The Journey of Hope from Diagnosis to the Future among Children with Leukemia.

Abstract

Despite the important role that hope plays in the well-being of children with cancer, there is a lack of appropriate knowledge about the process of developing hope in children living with leukemia. To explore the process of developing hope among Iranian children with leukemia. A qualitative study using the grounded theory method was conducted at the Tehran Medical Center Hospital in Iran. Theoretical sampling was used, and the study included 23 children with leukemia, aged 6 to 12 years. Data were collected through interviews and arts-based participatory techniques with children with leukemia. The process of developing hope in children with leukemia begins with the experience of receiving a cancer diagnosis and progresses as they give meaning to the treatment process. They encounter hopeful resources throughout the disease and treatment process, which allows them to develop their inner beliefs and move towards restoring hope for the future. Findings on the components of hope formation can inform supportive interventions for children with cancer and their families, as well as guide healthcare professionals and care systems in improving care practices. Such approaches offer promising pathways to promote the physical, psychological, spiritual, and social well-being of children living with leukemia. Cancer nurses can support children's hope by facilitating meaningful relationships, recognizing signs of recovery valued by children, involving families in care, and creating supportive environments.