Date of Award

5-2004

Document Type

Thesis

Degree Name

Master of Science (MS)

Abstract

The purpose of this study was to explore the therapeutic benefit oflaughter for the body, mind and spirit of hospice patients, and how hospice healthcare professionals perceive humor and if they find it as a beneficial therapy. This study identified the healthcare professionals' thoughts of humor use and perceived facilitators and barriers to its use. There are many opportunities for healthcare providers to use humor. Humor has been viewed as a social lubricant in situations that involve conditions associated with the physical, the psychological, and the sociological aspects of life. In order to understand humor and laughter, it should be observed as a unit which integrally interacts to create a whole-humor and laughter.

An author designed semi-structured questionnaire was used in this qualitative, descriptive study. Ten hospice healthcare professionals in a metropolitan upper Midwest agency were interviewed to explore their perceptions. Constant comparative analysis data through triangulation was utilized. Analysis of the data showed that 80% of the sample responded to the use of humor therapy as an intervention. Beneficial reasons healthcare providers stated for using humor were: to have more connectedness with the client and family members; bonding was stronger by more personal one- on -one relationship; and relief of stress were used as a coping mechanism. Noted barriers to humor were the seriousness of hospice, and the appropriate versus inappropriate use to remember to respect others and be sensitive to the client's needs and wishes. It was found that 90% of the sample stated they would be willing to learn more about holistic therapies such as the use of humor, indicating an educational need. The strongest facilitator was becoming aware of the client's and family members humor. Healthcare providers should follow the client and family leads and cues by watching and listening.

Identification of the healthcare professionals' perceptions as well as the barriers and facilitators has provided the researcher with valuable information about the intervention of humor therapy in this setting. To facilitate use and enhance patient care with this technique, it is recommended that further education be provided within this setting.

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