“…The power of hope through attributes such as future orientation, inner strength and endurance, the ever-present nature of hope, and the willpower to maintain hope through physical illness are themes identified by patients one year after sustaining a spinal cord injury (Lohne & Severinson, 2006). The meaning and importance of hope and caring practice to nurture hope for people in the Dominican Republic was explored using Leininger's four phase approach to conducting ethnographic research and analyzing data (Holt, 2000;Holt & Reeves, 2001). Themes abstracted from the data included hope as an essential life force, God as the primary source of hope, hope as supported by relationships, working together, economic resources and hard work, and hope resulting in energy, accomplishments, and happiness.…”