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REFLECTION
The multidimensional model of hope as a recovery-focused practice in mental health nursing
Revista Brasileira de Enfermagem. 2022;75(suppl 3):e20210474
02-25-2022
Resumo
REFLECTIONThe multidimensional model of hope as a recovery-focused practice in mental health nursing
Revista Brasileira de Enfermagem. 2022;75(suppl 3):e20210474
02-25-2022DOI 10.1590/0034-7167-2021-0474
Visualizações0ABSTRACT
Objective:
To analyze the theoretical dimensions of hope as a recovery-oriented practice in mental health nursing.
Method:
This is a reflective and discursive study based on theoretical and experiential aspects of hope in the recovery process of people facing mental health disorders.
Results:
Maintaining hope in adverse situations, especially while facing mental suffering, requires skills to manage the factors that promote and inhibit hope. This balance can be tricky to reach without the presence of high-skilled professionals. The study presents the concept of hope-inspiring competence and its main dimensions. The nurse’s hope-inspiring competence is recognized as a crucial advanced practice that optimizes mental health by providing motivational resources. Final Considerations: Hope-inspiring competence should be a core principle for recovery-oriented mental health professionals. Despite this recognition, the promotion of hope in mental health nursing specialized practice lacks evidence and visibility.
Palavras-chave: Clinical CompetencyHopeMental Health RecoveryPatient-Centered CarePsychiatric NursingVer mais -
ORIGINAL ARTICLE
Hope in a depression therapeutic group: a qualitative case study
Revista Brasileira de Enfermagem. 2021;74(4):e20201309
08-06-2021
Resumo
ORIGINAL ARTICLEHope in a depression therapeutic group: a qualitative case study
Revista Brasileira de Enfermagem. 2021;74(4):e20201309
08-06-2021DOI 10.1590/0034-7167-2020-1309
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Objective:
to understand the perceptions of hope for people with depression in the context of a therapy group.
Methods:
using a qualitative case study approach, a semi-structured in-depth interview and a self-report questionnaire were conducted with seven women with depression integrated in a therapy group at a Portuguese day-care psychiatric unit. Data collection and analysis used triangulation of sources.
Results:
the participants evidenced hope founded on the positive experiences of the past with a strong affiliation component. Hope management is done fundamentally through the interpersonal relationships established between the members of the group, based on communicational patterns that are established on a regular basis, mediated by the group therapist.
Conclusion:
the therapy group functioned towards the reinforcement of hope in people who experience depression, and it works as a motivation to manage the implications of illness in the participants’ life and health project.
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REVIEW
Hope-based interventions in chronic disease: an integrative review in the light of Nightingale
Revista Brasileira de Enfermagem. 2020;73(suppl 5):e20200283
12-21-2020
Resumo
REVIEWHope-based interventions in chronic disease: an integrative review in the light of Nightingale
Revista Brasileira de Enfermagem. 2020;73(suppl 5):e20200283
12-21-2020DOI 10.1590/0034-7167-2020-0283
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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.
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ORIGINAL ARTICLE
From despair to hope: copying of relatives of hospitalized children before bad news report
Revista Brasileira de Enfermagem. 2020;73(suppl 5):e20200340
11-16-2020
Resumo
ORIGINAL ARTICLEFrom despair to hope: copying of relatives of hospitalized children before bad news report
Revista Brasileira de Enfermagem. 2020;73(suppl 5):e20200340
11-16-2020DOI 10.1590/0034-7167-2020-0340
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Objective:
to understand the experiences of relatives of critically ill children before bad news report.
Method:
a phenomenological study based on Heidegger’s philosophical framework. Data collection was carried out from October 2018 to March 2019, through phenomenological interviews with 15 relatives of children hospitalized in a Pediatric Intensive Care Unit.
Results:
relatives, in their existentiality, experience the facticity thrown into unpredictable situations, regardless of their choices and are faced with feelings of shock, despair and fear before bad news. After emotional impact, especially regarding the possibility of death, relatives reveal hope as a mechanism for coping with the situation.
Final considerations:
solidarity and sensitivity by health professionals, especially nurses, are essential in understanding the existential dimension of relatives who experience such an experience, understanding the several facets of their existence and offering them opportunities to project themselves.
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ORIGINAL ARTICLE
Depression, self-concept, future expectations and hope of people with HIV
Revista Brasileira de Enfermagem. 2019;72(5):1288-1294
09-16-2019
Resumo
ORIGINAL ARTICLEDepression, self-concept, future expectations and hope of people with HIV
Revista Brasileira de Enfermagem. 2019;72(5):1288-1294
09-16-2019DOI 10.1590/0034-7167-2018-0730
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Objective:
To analyze conditions of depression, self-concept, future expectations and hope in people with HIV/AIDS.
Method:
Cross-sectional survey of 108 individuals living with HIV/AIDS, carried out in a reference hospital for the treatment of infectious diseases in Northeast Brazil. The following instruments were employed: sociodemographic data, and questionnaires for ascertaining participants’ emotions, including scales for self-concept, hope, depression (HAMD-D), and future expectations. Descriptive statistics using the following tests were performed: Mann–Whitney, Kruskal–Wallis, chi-square, and t-test—considered significant when p ≤ 0.05.
Results:
31.5% presented mild depression and 21.3% presented moderate depression; 63% reported difficulty in obtaining decent employment; 52.8% considered life a failure; 52.8% felt worthless. Fear, guilt and loneliness influenced self-concept (p ≤ 0.05). Loneliness influenced hope (p ≤ 0.05).
Conclusion:
It is necessary to raise the attention of nursing professionals and healthcare managers to the importance of providing health services that consider the mental health of people with HIV/AIDS, contributing to treatment adherence and well-being.
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ORIGINAL ARTICLE
Religious/spiritual coping and level of hope in patients with cancer in chemotherapy
Revista Brasileira de Enfermagem. 2019;72(3):640-645
06-27-2019
Resumo
ORIGINAL ARTICLEReligious/spiritual coping and level of hope in patients with cancer in chemotherapy
Revista Brasileira de Enfermagem. 2019;72(3):640-645
06-27-2019DOI 10.1590/0034-7167-2018-0358
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Aim:
To demonstrate the relationship between religious/spiritual coping and hope in cancer patients undergoing chemotherapy.
Method:
This is a cross-sectional, descriptive study with a quantitative approach performed in a reference outpatient clinic in Caruaru, PE, between August and October 2017. A total of 82 cancer patients undergoing chemotherapy were included in the study, using the brief religious/spiritual coping scale (RCOPE-Brief) and the Herth Hope Scale (HHS).
Results:
The sample presented mean positive RCOPE scores (3.03 ± 0.41) and the level of hope was considered high (42.7 points ± 3.67). Patients who had a high RCOPE score were found to have a higher mean of Herth’s level of hope (44.12 points).
Conclusion:
This study becomes relevant to nursing professionals by encouraging care that takes into account the patient’s spiritual dimension in order to stimulate positive mechanisms of religious coping and, consequently, raise the levels of hope.