Introduction for Nursing Diagnosis: Willingness To Improve Hope
Nursing diagnosis Willingness To Improve Hope (WTIPH) is one of the 13 identified NANDA nursing diagnoses. It is related to the motivation of individuals to build and maintain hope as a part of their overall recovery plan. This nursing diagnosis can be used to provide assessment and supportive care to those experiencing serious illness, chronic physical and mental health concerns, grief, loss, and medical conditions that limit the ability to experience life fully.
Nursing Diagnosis Definition
Willingness To Improve Hope is defined by NANDA as “an individual’s intention and act of building, increasing, maintaining and protecting hope by choosing to accept, negotiate and engage in activities that bring a lower level of suffering.”
Defining Characteristics
Subjective:
- Desires to be hopeful
- Expresses thoughts of hope
- Expresses optimism
- Aware of sense of hope
Objective:
- Engages in conversations regarding positive feelings of hope
- Identifies positive aspects of situation
- Participates in activities with possibility for hope
- Maintains hope despite difficulties
- Chronic illness/disability
- Fear due to diagnosis
- Inability to control life situation
- Lack of self-efficacy
- Pain
- Physical symptoms
- Spiritual distress
Risk Population
Individuals at the highest risk for exhibiting this type of nursing diagnosis include those with chronic illnesses, those who are facing a terminal condition, those going through significant life changes, those living in poverty, those who have difficulty managing their lives and those who have experienced trauma or loss.
Associated Problems
The inability to build, increase, maintain and protect hope may lead to other problems such as increased physical and mental suffering, reduced energy to participate in activities, sense of hopelessness, reluctance to take action, fear and decreases in social interaction.
Suggestions for Use
The use of the Willingness To Improve Hope nursing diagnosis provides an ability to evaluate and provide supportive care for those manifesting characteristics of this diagnosis. This diagnosis can be applied to individuals of all ages who are experiencing a decline in their sense of hope.
Suggested Alternative Nursing Diagnoses
Other concepts that may be related may include but are not limited to:
- Powerless
- Hopelessness
- Ineffective Coping
- Chronic Low Self-Esteem
Usage Tips
This nursing diagnosis should be used in coordination with other nursing diagnoses, treatments and care plans to build a holistic view of the individual. Appropriate referral and follow-up can help to ensure that sufficient understanding and support is provided.
NOC Results
depending on level of care and treatment provided.
- Coping
- Hope
- Ineffective Coping
NIC Interventions
Depending on the individual's need, interventions may include but are not limited to:
- Enhance Coping
- Positive Reframing
- Problem Solving
- Verbalization of Feelings
Conclusion
The nursing diagnosis of Willingness To Improve Hope is an important concept to take into consideration when caring for an individual who has lost their sense of hope. As a primary nurse, it is essential to evaluate the individual for this diagnosis, develop an appropriate treatment and care plan, and ensure the individual receives appropriate referral and follow up wherein necessary to increase their sense of hope.
FAQ
- What is the nursing diagnosis Willingness To Improve Hope?
Willingness To Improve Hope is one of the 13 identified NANDA nursing diagnoses. It is related to the motivation of individuals to build and maintain hope as a part of their overall recovery plan. - What is the definition of Willingness To Improve Hope?
Willingness To Improve Hope is defined by NANDA as “an individual’s intention and act of building, increasing, maintaining and protecting hope by choosing to accept, negotiate and engage in activities that bring a lower level of suffering.” - What are the defining characteristics of this nursing diagnosis?
The defining characteristics are subjective desires to be hopeful, expressing thoughts of hope, expressing optimism and awareness of a sense of hope, as well as objective indicators like engaging in conversations regarding positive feelings of hope, identifying positive aspects of the situation, participating in activities with possibility for hope, and maintaining hope despite difficult times. - What populations are at higher risk of displaying this nursing diagnosis?
Individuals at a higher risk of displaying this nursing diagnosis include those with chronic illnesses, facing a terminal condition, going through significant life changes, living in poverty, and those that have difficulty managing their lives or have experienced trauma or loss. - What are some associated problems related to the inability to build, increase, maintain and protect hope?
The inability to build, increase, maintain and protect hope may lead to other problems such as increased physical and mental suffering, reduced energy to participate in activities, sense of hopelessness, reluctance to take action, fear and decreases in social interaction.
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