Dal Sook Kim | 3 Articles |
PURPOSE
The purpose of this study was to propose a theoretical model of hope commonly held by the cancer patients just after surgery, under the assumptions that hope of those patients is not only realistic and disease oriented but in dialectical circulation. METHOD A theoretical model was generated through 4 steps: exploring a hope structure by synthesizing the relevant hope structures expressed in Kim and Tae's studies, in-depth literature review, examining the meanings of the concepts consisted of the structure in use and their causal relations in logical adequacy, proposing a theoretical structure through synthesizing the causal relations, and diagramming the structure. RESULTS The proposed theoretical model involves concepts such as Cancer Related Uncertainty (CRU), Efforts to Find out the Possibility of Cure or Recovery (EFPCR), and Hopefulness or Hopelessness. The 'EFPCR' is stipulated as 'Behaviors Related to Looking for Evidences or Cues (BRLEC)' and 'Formation of Cognitive Schema (FCS)'. In the model, Hopefulness is directly influenced by 'CRU in low', which is affected by 'FCS in good' from the result of EFPCR started with 'CRU in increase' while 'CRU with increase' from the result from EFPCR has direct effect on Hopelessness. CONCLUSION The theoretical model would be used to enhancing hope of the cancer patients in post-operation.
PUPPOSE: The purposes of the study were 1) to examine what relationships exist between PTE(perceived treatments effect) and PPS (perceived physical suffering) as the independent variables and hope as the dependent variable and 2) to examine whether PTE and PPS predict hope in cancer patients in their post-operative period within the Stotland's hope theory.
METHOD The Visual Analog Scale was used for measuring PTE and PPS and the Kim and Lee's Hope Scale which had acceptable reliability and validity was used for measuring hope. The data was collected from 38 hospitalized cancer patients who were in the post-operative period with a convenient sampling method. RESULT There was a significant positive relationship between hope and the PTE in the low PTE group. There was a significant negative relationship between hope and the PPS in the low PPS group. There were no significant relationships between hope and the PTE in the high PTE group, and between hope and the PPS in the high PPS group. And the PTE explained hope with 71.2% of the variance in the low PTE group. CONCLUSION PTE in the low PTE group and PPS in the low PPS group were identified as the factors to explain hope.
This study has been conducted to identify and describe conceptual systems of uncertainty using qualitative data from a written association test with open ended questions of "Please list three items in order, as they occur to you, when you think about uncertainty". Two open ended questions were added to help the grouping process of the concepts to be more reliable. 336 listed words were collected from 53 non-patients(nurse, professionals, nurse-students, students) and 65 patients. And data analysis involved three levels of increasing complexity and abstractedness, which involved a grouping process of "concept" with "meaning and value" to encompass a more abstract grouping with greater scope. The initial level grouping of the 336 listed words yielded 28 distinct categories: change, time, life, health and illness, relationships, family and person, event, trenscendental being, luck, hope and expection, positive emotion, negative emotion, action, self, nature, information, society, success and failure, non-predictiveness, anxiety, conflict, powerlessness, vagueness certainty not known, undoubtful, incorrectness, undetermined, indefinite. In the 2nd level of abstraction with 28 distinct categories, change/ time/ life/ health and illness/ relationships/ family and person/ event/ trenscendental being classified under the category of objectivity of uncertainty. Self under the category of subjectivity of uncertainty. Luck/ hope and expection/ positive emotion/ negative emotion/ and action were categorized under the category of consequences, and nature under the category of natural environment. Information/ society/ success went into the category of social environment. Unpredictability/ anxiety/ conflict/ powerlessness/ vagueness/ certainty not known/ undoubtful/ incorrectness/ undetermined/ indefinite were classified into the category of concomittent. And finally, the 3rd level of abstraction, with 7 categories, yielded 3 categories of person/ environment/concomittent. The results are significant to refine the concept of uncertainty. These understanding will facilitate the development effective methods of nursing to the uncertainty in chronic illness.
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