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Study of hope in patients with critical burn injuries.

The purpose of this study was to determine which factors patients with critical burn injuries would identify as affecting their feelings of hope; specific attention was given to the influence of nursing actions on these feelings. The nonprobability purposive sample consisted of nine white male patients who had been admitted to a large burn center in the Southwest. Content analysis technique was used to determine the nursing behaviors that influenced the patients' levels of hope. Hope in this study is viewed as a dynamic process with past, present, and future dimensions. The majority of factors that subjects identified as affecting their levels of hope evolved from the present dimension. This study indicates that factors that affected each subject's level of hope were contingent upon where the patient was in the psychological recovery process that occurs after burn injury. Accordingly, the efficacy of specific nursing actions is contingent upon consideration of these same factors.