READINESS FOR ENHANCED HOPE
A pattern of expectations and desires that is sufﬁcient for mobilizing
energy on one’s own behalf and can be strengthened
Expresses desire to enhance:
• Ability to set personal goals
• Belief in possibilities
• Congruency of expectations with desires
• Interconnectedness with others
• Problem solving to meet goals
• Sense of meaning to life
ASSESSMENT FOCUS (Refer to comprehensive assessment parameters.)
• Emotional status
The patient will
• Express desire for positive health outcomes.
• Share personal goals to increase autonomy and personal
• Increase quality of life.
• Plan to promote maximal physical, mental, social, and psychologi-
• Share strategies to live a meaningful life.
• Express awareness of the need for developing and maintaining a
positive attitude of hope.
• Seek spiritual support as needed.
SUGGESTED NOC OUTCOMES
Hope; Personal Well-Being; Quality of Life; Will to Live
INTERVENTIONS AND RATIONALES
Determine: Assess patient’s perception of ability to set personal goals.
Assess expression of desire to build on possibilities for the future,
and ability to align desires and expectations. Assess ability of patient
to maintain and enhance relationships with others. Assess patient’s
and family’s spiritual needs, including religious beliefs and afﬁliation.
Information from assessment will assist in determining appropriate
Perform: Schedule time to meet with family and patient to listen to
ways in which they plan to enhance their coping skills in the present
Facilitate opportunities for spiritual nourishment and growth to
address patient’s holistic needs for maximal therapeutic environment.
Inform: Teach self-healing techniques to both the patient and family,
such as meditation, guided imagery, yoga, and prayer, to promote
Teach patient how to incorporate the use of self-healing techniques
in carrying out usual daily activities. Practicing will increase the
chance that the patient will himself use these techniques.
Teach caregivers to assist patient with self-care activities in a way
that maximizes patient’s comfort. Comfort will reduce anxiety and
help patient cooperate with his or her treatment.
Demonstrate procedures and encourage participation in patient’s
Provide patient with concise information about patient’s condition.
Be aware of what the family members have already been told.
Attend: Reinforce family’s efforts to care for the patient. Let them
know they are doing well to ease adaptation to new caregiver roles.
Encourage family to support patient’s independence.
Encourage patient’s cooperation as you continue with healing
techniques, such as therapeutic touch. Cooperation will enhance the
effect of the therapy.
Provide emotional support to family and be available to answer
questions. Being available to answer questions and listen builds trust
of the family.
Manage: Refer family to community resources and support groups to
assist in managing patient’s illness and providing emotional and
ﬁnancial assistance to caregivers.
Refer to a member of the clergy or a spiritual counselor, accord-
ing to the patient’s preference, to show respect for the patient’s
beliefs and provide spiritual care.
SUGGESTED NIC INTERVENTIONS
Hope Facilitation; Self-Esteem Enhancement; Spiritual Growth Facili-
Davidson, P. M., et al. (2007, January–February). Maintaining hope in transi-
tion: A theoretical framework to guide interventions for people with heart
failure. Journal of Cardiovascular Nursing, 22(1), 58–64.