RNSystematic ReviewRevista da Escola de Enfermagem da U S P2026

Hope in working-age adults with irreversible vision loss: a scoping review.

Cátia Isabel Marranita Dos Santos Duarte, Ana Isabel Batalha Bicho, Mónica Figueiredo da Silva Bento and 2 others

PMID 42599291

WHAT IT FOUND

Working-age adults with irreversible vision loss linked hope to clear information about prognosis, support from others, and finding personal meaning.

The review did not test whether providing these supports improves hope.

Key findings

01Hope was linked to access to information, meaningful social support, and reconstruction of personal meaning.

02Hope was associated with perceived social support from friends, family, and significant others.

03Personal self-worth and positive meaning attributed to disability were associated with higher hope.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Only six studies were included, published between 2008 and 2022, so the map is small. The studies used different designs, settings, ages, causes of vision loss, and definitions of hope, so findings cannot be pooled or applied uniformly. Most included studies were qualitative or exploratory with small samples. They may not apply to all working-age adults with vision loss. The review found no intervention studies, so it cannot show that information, support, or follow-up improves hope or adaptation. Few studies followed people over time, so it does not show how hope changes after diagnosis.

The easy way to misread this

Do not conclude that giving patients information or support will improve hope or adaptation. This scoping review mapped associations and themes from six heterogeneous studies and did not test any intervention.

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