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Self-efficacy in the context of heart transplantation - a new perspective

Almgren, Matilda LU ; Lennerling, Annette; Lundmark, Martina LU and Forsberg, Anna LU (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
organization
publishing date
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
  • 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
2018-01-16 13:23:36
@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},
  volume       = {26},
  year         = {2017},
}