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Giving Hope as a High Reliability Function of Health Care.

Deirdre Mylod¹, Thomas H Lee^2,3

¹Press Ganey, South Bend, IN, USA.

Journal of Patient Experience

|January 13, 2023

Summary

Clinicians can enhance patient hope by focusing on achievable goals and their ability to help. This approach quantifies hope as an increase in belief in positive future outcomes, strengthening the therapeutic relationship.

Keywords:

clinician–patient relationship communication empathy hope relationships in healthcare

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Area of Science:

Psychology
Therapeutic Relationship Studies
Healthcare Outcomes

Background:

Hope is a crucial element in the therapeutic relationship, yet often overlooked as a measurable outcome.
Existing models of hope primarily focus on individual agency, neglecting the clinician's role.

Purpose of the Study:

To redefine and quantify hope within the clinician-patient dynamic.
To emphasize the clinician's active role in fostering patient hope.
To propose a practical tool for clinicians to enhance hope.

Main Methods:

Conceptualizing hope as the increase in belief in achieving a future positive state (delta).
Highlighting the clinician's influence on patient hope.
Developing a "Hope Checklist" for clinical practice.

Main Results:

Hope can be quantified as the measurable increase in a patient's belief in positive future outcomes.
The clinician's actions significantly impact patient hope levels.
A structured approach can systematically enhance patient hope.

Conclusions:

Integrating hope as a therapeutic outcome benefits both patients and clinicians.
Clinicians play a vital role in cultivating patient hope through goal clarification and demonstrating capability.
The proposed Hope Checklist offers a practical framework for enhancing patient confidence and positive outcomes.