Hope language in patients undergoing epilepsy surgery.
Candidates for epilepsy surgery often use the word "hope" to express their attitudes and beliefs about surgery. However, studies suggest that hope has a multiplicity of meanings that are not well understood. The goal of this analysis was to evaluate whether Candidates for epilepsy surgery use hope language to express a traditional, expected optimism during presurgery interviews. We examined patients' uses of the word "hope" and its derivatives (hoping, hopeful, hopefully) through a secondary analysis of 37 interviews of adult patients prior to epilepsy surgery. Approximately 1/3 of all hope statements were coded as expressions of optimism, while 1/3 were not optimistic, and 1/3 had unclear meanings. In addition to traditionally optimistic uses of the term, other themes surrounding use of this word included ideas of dread, worry, uncertainty, and temporizing language. This information may help clinicians communicate more effectively with patients, enhancing the informed consent process for epilepsy surgery.
Cleveland Clinic's NeuroEthics Program, Cleveland, OH, USA.
D J
DJ
Patton
R M
RM
Busch
K M
KM
Yee
C S
CS
Kubu
J
J
Gonzalez-Martinez
P J
PJ
Ford
D000328:Adult; D000368:Aged; D004827:Epilepsy / Q000523:psychology* / Q000601:surgery*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007258:Informed Consent; D007802:Language; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods*; D010817:Physician-Patient Relations; D011795:Surveys and Questionnaires; D055815:Young Adult
Communication; Discursive analysis; Epilepsy surgery; Ethics; Expectations; Hope; Informed consent; Language; Patient-centered care; Qualitative research