Hope-based interventions in chronic disease: an integrative review in the light of Nightingale

Abstract

Objective: To identify the available evidence in the scientific literature about the strategies or interventions used to promote hope in people with chronic diseases. Method: An integrative literature review of literature published between 2009-2019, which was conducted in online browsers/databases: b-On, EBSCO, PubMed, Medline, ISI, SciELO, PsycINFO, Google Scholar. Forty-one studies were found, of which eight met the inclusion criteria. Results: Most studies used a quantitative approach. There was a predominance of studies from Asia and America, addressing patients with multiple sclerosis, diabetes, congestive heart failure, and cancer. Hope-based interventions were categorized by the hope attributes: experiential process, spiritual/transcendence process, rational thought process, and relational process. Conclusion: Hope-based interventions, in its essence, are good clinical practices in the physical, psychological, social and spiritual domains. This is congruent with the vision of nursing, first proposed by Florence Nightingale. There seem to be gaps in the literature regarding specific hope promoting interventions.

Exercising Hope in Palliative Care Is Celebrating Spirituality: Lessons and Challenges in Times of Pandemic

“…Given the positive effects of hope in palliative care, various psychospiritual and clinical strategies to foster hope or diminish hopelessness have been documented in the palliative care literature (Laranjeira et al, 2020 ). Herth ( 2000 ), for example, designed a nursing intervention program to enhance hope and quality of life in a group of cancer patients.…”

Hope-Based Program for Portuguese Outpatients with Advanced Chronic Illness in a Community Setting: A Randomized Control Trial

“…The promotion and inspiration of hope is closely linked to the effectiveness of nursing practice [ 9 , 10 ], and is thus an essential component in clinical practice. Nurses, due to their proximity to patients and families, are in a strategic position to influence hope, both through its promotion and reduction [ 11 , 12 ].…”

A reflection on: Bovero et al. (2021) “Hope in end-of-life cancer patients: A cross-sectional analysis”

“…In addition to setting goals, personalized interventions can foster hope in patients. In a recent review of these interventions, Laranjeira et al (2020) included helping patients verbalize their hopes in a supportive environment through effective interpersonal skills. Maintaining a coordinated interdisciplinary approach to communication during patient care is critical, as this allows effective rapport-building and openness regarding prognosis and realistic goal setting (Werner and Steihaug, 2017).…”

“…Maintaining a coordinated interdisciplinary approach to communication during patient care is critical, as this allows effective rapport-building and openness regarding prognosis and realistic goal setting (Werner and Steihaug, 2017). Hope can also be encouraged through strong spiritual beliefs, supportive relationships, effective management of pain, and other distressing symptoms (Cotter and Foxwell, 2016; Laranjeira et al, 2020).…”

“…Other techniques to foster hope in patients and families have also been explored, including brief self-reflective exercises, mindfulness in practice, appreciative inquiry, writing, and different narrative and debriefing methods (Marchand and Ingram, 2015). Nevertheless, maintaining hope in palliative care patients is not an isolated event; people and environments surrounding the individuals have also been seen to influence the level of hope (Laranjeira et al, 2020). Such factors will also need to be taken into account when considering the well-being and sense of hope of palliative care patients.…”