2023 Volume 26 Issue 1 Pages 84-91
Purpose: This study investigated the involvement of psychiatric home-visit nurses that led clients to talk about hope, from the clients’ viewpoints.
Method: Semi-structured interviews with three clients of psychiatric home-visit nursing were conducted following an interview guide and analyzed using qualitative descriptive methods.
Results: Three themes relating to involvement were found: building personal relationships, supporting overall daily life and promoting self-care, and working toward the realization of hope. In addition, there were eight categories: clarifying leadership role: sustaining interest in the client beyond the home-visit nurse situation; respecting the feelings of the client and the content and scope of what is said; creating an atmosphere conducive to talking about hopes and using conversation techniques; encouraging self-care through understanding and caring for the client’s overall life; setting up opportunities for reflection aimed at the client’s own disease management; directing the conversation and providing resources toward the client’s hopes and future; and accepting and understanding of the hopes expressed by clients.
Discussion: Building personal relationships influences the choice of the target for talking about hope and leads to self-disclosure of hope and its natural emergence in conversation. Support for overall daily life and promotion of self-care influences the choice of what to tell the nurse that hope as well as activities of daily living and mental status are things to talk about. Working toward the realization of hope can lead to more specific hope narratives and the following hope narratives.
