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Interventions to Promote Hope in People with Advanced Illness: Rapid Review
Carmen Molina Robles1, Miren Idoia Pardavila-Belio2, Beatriz Villalón-Fornés3
1Carmen Molina Robles, MSc, RN, is Staff Nurse, Palliative Care Service, Clínica Universidad de Navarra, Madrid, Spain.
Summary
Promoting hope in advanced illness is achievable through structured interventions and compassionate care. Evidence suggests hope is a modifiable factor, significantly impacting well-being and patient engagement in palliative care.
Area of Science:
- Palliative Care
- Psychosocial Oncology
- Nursing Research
Background:
- Hope is crucial for well-being in advanced illness, influencing coping and engagement.
- Current evidence on promoting hope in palliative care is fragmented.
- Integrating hope-promoting strategies into clinical practice is challenging.
Purpose of the Study:
- To synthesize evidence on interventions promoting hope in advanced illness.
- To identify intervention components and their effectiveness.
- To inform palliative care practice regarding hope enhancement.
Main Methods:
- Rapid review following Cochrane guidelines.
- Searched studies published between 2020 and 2025.
- Included 12 studies with diverse methodologies.
Main Results:
- Interventions based on Snyder's Hope Theory consistently improved hope.
- Psycho-spiritual interventions, communication, and early palliative care also supported hope.
- Hope showed more consistent improvement than anxiety, symptoms, or quality of life.
Conclusions:
- Hope is a dynamic and clinically modifiable construct in advanced illness.
- Both structured interventions and the relational aspect of care influence hope.
- Nursing care plays a vital role in fostering hope.
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