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HOPE, OPTIMISM, AND RESILIENCY. ?. SUCH AN INTEREST IN HOPE. WHY. FROM DEBIT OR DISEASE MODEL. TO POSITIVE CONCEPTS. —”A NATURAL FOR NURSES”. NURSING PRACTICE AND RESEARCH: 20 + YEARS OF HOPE. Buehler (1975) Dufault (1981) Hope in elderly cancer patients Rideout & Montemuro (1986).
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? SUCH AN INTEREST IN HOPE WHY
FROM DEBIT OR DISEASE MODEL TO POSITIVE CONCEPTS —”A NATURAL FOR NURSES”
NURSING PRACTICE AND RESEARCH: 20 + YEARS OF HOPE Buehler (1975) Dufault (1981) Hope in elderly cancer patients Rideout & Montemuro (1986)
NURSING PRACTICE AND RESEARCH: 20 + YEARS OF HOPE Farran & McCann (1989)Longitudinal analysis of hope in community–based older adults Farran & Popovich (1990) Hope: A relevant concept for geriatric psychiatry Herth (1990) Level of hope, copying styles, settingto grief resolution in elderly widow(er)s
NURSING PRACTICE AND RESEARCH: 20 + YEARS OF HOPE Fehring et al. (1990)Spiritual well-being, religiosity, hope, depression in elderly people coping with cancer Raleigh (1992) Sources of hope in chronic illness El–Gamel (1993)
NURSING PRACTICE AND RESEARCH: 20 + YEARS OF HOPE Mc Gill & Paul (1993) Functional status and hope in elderly people with and without cancer Byrne et al. (1994) Herth (1995) Engendering hope in the chronically and terminally ill
NURSING PRACTICE AND RESEARCH: 20 + YEARS OF HOPE Fowler (1995) Hope and a health promoting lifestyle in persons with Parkinson’s disease Beckerman & Northrop (1996)Hope, chronic illness, and the elderly Zorn (1997) Factors contributing to hope among noninstitutionalized elderly
NURSING PRACTICE AND RESEARCH: 20 + YEARS OF HOPE Benzein & Saveman (1998) Brandt (1998) Roberts et al. (1999) Fostering hope in the elderly congestive heart failure patient
NURSING PRACTICE AND RESEARCH: 20 + YEARS OF HOPE Cutliffe (2001) Inspiring hope in cognitively impaired older adults Duggleby (2001)Hope at the end of life Bays (2001) Older adults description of hope after a stroke
RESEARCH EMPHASIZING IS OF PARTICULAR IMPORTANCE TO AGING AND NURSING SCIENCE HOPE, OPTIMISM AND RESILIENCE
HOPE A multidimensional dynamic life force characterized by a confident, yet uncertain, expectation of achieving good, which to the hoping person, is realistically possible and personally significant.(Dufault, 1981) Generalized Hope Particularized Hope
OPTIMISM A stable cognitive set reflecting general rather than specific outcome expectancies, a general trait or outlook that includes a person’s overall attitude and approachtoward self and world( Myers; Seligman) A disposition that expects the best possible or emphasizes primarily the positive aspects of a situation(Farran at al, 1995)
OPTIMISM The belief that things will turn out well or that there are good aspects of every situation (sanguine) The belief that good is the dominant force in the universe Similarity with Hope Differences with Hope
RESILIENCE Social and psychological competence characterized by equanimity, perseverance, meaningfulness, existential aloneness, and self–reliance(Wagnild and Young, 1993) The capacity of individuals to cope successfully with significant change, adversity or risk( Stewart and colleagues, 1997)
RESILIENCE A transformational process that results from the connections made with others to move the person through and beyond the stress “into a new and more comprehensive personal and relational integration”(Jordon, 1992) An effect of hope that energizes individuals to move forward in spite of difficulties(Roset, 1999)
NURSES AND OTHER CAREGIVERS AS SOURCES AND THREATS TO HOPE AND HOPING PROCESSES
POLICY CHANGES TO SUPPORT RESEARCH/PRACTICE WITH THIS EMPHASIS