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The purpose of this study was to explore the processes of hope in informal caregivers of palliative patients. Interviews were conducted with caregivers who were living with and currently providing care to a palliative patient at home. Saturation was reached with 10 caregivers, five females and five males, from 2 cities in Saskatchewan, Canada. <p>The design of this qualitative study was Glasers (2001) grounded theory. Broad, unstructured face to face audio taped interviews were conducted in the participants homes. Interviews were transcribed verbatim and analyzed using constant-comparative method of analysis in order to identify the main concern of the participants related to hope, and the basic social processes used to resolve that concern. <p>Eroding hope was the main concern relating to hope during caregiving for a palliative patient. Eroding hope was a result of bad days, negative messages, and experiences with the health care system. The participants deal with eroding hope by using the basic social process of hanging on to hope. Hanging on to hope has 4 sub-processes: a)doing what you have to do, b)living in the moment, c)staying positive, and d)writing your own story. The support of friends, family, and health care professionals and connecting with something bigger and stronger were sub-processes of hanging on to hope that together directly affect the other sub-processes.<p>The findings of this study have direct application for the care and support of informal caregivers providing palliative care at home, as a basis for assessment and interventions that will assist caregivers to hang on to hope. Nurses and other health care professionals need to recognize and value the experience of hope for caregivers by addressing, teaching, and reinforcing the sub-processes and ways of hanging on to hope into their practice.

The purpose of this study was to explore the processes of hope in informal caregivers of palliative patients. Interviews were conducted with caregivers who were living with and currently providing care to a palliative patient at home. Saturation was reached with 10 caregivers, five females and five males, from 2 cities in Saskatchewan, Canada. <p>The design of this qualitative study was Glasers (2001) grounded theory. Broad, unstructured face to face audio taped interviews were conducted in the participants homes. Interviews were transcribed verbatim and analyzed using constant-comparative method of analysis in order to identify the main concern of the participants related to hope, and the basic social processes used to resolve that concern. <p>Eroding hope was the main concern relating to hope during caregiving for a palliative patient. Eroding hope was a result of bad days, negative messages, and experiences with the health care system. The participants deal with eroding hope by using the basic social process of hanging on to hope. Hanging on to hope has 4 sub-processes: a)doing what you have to do, b)living in the moment, c)staying positive, and d)writing your own story. The support of friends, family, and health care professionals and connecting with something bigger and stronger were sub-processes of hanging on to hope that together directly affect the other sub-processes.<p>The findings of this study have direct application for the care and support of informal caregivers providing palliative care at home, as a basis for assessment and interventions that will assist caregivers to hang on to hope. Nurses and other health care professionals need to recognize and value the experience of hope for caregivers by addressing, teaching, and reinforcing the sub-processes and ways of hanging on to hope into their practice.

<p> Triassic sandstones form rapidly eroding cliffs around much of the Minas Basin, Nova Scotia. The sand eroded from these cliffs is one major source of the modern intertidal sands. Wave erosion of the cliffs locally produces a small sand beach at the high tide level. </p> <p> Eight samples were examined using the Scanning Electron Microscope: two from the Triassic sandstones, and six from the high-tide beach below the cliffs. All samples contained rounded, as well as subrounded and subangular, quartz grains in the 0.5 - 1.00 mm size fraction. As the samples originated in the cliffs, abrasion by strong tidal currents cannot account for the rounded grain shape. </p> <p> All grains studied had suffered some degree of diagenesis in the form of a precipitation coat. This was generally thicker on the rounded grains than on the more angular ones. The Triassic sandstone grains generally illustrated upturned plates, semiparallel steps, conchoidal breaks and a fine V-shaped pattern. The high beach grains illustrated upturned plates, V-shaped patterns, conchoidal breaks, greater rounding of featu res present and arc-shaped steps. Wehrfritz (1973) studied quartz grains from intertidal sand bars in the Minas Basin. He concluded that grains were considerably rounded by intertidal processes, and the frequency of V-shapes increased with grain roundness. </p> <p> Although some rounding of the beach sands was inherited, wave and tidal action aided in rounding the features further. The initial rounding of the sand grains within the sandstones may have occurred during periods in the Triassic when they were exposed to wind or reworked in the lakes. </p> / Thesis / Bachelor of Arts (BA)