Journal of Hospice and Palliative Care

Korean Society for Hospice and Palliative Care (한국호스피스완화의료학회)
권호 표지
DOI QR코드

DOI QR Code

An Intervention Model to Help Clients to Seek Their Own Hope Experiences: The Narrative Communication Model of Hope Seeking Intervention

  • Received : 2017.02.05
  • Accepted : 2017.02.06
  • Published : 2017.03.01
Download PDF
⟨ Previous Next ⟩

Abstract

The paper describes The Narrative Communication Model of Hope Seeking Intervention developed by the authors as an approach to help clients to have individually specific hope experiences. The Model is founded upon the existential conceptualization of hope that views hope as subjective, unique experiences of meaning and processes. The Model has been developed based on the findings both in the literature and the authors' work on the nature of hope and hope experiences and integrating the concept of hope as subjective meanings and experiences, the processes of story-telling and the concept of narrative configuration as a way to engage in person-specific experiences, and person-centered communication. The results of the experiences with the application of the model in a study are used to clarify the model further. The Model incorporating story-telling and narrative construction through person-centered communication is identified in three components-the story-telling, the narrative intervention, and the communication components. These components are processed as an intervention to culminate into person-specific hope experiences in which active participation of clients as the story-teller and of interventionist as the communicative facilitator is required to produce narratives of hope with individual specific thematic plots that become the basis for hope experiences. The application of the Model has shown positive outcomes in clients with successful seeking of own hope experiences. The success of the Model application seems to depend upon interventionists' understanding of the model and the competency with the application of person-centered communication strategies.

이 논문은 개인적으로 경험되는 독특한 희망경험을 찾도록 도와주기 위하여 저자들이 개발한 "희망 찾기 내러티브 커뮤니케이션 모델"에 대하여 서술한다. 모델은 희망과 희망경험의 본질에 대한 문헌 및 저자들의 연구결과들과 주관적인 의미들과 경험들로서 희망 개념, 개인 특수한 희망경험에 접촉하기 위한 방법으로서 이야기하기 과정 및 내러티브 구성의 개념, 그리고 개인중심커뮤니케이션의 통합에 근거 개발되었다. 모델을 적용한 한 연구의 희망 찾기 경험은 모델을 한층 명확하게 하였다. 개인중심커뮤니케이션을 통하여 이야기하기와 내러티브 구성을 통합하는 모델은 세 요소들-이야기하기 요소, 내러티브 중재 요소, 커뮤니케이션 요소-로 구성된다. 이러한 요소들은 화자로서의 대상자가 희망경험의 근본인 개인 특수 주제적 플롯을 가진 희망 내러티브를 생산하는데 필수적으로 요구되는 커뮤니케이션 촉진자로서의 중재자의 적극적인 참여 속에서 개인-특수 희망경험을 찾는 것을 목적으로 하는 하나의 중재로서 과정화된다. 대상자에서 이 모델을 적용하여 성공적인 개인 희망경험 찾기의 긍정적인 결과가 나타났다. 이 모델의 성공은 중재자의 모델에 대한 이해와 개인중심-커뮤니케이션 전략 적용능력에 기인된 것으로 보인다.

Keywords

References

  1. Anandarajah G, Hight E. Sprituality and medical practice: using the HOPE questions as a practical tool for spiritual assessment. Am Fam Physician 2001;63:81-9.
  2. Herth KA, Cutcliffe JR. The concept of hope in nursing 6: research/education/policy/practice. Br J Nurs 2002;11:1404-11. https://doi.org/10.12968/bjon.2002.11.21.12277
  3. Antelius E. The meaning of the present: hope and foreclosure in narrations about people with severe brain damage. Med Anthropol Q 2007;21:324-42. https://doi.org/10.1525/maq.2007.21.3.324
  4. Cousins N. Head first: the biology of hope. New York:E. P. Dutton;1989.
  5. Marcel G. Homo viator: Introduction to metaphysic of hope. Craufurd E, translator. Gloucester, MA:Perter Smith;1978.
  6. Thorne S, Oglov V, Armstrong EA, Hislop TG. Prognosticating futures and the human experience of hope. Palliat Support Care 2007;5:227-39.
  7. Benzein E, Norberg A, Saveman BI. The meaning of the lived experience of hope in patients with cancer in palliative home care. Palliat Med 2001;15:117-26. https://doi.org/10.1191/026921601675617254
  8. Folksman S. Stress, coping, and hope. Psychooncology 2010;19:901-8. https://doi.org/10.1002/pon.1836
  9. Umphrey LR, Sherblom JC. The relationship of hope to selfcompassion, relational social skill, communication apprehension, and life satisfaction. Int J Wellbeing 2014;4:1-18.
  10. Nekolaichuk CL, Bruera E. On the nature of hope in palliative care. J Palliat Care 1998;14:36-42.
  11. Parse RR. Hope: an international human becoming perspective. Sudbury, Mass.; Toronto:Jones and Bartlett;1999.
  12. Kim DS. Towards hope seeking intervention based on individual experience in palliative care. Korean J Hosp Palliat Care 2012;15:1-9.
  13. Kim DS, Kim HS, Schwartz-Barcott D, Zucker D. The nature of hope in hospitalized chronically ill patients. Int J Nurs Stud 2006;43:547-56. https://doi.org/10.1016/j.ijnurstu.2005.07.010
  14. Dufault K, Martocchio BC. Symposium on compassionate care and the dying experience. Hope: its spheres and dimensions. Nurs Ciln North Am 1985;20:379-91.
  15. Herth K. Development and refinement of an instrument to measure hope. Sch Inq Nurs Pract 1991;5:39-51.
  16. Kim DS, Lee SW. Development of an instrument to measure hope for the cancer patients. J Korean Acad Nurs 1998;28:441-56. https://doi.org/10.4040/jkan.1998.28.2.441
  17. Bunston T, Mings D, Mackie A, Jones D. Facilitating hopefulness: the determinants of hope. J Psychosoc Oncol 1996;13:79-103. https://doi.org/10.1300/J077V13N04_05
  18. Ho SM, Ho JW, Pau BK, Hui BP, Wong RS, Chu AT. Hope-based intervention for individuals susceptible to colorectal cancer: a pilot study. Fam Cancer 2012;11:545-51. https://doi.org/10.1007/s10689-012-9545-3
  19. Snyder CR. Hope theory: rainbows in the mind. Psychol Inq 2002;13:249-75. https://doi.org/10.1207/S15327965PLI1304_01
  20. Herth K. Enhancing hope in people with a first recurrence of cancer. J Adv Nurs 2000;32:1431-41. https://doi.org/10.1046/j.1365-2648.2000.01619.x
  21. Farran CJ, Herth KA, Popovich JM. Hope and hopelessness: critical clinical constructs. Thousand Oaks, Calif.:Sage Publications;1995.
  22. Herth K. State of the science of hope in nursing practice: hope, the nurse, and the patient. In: Eliott JA, ed. Interdisciplinary perspectives on hope. New York:Nova Science Publishers;2005. p. 169-211.
  23. Kylma J, Vehvilainen-Julkunen K, Lahdevirta J. Dynamics of hope in HIV/AIDS affected people: an exploration of significant others' experiences. Res Theory Nurs Pract 2003;17:191-205. https://doi.org/10.1891/rtnp.17.3.191.53183
  24. Kim DS. Theory construction of hope for nursing: A Q-methodological approach [dissertation]. Seoul: Seoul National Univ.; 1992. Korean.
  25. Kim DS, Kim HK. The schemata of hope: a Q methodological look. Operant Subjectivity 1997;20:62-72.
  26. Hammer K, Mogensen O, Hall EO. The meaning of hope in nursing research: a meta-synthesis. Scand J Caring Sci 2009;23:549-57. https://doi.org/10.1111/j.1471-6712.2008.00635.x
  27. Tsuzuki M. Dynamic changing process of hope in early adolescence: Analysis of individual differences during the transition from elementary school to junior high school. Jpn Psychol Res 2012;54:253-62. https://doi.org/10.1111/j.1468-5884.2012.00527.x
  28. Herrestad H, Biong S, MaCormack B, Borg M, Karlsson B. A pragmatist approach to the hope discourse in health care research. Nurs Philos 2014;15:211-20. https://doi.org/10.1111/nup.12053
  29. Kim DS, Kim HS, Thorne S. Exploration of a model of individual experience based hope intervention for the patients in palliative care setting: focusing on "Narrative Communication Model of Hope Seeking Intervention. Proceedings of the 10th Asia Pacific Hospice Conference; 2013 Oct 11-13; Bangkok, Thailand. Singapore: Asia Pacific Hospice Palliative Care Network; 2013.
  30. Kim DS, Kim HS, Thorne S. P322 The hope seeking narrative structure in applying the intervention derived from "The Narrative Communication Model of Hope Seeking Intervention" in a young female advanced cancer patient. J Pain Symptom Manage 2016:52:e148-9.
  31. Polkinghorne DE. Narrative configuration in qualitative analysis. Int J Qual Stud Educ 1995;8:5-23. https://doi.org/10.1080/0951839950080103
  32. Bury M. The sociology of chronic illness: a review of research and prospects. Sociol Health Illn 1991;13:451-68. https://doi.org/10.1111/j.1467-9566.1991.tb00522.x
  33. Riessman CK. Narrative analysis. Newbury Park; London; New Delhi:Sage Publications;1993.
  34. Petraglia J. Narrative intervention in behavior and public health. J Health Commun 2007;12:493-505. https://doi.org/10.1080/10810730701441371
  35. Kim HS. The essence of nursing practice: philosophy and perspective. New York:Springer Publishing Company;2015.
  36. Northouse PG, Northouse LL. Health communication: strategies for health professionals. 2nd ed. Norwalk, Conn.:Appleton & Lange;1992.