IntroductionChronic obstructive pulmonary disease (COPD) is responsible for 2.9 million deaths annually in Europe. Symptom burden and functional decline rise as patients reach advanced stages of the disease enhancing risk of vulnerability and dependency on informal caregivers (ICs).Evidence shows that hope is an important psycho-social-spiritual construct that humans use to cope with symptom burden and adversity. Hope is associated with increased quality of life (QoL) comfort and well-being for patients and ICs. A better understanding of the meaning and experience of hope over time as patients transition through chronic illness may help healthcare professionals to plan and deliver care more appropriately.Methods and analysisThis is a longitudinal multicentre mixed-methods study with a convergent design. Quantitative and qualitative data will be collected from dyads of advanced COPD patients and their ICs in two university hospitals at two points in time. The Herth Hope Index, WHO Quality of Life BREF, Functional Assessment of Chronic Illness Therapy-Spiritual Well-being and the French version of the Edmonton Symptom Assessment Scale will be used to collect data. Dyadic interviews will be conducted using a semi-structured interview guide with five questions about hope and their relationship with QoL.Statistical analysis of data will be carried out using R V.4.1.0. To test whether our theoretical model as a whole is supported by the data, structural equation modelling will be used. The comparison between T1 and T2 for level of hope, symptom burden, QoL and spiritual well-being, will be carried out using paired t-tests. The association between symptom burden, QoL, spiritual well-being and hope will be tested using Pearson correlation.Ethics and disseminationThis study protocol received ethical approval on 24 May 2022 from theCommission cantonale d'éthique de la recherche sur l'être humain—Canton of Vaud. The identification number is 2021-02477.

Introduction: Nurses’ attitudes and behaviours can have a major impact on patients’ well-being, security and care satisfaction. Nurses’ perceptions of adopting caring attitudes and behaviours in a geriatric context are under-investigated. Aim: Describe nurses’ perceptions regarding the importance, competency, and feasibility aspects of their caring attitudes and behaviours, and compare each investigated care domain (clinical, relational, humanistic and comforting) with nurses’ perceptions of their importance, competency and feasibility. Design: Cross-sectional study. Methods: 90 nurses were recruited with a convenience sample. The Caring Nurse-Patient Interaction-23 item scale and a sociodemographic questionnaire were used to collect data from October to December 2017. Results: Nurses assigned high scores with an overall mean of 4.01 ± 0.28 for all items. On all items, the scores of the scale of importance (M=4.56, SD= 0.32) were higher than the ones of perceived competency (M=3.98, SD=0.36) and perceived feasibility (M=3.47, SD=0.49). Analysis by domain showed that nurses highly rated humanistic care on two out of three scales (importance M=4.82, SD=0.29 and feasibility M=3.91, SD=0.69), whereas relational care was the lowest (feasibility M=2.80, SD=0.64). Conclusion: Nurses valued caring and felt fairly competent. However, it was difficult for them to adopt caring attitudes and behaviours in their own practice.