Self-efficacy in the context of heart transplantation - a new perspective
(2017) In Journal of Clinical Nursing 26(19-20). p.3007-3017- Abstract
AIMS AND OBJECTIVES: An in-depth exploration of self-efficacy among heart transplant recipients by means of Bandura's self-efficacy theory.
BACKGROUND: An essential component of chronic illness management is self-management, which refers to activities carried out by people to create order, structure and control in their lives. Self-efficacy is an important aspect of self-management, which seems to have become the main paradigm for long-term management after solid organ transplantation.
DESIGN: A directed content analysis using Bandura's self-efficacy theory.
METHODS: Open-ended, in-depth interviews were conducted with 14 heart transplant recipients at their 12-month follow-up after heart transplantation.
RESULTS:... (More)
AIMS AND OBJECTIVES: An in-depth exploration of self-efficacy among heart transplant recipients by means of Bandura's self-efficacy theory.
BACKGROUND: An essential component of chronic illness management is self-management, which refers to activities carried out by people to create order, structure and control in their lives. Self-efficacy is an important aspect of self-management, which seems to have become the main paradigm for long-term management after solid organ transplantation.
DESIGN: A directed content analysis using Bandura's self-efficacy theory.
METHODS: Open-ended, in-depth interviews were conducted with 14 heart transplant recipients at their 12-month follow-up after heart transplantation.
RESULTS: This study generated the hypothesis that from the patients' perspective, self-efficacy after heart transplantation concerns balancing expectations to find the optimum level of self-efficacy. Performance accomplishment was found to have the greatest impact on self-efficacy, while its absence was the main source of disappointments. It was also revealed that the gap between performance accomplishment and efficacy expectations can be understood as uncertainty.
CONCLUSIONS: It is essential to assess both expectations and disappointments from the patient perspective in order to promote an optimum level of self-efficacy among heart transplant recipients. This includes supporting the heart recipient to adopt mental and physical adjustment strategies to balance her/his expectations as a means of minimising disappointments. The understanding that uncertainty can undermine self-efficacy is crucial.
RELEVANCE TO CLINICAL PRACTICE: The merging of the uncertainty in illness and self-efficacy theories provides an excellent framework for the provision of self-management support. In addition, focusing on a partnership between the transplant professionals and the recipient is essential because it minimises the use of a behavioural approach.
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- author
- Almgren, Matilda LU ; Lennerling, Annette ; Lundmark, Martina LU and Forsberg, Anna LU
- organization
- publishing date
- 2017-02-09
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Clinical Nursing
- volume
- 26
- issue
- 19-20
- pages
- 3007 - 3017
- publisher
- Wiley-Blackwell
- external identifiers
-
- pmid:27865026
- scopus:85012307068
- wos:000410546400018
- ISSN
- 1365-2702
- DOI
- 10.1111/jocn.13647
- language
- English
- LU publication?
- yes
- id
- a5ecede4-9e48-4066-ac12-d53a0601bf04
- date added to LUP
- 2017-02-15 11:09:55
- date last changed
- 2024-04-14 04:28:04
@article{a5ecede4-9e48-4066-ac12-d53a0601bf04,
abstract = {{<p>AIMS AND OBJECTIVES: An in-depth exploration of self-efficacy among heart transplant recipients by means of Bandura's self-efficacy theory.</p><p>BACKGROUND: An essential component of chronic illness management is self-management, which refers to activities carried out by people to create order, structure and control in their lives. Self-efficacy is an important aspect of self-management, which seems to have become the main paradigm for long-term management after solid organ transplantation.</p><p>DESIGN: A directed content analysis using Bandura's self-efficacy theory.</p><p>METHODS: Open-ended, in-depth interviews were conducted with 14 heart transplant recipients at their 12-month follow-up after heart transplantation.</p><p>RESULTS: This study generated the hypothesis that from the patients' perspective, self-efficacy after heart transplantation concerns balancing expectations to find the optimum level of self-efficacy. Performance accomplishment was found to have the greatest impact on self-efficacy, while its absence was the main source of disappointments. It was also revealed that the gap between performance accomplishment and efficacy expectations can be understood as uncertainty.</p><p>CONCLUSIONS: It is essential to assess both expectations and disappointments from the patient perspective in order to promote an optimum level of self-efficacy among heart transplant recipients. This includes supporting the heart recipient to adopt mental and physical adjustment strategies to balance her/his expectations as a means of minimising disappointments. The understanding that uncertainty can undermine self-efficacy is crucial.</p><p>RELEVANCE TO CLINICAL PRACTICE: The merging of the uncertainty in illness and self-efficacy theories provides an excellent framework for the provision of self-management support. In addition, focusing on a partnership between the transplant professionals and the recipient is essential because it minimises the use of a behavioural approach.</p>}},
author = {{Almgren, Matilda and Lennerling, Annette and Lundmark, Martina and Forsberg, Anna}},
issn = {{1365-2702}},
language = {{eng}},
month = {{02}},
number = {{19-20}},
pages = {{3007--3017}},
publisher = {{Wiley-Blackwell}},
series = {{Journal of Clinical Nursing}},
title = {{Self-efficacy in the context of heart transplantation - a new perspective}},
url = {{http://dx.doi.org/10.1111/jocn.13647}},
doi = {{10.1111/jocn.13647}},
volume = {{26}},
year = {{2017}},
}