The Meaning of Hope and Social Support in Patients Receiving Chemotherapy

Jennifer L. Mattioli

Rhonda Repinski

Sharon L. Chappy

social support, hope
ONF 2008, 35(5), 822-829. DOI: 10.1188/08.ONF.822-829

Purpose/Objectives: To explore and describe the meaning of hope and social support in patients receiving chemotherapy.

Research Approach: Descriptive, qualitative.

Setting: One ambulatory care oncology center in the midwestern United States.

Participants: 6 men and 8 women with a mean age of 63.6 years.

Methodologic Approach: Semistructured interviews were conducted while patients underwent chemotherapy. Interviewers asked open-ended questions to elicit each participant's personal meaning of hope and social support. Meticulous notes were taken during each interview. The data were analyzed with an editing style that used codes to sort and organize meaningful statements. The statements were categorized and themes were developed to give meaning to the data.

Main Research Variables: Hope and social support.

Findings: Four themes emerged during data analysis. Focusing on the Bigger Picture represented adaptation to the diagnosis and learning to live beyond it. Taking Cover in the Storm signified sheltering oneself from the negative aspects of cancer. Keeping It Normal signified participants' desire to continue activities as they had prior to their illness. Reaching Out/Not in This Alone illustrated the need to seek faith, treatment potential, and others, including healthcare providers, for hope and support.

Conclusions: Hope aids in overall health and well-being. Support from family, friends, and healthcare providers was valuable to participants as they dealt with their disease and treatment.

Interpretation: Hope and social support are multidimensional with individualized meanings. Healthcare providers can teach proactive strategies to shelter patients from the negative aspects of cancer and chemotherapy. Healthcare providers are valuable sources of support and hope for the patients in their care.

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    Polit, D., & Beck, C. (2004). Nursing research: Principles and methods (7th ed.). Philadelphia: Lippincott Williams and Wilkins.
    Rustoen, T., & Wiklund, I. (2000). Hope in newly diagnosed patients with cancer. Cancer Nursing, 23(3), 214-219.
    Saleh, U. S., & Brockopp, D. Y. (2001). Hope among patients with cancer hospitalized for bone marrow transplantation: A phenomenologic study. Cancer Nursing, 24(4), 308-314.
    Wilmoth, M., Tulman, L., Coleman, E. A., Stewart, C. B., & Samarel, N. (2006). Women's perceptions of the effectiveness of telephone support and education on their adjustment to breast cancer. Oncology Nursing Forum, 33(1), 138-144.
    Chen, M. (2003). Pain and hope in patients with cancer: A role for cognition. Cancer Nursing, 26(1), 61-67.
    Cutcliffe, J. R., & Herth, K. (2002). The concept of hope in nursing 1: Its origins, background and nature. British Journal of Nursing, 11(12), 832-840.
    Dirksen, S. R. (2000). Predicting well-being among breast cancer survivors. Journal of Advanced Nursing, 32(4), 937-943.
    Ebright, P. R., & Lyon, B. (2002). Understanding hope and factors that enhance hope in women with breast cancer. Oncology Nursing Forum, 29(3), 561-568.
    Esbensen, B. A., Osterlind, K., Roer, O., & Hallberg, I. R. (2004). Quality of life of elderly persons with newly diagnosed cancer. European Journal of Cancer Care, 13(5), 443-453.
    Felder, B. E. (2004). Hope and coping in patients with cancer diagnoses. Cancer Nursing, 27(4), 320-324.
    Herth, K. A. (2001). Development and implementation of a hope intervention program. Oncology Nursing Forum, 28(6), 1009-1016.
    Lincoln, Y., & Guba, E. (1985). Naturalistic inquiry. Beverly Hills, CA: Sage Publications.
    Lindholm, L., Holmberg, M., & Makela, C. (2005). Hope and hopelessness: Nourishment for the patients' vitality. International Journal for Human Caring, 9(4), 33-38.
    Makabe, R., & Nomizu, T. (2006). Social support and psychological and physical states among Japanese patients with breast cancer and their spouses prior to surgery. Oncology Nursing Forum, 33(3), 651-655.
    Papadopoulos, I., & Lees, S. (2004). Cancer and communication: Similarities and differences of men with cancer from six different ethnic groups. European Journal of Cancer Care, 13(2), 154-162.
    American Cancer Society. (2008). Cancer Statistics 2008 Presentation. Retrieved July 22, 2008, from
    Benzein, E., Norberg, A., & Saveman, B. I. (2001). The meaning of the lived experience of hope in patients with cancer in palliative home care. Palliative Medicine, 15(2), 117-126.
    Buckley, J., & Herth, K. (2004). Fostering hope in terminally ill patients. Nursing Standard, 19(10), 33-41.
    Flanagan, J., & Holmes, S. (2000). Social perceptions of cancer and their impacts: Implications for nursing practice arising from the literature. Journal of Advanced Nursing, 32(3), 740-749.
    Herth, K. A. (2000). Enhancing hope in people with a first recurrence of cancer. Journal of Advanced Nursing, 32(6), 1431-1441.