Article

The Role of Hope in Patients With Cancer

Grace Chu-Hui-Lin Chi

hope, nurse role, patients with cancer
ONF 2007, 34(2), 415-424. DOI: 10.1188/07.ONF.415-424

Purpose/Objectives: To synthesize the literature, develop generalizations, and identify issues that should be evaluated in the future in regard to hope and patients with cancer.

Data Sources: MEDLINE®, CINAHL®, and PsycINFO databases.

Data Synthesis: Twenty-six research articles published from 1982-2005 met the criteria for review. Four major themes emerged: (a) exploring the level of hope in patients with cancer, (b) discovering how patients cope with a cancer diagnosis, (c) identifying strategies that patients with cancer commonly use to maintain hope, and (d) identifying nursing interventions used to assist patients with cancer in maintaining and fostering hope.

Conclusions: The concept of hope should be developed systematically to extend knowledge and build a logical program of research based on previous studies.

Implications for Nursing: Nurses need to develop new interventions to foster patients' hope and new instruments that can be used to measure outcomes.

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    References

    Ballard, A., Green, T., McCaa, A., & Logsdon, M.C. (1997). A comparison of the level of hope in patients with newly diagnosed and recurrent cancer. Oncology Nursing Forum, 24, 899-904.
    Benzein, E., Norberg, A., & Saveman, B.I. (2001). The meaning of the lived experience of hope in patients with cancer in palliative home care. Palliative Medicine, 15, 117-126.
    Brant, J.M. (1998). The art of palliative care: Living with hope, dying with dignity. Oncology Nursing Forum, 25, 995-1003.
    Brockopp, D.Y., Hayko, D., Davenport, W., & Winscott, C. (1989). Personal control and the needs for hope and information among adults diagnosed with cancer. Cancer Nursing, 12, 112-116.
    Buckley, J., & Herth, K. (2004). Fostering hope in terminally ill patients. Nursing Standard, 19(10), 33-41.
    Chen, M.L. (2003). Pain and hope in patients with cancer: A role for cognition. Cancer Nursing, 26, 61-67.
    Clarke, D.M., & Kissane, D.W. (2002). Demoralization: Its phenomenology and importance. Australian and New Zealand Journal of Psychiatry, 36, 733-742.
    Dufault, K., & Martocchio, B.C. (1985). Symposium on compassionate care and the dying experience. Hope: Its spheres and dimensions. Nursing Clinics of North America, 20, 379-391.
    Duggleby, W., & Wright, K. (2004). Elderly palliative care cancer patients' descriptions of hope-fostering strategies. International Journal of Palliative Nursing, 10, 352-359.
    Ebright, P.R., & Lyon, B. (2002). Understanding hope and factors that enhance hope in women with breast cancer. Oncology Nursing Forum, 29, 561-568.
    Ersek, M. (1992). The process of maintaining hope in adults undergoing bone marrow transplantation for leukemia. Oncology Nursing Forum, 19, 883-889.
    Fehring, R.J., Miller, J.F., & Shaw, C. (1997). Spiritual well-being, religiosity, hope, depression, and other mood states in elderly people coping with cancer. Oncology Nursing Forum, 24, 663-671.
    Felder, B.E. (2004). Hope and coping in patients with cancer diagnoses. Cancer Nursing, 27, 320-324.
    Herth, K. (1987). Relationship of level of hope to level of coping response in cancer patients (Doctoral dissertation, Texas Woman's University, 1987). Dissertation Abstracts International, 49, 07B.
    Herth, K. (1989). The relationship between level of hope and level of coping response and other variables in patients with cancer. Oncology Nursing Forum, 16, 67-72.
    Herth, K. (2000). Enhancing hope in people with a first recurrence of cancer. Journal of Advanced Nursing, 32, 1431-1441.
    Herth, K. (2001). Development and implementation of a hope intervention program. Oncology Nursing Forum, 28, 1009-1017.
    Herth, K.A., & Cutcliffe, J.R. (2002a). The concept of hope in nursing 3: Hope and palliative care nursing. British Journal of Nursing, 11, 977-983.
    Herth, K.A., & Cutcliffe, J.R. (2002b). The concept of hope in nursing 6: Research/education/policy/practice. British Journal of Nursing, 11, 1404-1411.
    Hickey, S.S. (1986). Enabling hope. Cancer Nursing, 9, 133-137.
    Hinds, P.S., & Martin, J. (1988). Hopefulness and the self-sustaining process in adolescents with cancer. Nursing Research, 37, 336-340.
    Koopmeiners, L., Post-White, J., Gutknecht, S., Ceronsky, C., Nickelson, K., Drew, D., et al. (1997). How healthcare professionals contribute to hope in patients with cancer. Oncology Nursing Forum, 24, 1507-1513.
    Lee, E.H. (2001). Fatigue and hope: Relationships to psychosocial adjustment in Korean women with breast cancer. Applied Nursing Research, 14, 87-93.
    Lin, C.C., Tsai, H.F., Chiou, J.F., Lai, Y.H., Kao, C.C., & Tsou, T.S. (2003). Changes in levels of hope after diagnostic disclosure among Taiwanese patients with cancer. Cancer Nursing, 26, 155-160.
    Lin, H.R., & Bauer-Wu, S.M. (2003). Psycho-spiritual well-being in patients with advanced cancer: An integrative review of the literature. Journal of Advanced Nursing, 44, 69-80.
    McGill, J.S., & Paul, P.B. (1993). Functional status and hope in elderly people with and without cancer. Oncology Nursing Forum, 20, 1207-1213.
    Mickley, J., & Soeken, K. (1993). Religiousness and hope in Hispanic- and Anglo-American women with breast cancer. Oncology Nursing Forum, 20, 1171-1177.
    Miller, J.F., & Powers, M.J. (1988). Development of an instrument to measure hope. Nursing Research, 37, 6-10.
    Moadel, A., Morgan, C., Fatone, A., Grennan, J., Carter, J., Laruffa, G., et al. (1999). Seeking meaning and hope: Self-reported spiritual and existential needs among an ethnically-diverse cancer patient population. Psycho-Oncology, 8, 378-385.
    Nowotny, M.L. (1989). Assessment of hope in patients with cancer: Development of an instrument. Oncology Nursing Forum, 16, 57-61.
    O'Connor, A.P., Wicker, C.A., & Germino, B.B. (1990). Understanding the cancer patient's search for meaning. Cancer Nursing, 13, 167-175.
    Owen, D.C. (1989). Nurses' perspectives on the meaning of hope in patients with cancer: A qualitative study. Oncology Nursing Forum, 16, 75-79.
    Post-White, J., Ceronsky, C., Kreitzer, M.J., Nickelson, K., Drew, D., Mackey, K.W., et al. (1996). Hope, spirituality, sense of coherence, and quality of life in patients with cancer. Oncology Nursing Forum, 23, 1571-1579.
    Raleigh, E.D. (1992). Sources of hope in chronic illness. Oncology Nursing Forum, 19, 443-448.
    Rustoen, T. (1995). Hope and quality of life, two central issues for cancer patients: A theoretical analysis. Cancer Nursing, 18, 355-361.
    Rustoen, T., & Wiklund, I. (2000). Hope in newly diagnosed patients with cancer. Cancer Nursing, 23, 214-219.
    Rustoen, T., Wiklund, I., Hanestad, B.R., & Moum, T. (1998). Nursing intervention to increase hope and quality of life in newly diagnosed cancer patients. Cancer Nursing, 21, 235-245.
    Saleh, U.S., & Brockopp, D.Y. (2001). Hope among patients with cancer hospitalized for bone marrow transplantation: A phenomenologic study. Cancer Nursing, 24, 308-314.
    Snyder, C.R., Lopez, S.J., Shorey, H.S., Rand, K.L., & Feldman, D.B. (2003). Hope theory, measurements, and applications to school psychology. School Psychology Quarterly, 18, 122-139.
    Stanton, A.L., Danoff-Burg, S., & Huggins, M.E. (2002). The first year after breast cancer diagnosis: Hope and coping strategies as predictors of adjustment. Psycho-Oncology, 11, 93-102.
    Tomey, A.M., & Alligood, M.R. (Eds.). (1998). Nursing theorists and their work (4th ed.). St. Louis, MO: Mosby.
    Van Dongen, E. (1998). "I wish a happy end." Hope in the lives of chronic schizophrenic patients. Anthropology and Medicine, 5, 169-192.
    Wang, C.E. (2000). Developing a concept of hope from a human science perspective. Nursing Science Quarterly, 13, 248-251.
    Yancey, D., Greger, H.A., & Coburn, P. (1994). Effects of an adult cancer camp on hope, perceived social support, coping, and mood states. Oncology Nursing Forum, 21, 727-733.
    Young-Brockopp, D. (1982). Cancer patients' perceptions of five psychosocial needs. Oncology Nursing Forum, 9(4), 31-35.