Purpose To describe rehabilitation staff nurses’ perspective of hope, including hope-inspiring strategies.
Design An exploratory description design.
Methods Purposeful sampling was used to recruit staff nurses working in acute rehabilitation settings via a group mail to two groups of nurses working in southeastern United States. Semi-structured phone interviews, lasting 30–45 minutes, were scheduled, recorded and transcribed verbatim. Words and phrases were summarised, and a descriptive, interpretive summary was generated based on the frequency and interrelatedness of the words and phrases. Data was saturated after six female staff nurses from three rehabilitation settings were interviewed.
Results The most frequent descriptors of hope focused on improvement, something better, and something good. All nurses agreed that hope is tied to goals and serves as a motivating force. Hope fluctuates and can depend on the patient’s progress. A nurse’s own hope can positively influence a patient’s hope. Hope is inspired when rehabilitation nurses help patients achieve a sense of normal by treating them as individual persons. A potential hope protocol may consist of: treating the person as a person; praising accomplishments; and identifying areas to increase hope.
Conclusion A central meaning of hope was improving or something better, in the context of patients needing rehabilitation services. Rehabilitation nurses inspire hope by building relationships with patients, helping them maintain a sense of personhood, with words and actions emphasising goals.