title: The concept of "the will to thrive" in mental health.
abstract: Mental health nursing is focused on patients moving along the continuum between failing and thriving in terms of emotional functioning. This differs dramatically from a medical model of disease/cure. A variety of nursing theorists have both directly and indirectly identified the importance of patient's "will to thrive" although this term has never been used. Peplau spoke of self-efficacy and self-esteem. Barrett's model focuses on the patient's participation in their own recovery as a key component. This article explores the concept, akin to failure to thrive in infants, of the will to thrive in the chronically ill and its role in assessment and nursing intervention. A particular emphasis on the importance of patient responsibility is identified as vital to the process of true change.
authors.affiliation: University of Southern Maine, School of Nursing, Portland, Maine 04104, USA.
authors.forename: Cassandra
authors.initials: C
authors.lastname: Powers
authors.forename: Valerie A
authors.initials: VA
authors.lastname: Hart
authors.forename: Mona
authors.initials: M
authors.lastname: Shattell
authors.forename: Tony
authors.initials: T
authors.lastname: MacCulloch
mesh_terms: D002908:Chronic Disease; D061218:Depressive Disorder, Treatment-Resistant / Q000451:nursing / Q000523:psychology; D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000451:nursing* / Q000523:psychology*; D009042:Motivation; D009723:Nurse-Patient Relations; D009730:Nursing Assessment; D009742:Nursing Theory; D011568:Psychiatric Nursing; D011613:Psychotherapy; D055500:Resilience, Psychological; D012649:Self Concept; D012803:Sick Role; D012941:Social Responsibility; D014836:Volition; D055815:Young Adult