Staff and patient views of the concept of hope on a stroke unit: a qualitative study
Version of Record online: 13 DEC 2011
© 2011 Blackwell Publishing Ltd
Journal of Advanced Nursing
Volume 68, Issue 9, pages 2061–2069, September 2012
How to Cite
Tutton, E., Seers, K., Langstaff, D. and Westwood, M. (2012), Staff and patient views of the concept of hope on a stroke unit: a qualitative study. Journal of Advanced Nursing, 68: 2061–2069. doi: 10.1111/j.1365-2648.2011.05899.x
- Issue online: 25 JUL 2012
- Version of Record online: 13 DEC 2011
- Accepted for publication 22 October 2011
- qualitative research;
- stroke unit
tutton e., seers k., langstaff d. & westwood m. (2012) Staff and patient views of the concept of hope on a stroke unit: a qualitative study. Journal of Advanced Nursing68(9), 2061–2069.
Aim. This study explores the experience of hope for patients and staff in the context of a British stroke unit.
Background. Hope is identified as a useful concept for exploring how people find meaning in recovery from illness. Uncovering the experience of hope in acute stroke care has provided evidence that can be used to facilitate rehabilitation.
Methods. The methodology drew on the principles of ethnography, undertaking unstructured qualitative interviews with ten patients, ten multidisciplinary staff and 21 hours of participant observation including informal discussions with staff and patients. Data collection took place between November 2007 and November 2008.
Findings. Four themes were identified: suffering, struggling with no hope and despair, hope for recovery and realistic hopefulness. Hope was experienced in the context of suffering a stroke demonstrated as loss of function, loss of mental capacity and dependency. Patients struggled to maintain a sense of hopefulness while feeling close to a slippery slope towards despair and death. Hope was expressed as a strong desire to recover, get back to normal and a time to reflect on their lives so far. Staff identified realistic hopefulness as focused on keeping things real while balancing giving hope and avoiding false hope.
Conclusion. Hope is placed within the emotional challenges of suffering and struggle inherent in recovery from stroke. The staff work with patients’ hopes but offer realistic hopefulness as a practical strategy for recovery. Further interventions are required for working with feelings of despair or no hope.