title: Exploring hope and healing in patients living with advanced non-small cell lung cancer.
abstract: OBJECTIVE
  To explore the experience and meaning of hope in relation to the healing process of patients living with stage IIIb or IV non-small cell lung cancer.
  
  
  METHODS
  Interpretative qualitative study design.
  
  
  METHODS
  Peter Brojde Lung Cancer Centre in the Jewish General Hospital in Montreal, Quebec, Canada.
  
  
  METHODS
  12 English- and French-speaking patients, aged 36-78 years.
  
  
  METHODS
  One 60-90-minute semistructured interview per participant was conducted. An inductive approach to data analysis was taken, involving immersion in the data, coding, classifying, and creating linkages.
  
  
  RESULTS
  Four main themes emerged: (a) the morass of shattered hope, (b) tentative steps toward a new hope paradigm, (c) reframing hope within the context of a life-threatening illness, and (d) strengthening the link between hope and wellness.
  
  
  CONCLUSIONS
  Patients described a process where hope was diminished or lost entirely, regained, and reshaped as they learned to live and grow following their diagnosis.
  
  
  CONCLUSIONS
  This study adds to the literature by describing the dynamic nature of hope as well as factors facilitating or hindering the hope process. It demonstrates how finding meaning, a structural component of healing, can be used to envision a new hopeful future. This study suggests hope and healing cannot exist in isolation, and highlights the importance of understanding the fluctuating nature of hope in patients with advanced lung cancer to foster it, therefore promoting healing.
authors.affiliation: Jewish General Hospital, Montreal, Quebec, Canada.
authors.forename: Chloe
authors.initials: C
authors.lastname: Eustache
authors.affiliation: Jewish General Hospital, Montreal, Quebec, Canada.
authors.forename: Emily
authors.initials: E
authors.lastname: Jibb
authors.affiliation: Integrative Oncology Nursing, Montreal, Quebec, Canada.
authors.forename: Mary
authors.initials: M
authors.lastname: Grossman
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D002289:Carcinoma, Non-Small-Cell Lung / Q000451:nursing / Q000523:psychology*; D004644:Emotions; D005260:Female; D065026:Hope; D006801:Humans; D007406:Interview, Psychological; D008175:Lung Neoplasms / Q000451:nursing / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D010361:Patients / Q000523:psychology*; D036301:Qualitative Research; D011788:Quality of Life; D011792:Quebec; D012959:Socioeconomic Factors; D013315:Stress, Psychological; D035502:Trust
keywords: healing; hope; meaning