| Abstract [eng] |
The hope of the nurses becomes very important when caring for a child with an oncological disease. Oncology affects the hope experience of the nurses and a sick child. Hope is transmitting through the interaction of the nurse and the child - trusting interpersonal relationships, empathic communication. Nursing strategies to inspire and maintain hope can strengthen it for both patient and the nurses. The huge problem is when nurses are not able to properly inspire and maintain hope, so hope can be both transmitted and destroyed. The aim of the study is to analyse nurses` hope in caring for child with oncological disease. Methodology of the study. A quantitative study was performed. Study means used: Anonymous form consisting of HHI and HIQ questionnaires. Data were analysed in the Statistical Package (SPSS) version 17.0. The quantity consisted of 104 nurses. The study was performed in compliance with ethical principles. The study results. It was found that a level of the nurses` hope experience in caring for child oncological disease was high enough - the mean of the possible 48 points reached 38.82±4.87 points. Social and demographic data did not influence nurses` hope. An analysis of experience-based strategy statements of a common group of nurses found that nurses generally encouraged the child to talk about hope and its meaning, providing time and opportunity to ponder the meaning and purpose of life, the meaning of death and suffering. They tried to nurture and maintain hope in the patient`s relatives and family during the application of the strategy based on mutual relations. When using a spirituality-based strategy, nurses generally recognized, respected and supported the patient`s attitudes and beliefs. When using rational thinking-based strategy, the nurses helped often to feel comfortable/reduce pain and created a caring, comfortable atmosphere – they listened carefully and stayed around. Conclusion. Hope is vital in caring for a child with oncological disease – it is a powerful force that helps healing. Increased use of nurse inspiration and support strategies is significantly associated with higher levels of hope experience. Nurses were significantly more likely to use rational thinking-based strategies of hope-inspiring and supportive strategies than strategies based on experience, relationships and spirituality. |
