Hope, older adults, and chronic illness: a metasynthesis of qualitative research
- 3 January 2012
- journal article
- review article
- Published by Wiley in Journal of Advanced Nursing
- Vol. 68 (6), 1211-1223
- https://doi.org/10.1111/j.1365-2648.2011.05919.x
Abstract
Duggleby w., hicks d., nekolaichuk c., holtslander l., williams a., chambers t. & eby j. (2012) Hope, older adults, and chronic illness: a metasynthesis of qualitative research. Journal of Advanced Nursing68(6), 12111223. Abstract Aim. To report a metasynthesis review of qualitative research studies exploring the hope experience of older persons with chronic illness. Background. Hope is a psychosocial resource used by persons to deal with their chronic illness experience. Data sources. A comprehensive search of multiple databases for studies of the hope experience (published 19802010) was completed. Inclusion criteria were included qualitative studies of the hope experience of persons (all genders; mean age 60 years and older), with chronic illnesses, and publications in any language and country. Review methods. The metasynthesis followed four procedural steps: (a) comprehensive search, (b) quality appraisal, (c) classification of studies, and (d) synthesis of findings. Results. Twenty studies were included in the metasynthesis representing research from a variety of different countries and populations with differing medical diagnoses. The characteristics of hope included: (a) dynamic or situational nature, (b) multiple co-existing types, (c) objects that were desirable realistic possibilities, (d) future-focused, and (e) involvement of choice/will. Hope as transcending possibilities represented the integration of two processes of transcendence and positive reappraisal. Reaching inwardly and outwardly and finding meaning and purpose were sub-processes of transcendence, whereas re-evaluating hope in light of illness and finding positive possibilities were sub-processes of positive reappraisal. Conclusions. The concept of hope may differ for older adults vs. younger adults in its interaction with suffering. Resources for hope are both internal and external. Finding meaning and positive reappraisal are important strategies to help older adults with chronic illness maintain their hope.Keywords
This publication has 35 references indexed in Scilit:
- Discursive Meaning of Hope for Older Persons with Advanced Cancer and their CaregiversCanadian Journal on Aging / La Revue canadienne du vieillissement, 2010
- Seeing the silver lining: Cognitive reappraisal ability moderates the relationship between stress and depressive symptoms.Emotion, 2010
- Hope: a construct central to living with chronic obstructive pulmonary diseaseInternational Journal of Older People Nursing, 2009
- The meaning of hope in nursing research: a meta‐synthesisScandinavian Journal of Caring Sciences, 2009
- Living with Hope: Initial Evaluation of a Psychosocial Hope Intervention for Older Palliative Home Care PatientsJournal of Pain and Symptom Management, 2007
- Hope and advance care planning in patients with end stage renal disease: qualitative interview studyBMJ, 2006
- Fostering hope in terminally ill patientsNursing Standard, 2004
- Delineating the Concept of HopeImage: the Journal of Nursing Scholarship, 1995
- Hope Work in the Care of Seriously Ill PatientsQualitative Health Research, 1991
- Loss of self: a fundamental form of suffering in the chronically illSociology of Health & Illness, 1983