Article

Hope is said to be important in recovery from illness or injury,
supporting adjustment, perseverance, and positive outcomes. There has been little
exploration of hope in people after stroke. This is reflected in the literature,
which lacks consistent definition and terminology. This purpose of this article
is to clarify the concept of hope after stroke and to synthesize the findings to
propose a working model of hope. METHOD: A systematic literature search was
completed. Articles were included if they explored hope from the perspective of
people with stroke or if hope was reported as a key finding in a study. Coding,
analytic questions, and matrices were used to extract data and to compare,
contrast, and synthesize conceptualizations, processes, and outcomes of hope.
This was guided by a concept analysis methodology. RESULTS: The literature search
identified 20 articles that met the inclusion criteria. Analysis of these
articles suggested hope was conceptualized in 3 interrelated ways - as an inner
state, as being outcome-oriented, and as an active process. Findings suggested
that internal and external resources contributed to the development of hope. Hope
was perceived to be linked with positive outcomes and functioned as a motivator
and source of strength through recovery. Hope reflected elements also found in
the concepts of expectations, goals, and optimism. CONCLUSION: This novel
approach to analysis has furthered the understanding of hope. It has proposed a
working model of hope that could be used by clinicians in considering hope with
their clients and patients.

Langue : ANGLAIS