhu, & Ferrell (2012), p. E213). This case study 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 wife’s disease.\r\nBorderline case\r\nSome of the critical attributes of the concept of hope are present in a borderline case (Walker & Avant, 2011). The next case offers similar attributes to the principal(prenominal) concept . â€Å"A 46-year-old woman, incompletely injured at C5, moving around with the aid of crutches and a wheelchair, exposit her personal experiences of faith, hope and will power: ‘I really have hope, you always have hope, you fitting hope to manage a saucily, little thing , and so you hope to succeed…and if you have faith, then you hope and then…and all the time you have this (hope) at heart you, and to keep it (the hope) you need the will as well as the belief that you will make it…And 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 injuries depend on on hope to cope with a cutting situation. They also need willpower, faith to hope and efficaciously cope with lifestyle changes.\r\n pre-existents and Consequences\r\nThe circumstances or instances occurring introductory 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 stopping point that needs to be made or a challenge in one’s 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). â€Å"The consequences or outcomes of hope can be a new perspective” (Stephenson, 1991, p. 1459). intrust provide inner strength, place and energy in ones’ life experience. Fulfillment of hope delivers encouragement, purpose for ones’ actions, calmness, and relief (Stephenson, 1991).\r\nEmpirical Referents\r\nThe theoretical theoretical account 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 relapse of cance r. Groundwork for this study was constructed on The Hope Process Framework. Implementation of nursing interventions during free radical session intended to focus on several(a) attributes of hope, such as experimental (searching for hope), spiritual or transcendent (expending the boundaries), relational (connecting with others), and rational thought (building the aspirant veneer) (Herth, 2000, p. 1434).\r\nThis study has shown that by focusing on the quatern attributes of hope, patient-centered nursing interventions enhance the take of hope and change magnitude patient’s quality of life. Suitable research instruments are mandatory to assess the concept of hope. In order to measure the level of hope Herth Hope Index (HHI) can be used. HHI is a worthful instrument that 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, activity and fatigue. The results have shown no influence on the level of hope by those variables, moreover, reveling that hope remained stable (Herth, 1990).\r\nConclusion\r\nThis 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 place 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.\r\nReferences:\r\nBorneman, T., Stahl, 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://p rc.coh.org/CHopeFCG.pdf Cutcliffe, J., & Herth, K. (2002). Concept of hope. The concept of hope in nursing 1: its origins, background and nature. British diary Of Nursing, 11(12), 832. Duggleby, W., Williams, A., Wright, K., & Bollinger, S. (2009). Renewing everyday hope: the hope experience of family caregivers of persons with dementia. Issues In Mental Health Nursing, 30(8), 514-521. inside:10.1080/01612840802641727 Fujinami, R., Otis-Green, S., Klein, L., Sidhu, R., & Ferrell, B. (2012). Quality of Life of Family Caregivers and Challenges Faced in Caring for Patients With Lung Cancer. clinical journal Of Oncology Nursing, 16(6), E210-20. inside:10.1188/12.CJON.E210-E220 Herth, K. (1990). training hope in terminally-ill people. Journal Of Advanced Nursing, 15(11), 1250-1259. inside:10.1111/j.1365-2648.1990.tb01740.x Herth. K. (1999). Herth Hope Index. Retrieved from http://www.promotingexcellence.org/downloads/measures/herth_hope_index.pdf Herth, K. (2000). Enhancing hope in people with a first recurrence of cancer. Journal Of Advanced Nursing, 32(6), 1431-1441. doi:10.1046/j.1365-2648.2000.01619.x Johnson, S. (2007). Hope in the terminal illness: an evolutionary concept analysis. International Journal of Palliative Nursing, 13(9), 2007. Lohne, V., & Severinsson, E. (2005). Patients’ experiences of hope and suffering during the first year following\r\nacute spinal cord injury. Journal Of Clinical Nursing, 14(3), 285-293. Maputle, M. S., & Donavon, H. (2013). 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Strategies for theory construction in nursing (5th ed.). Norwalk, CT: Appleton, Lange.\r\nWilliams, A., Duggleby, W., Eby, J., Cooper, R., Hallstrom, L., Holtslander, L., & Thomas, R. (2013). Hope against hope: exploring the hopes and challenges of rural female caregivers of persons with advanced cancer. BMC Palliative Care, 12(1), 44. doi:10.1186/1472-684X-12-44\r\n'