00185 Willingness To Improve Hope

Domain 6: self -perception
Class 1: self -concept
Diagnostic Code: 00185
Nanda label: disposition to improve hope
Diagnostic focus: hope
Approved 2006 • Revised 2013, 2020 • Evidence level 3.2

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « disposition to improve hope ” is defined as: pattern of expectations and desires to mobilize energy to achieve positive results, or avoid a potentially threatening or negative situation, which can be reinforced

Definite characteristics

  • Expresses desire to improve the ability to set attainable objectives
  • Express desire to improve trust in possibilities
  • Expresses desire to improve congruence between expectations and the objective
  • Expresses desire to improve deep inner strength
  • Expresses desire to improve and receive care
  • Expresses desire to improve and receive love
  • Expresses desire to improve the initiative
  • Expresses desire to improve the involvement in self -care
  • Express desire to improve the positive perspective in life
  • Expresses desire to improve problem solving to achieve objectives
  • Express desire to improve the feeling of meaning of your life
  • Expresses desire to improve spirituality

Suggestions of use

  • This diagnosis can be used for both healthy patients and sick patients. It must be distinguished between this label and the disposal to improve power. Provide to improve hope implies that the person believes that there are solutions to their problem and that they want to improve their ability to solve problems, as well as ensure that their objectives and expectations are realistic. Willingness to improve power focuses more on the ability to choose and get involved in making changes.
  • The willingness to improve spiritual well -being and the willingness to improve religiosity are not as broad as this diagnosis, which is partly defined by the desire to improve aspects of spirituality.

Suggested alternative diagnostics

  • Spiritual well -being, disposition to improve the
  • Power, disposition to improve the
  • Religiosity, willingness to improve

NOC Results

  • Beliefs on health: perception of the ability to act: Personal conviction that one can carry out a certain behavior on health
  • Hope: Optimism that is personally satisfactory and promoter of life
  • Spiritual health: connection with themselves, with others, with a superior power, with life, nature and the universe, which transcends the self and gives it power
  • Decision making: ability to judge and choose between two or more alternatives

Evaluation objectives and criteria

  • The patient expresses improvement in hope, as evidenced by the improvement in decision -making, beliefs on health, perception of the ability to act and hope of spiritual health
  • It demonstrates improvement in decision making, which is manifested through the following indicators (specify from 1 to 5: severely, substantially, moderately, slightly or not compromised): pondera and choose between different alternatives
  • Show greater hope, as evidenced by the following indicators (specify from 1 to 5: never, rarely, once, often, usually):
    • Express faith, will to live, reasons to live, meaning of life, optimism, and faith in itself and in others
    • Show desire to live
  • Other examples

    The patient will be able to:

    • Identify personal strengths
    • Report duration and sleeping pattern appropriate for mental and physical recovery
    • Demonstrate an appropriate mood and affection
    • Maintain or improve your hygiene and hygiene
    • Demonstrate greater interest in social and personal relations
    • Show interest or satisfaction with the achievement of life objectives

    NIC Interventions

    • Clarification of values: Help another person to clarify their own values ??in order to facilitate good decision making
    • Support in decision making: facilitation of information and support to a patient who makes a decision regarding their health
    • Support for personal change: reinforcement of self -directed change, initiated by the patient to achieve personal importance objectives
    • Facilitation of spiritual growth: facilitation of growth in the patient’s ability to identify, relate and resort to the source of meaning, purpose, comfort, strength and hope in their life
    • Inspiration of hope: Facilitation of the development of a positive perspective in a given situation

    Nursing Activities


    • Evaluate the ability to make decisions
    • Evaluate nutrition: intake and body weight
    • Evaluate spiritual needs
    • Determine how appropriate are relationships and other social support

    Patient and family education

    • Provide information on community resources, such as community and social agencies, personal improvement classes, classes to reduce stress, psychological advice
    • (NIC) Inspiration of hope: teach to recognize reality when evaluating the situation and preparing contingency plans

    Collaboration activities

    • Channel to spiritual advice, if this is acceptable to the patient
    • (NIC) Inspiration of hope: offer the patient and family the opportunity to participate in support groups


    • Promote active participation in group activities to offer social support and problem -solving opportunities
    • Program time with the patient to offer opportunities to explore coping measures
    • Offer positive feedback, when suitable
    • Explore with the patient their spiritual sources
    • Recommend some outdoor time every day; In the case of hospitalized patients, place the bed near the window
    • (NIC) Inspiration of hope:
      • Help the patient and his family identify areas of hope in his life
      • Demonstrate hope by recognizing the intrinsic value of the patient and considering his illness only as a particular facet
      • Help the patient expand their spiritual being
      • Perform a guided review of experiences or memories, if it is considered appropriate
      • Do not hide the truth
      • Involve the patient actively in his self -care
      • Promote therapeutic relationships with the closest people

    At home

    • All previous interventions are appropriate for home care
    • Evaluate and facilitate family communication
    • If the patient must remain in bed, place it in an area close to family activities
    • Suggest outdoor activities, such as gardening
    • Promote participation in the Church and other community activities

    Babies and Children

    • Instruct parents about realistic expectations regarding the age of their children
    • Promote participation in school activities

    Older people

    • Identify losses that could make it difficult to improve hope
    • Help patients recognize and face emotional responses to identified losses
    • Suggest activities such as dance, music, art
    • Recommend some form of daily exercise, based on the abilities and interests of the patient
    • Use domestic animals, if possible