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Uncertainty after heart transplantation. A new perspective on self-efficacy and self-management.

Almgren, Matilda LU (2018)
Abstract (Swedish)
Background
Self-management is the main concept constituting the foundation of follow-up care after heart transplantation.
Self-efficacy is a foundation of self-management. Little is known about heart recipients’ experiences in relation to
self-efficacy and self-management after heart transplantation.
Aim
The overall aim of this thesis was to explore uncertainty and self-efficacy as important aspects of the lived experience
of heart recipients one year after heart transplantation.
Methods
Both an inductive and a deductive approach have been used in combination with qualitative research methods.
The study group consisted of 14 patients (I and II) who were due for their one year follow-up after heart
... (More)
Background
Self-management is the main concept constituting the foundation of follow-up care after heart transplantation.
Self-efficacy is a foundation of self-management. Little is known about heart recipients’ experiences in relation to
self-efficacy and self-management after heart transplantation.
Aim
The overall aim of this thesis was to explore uncertainty and self-efficacy as important aspects of the lived experience
of heart recipients one year after heart transplantation.
Methods
Both an inductive and a deductive approach have been used in combination with qualitative research methods.
The study group consisted of 14 patients (I and II) who were due for their one year follow-up after heart
transplantation. Interviews were performed and analysed by phenomenological hermeneutics (inductive) developed
by Lindseth & Norberg and directed content analysis (deductive) developed by Hsieh & Shannon.
Results
The meaning of uncertainty after heart transplantation involved: doubting survival, doubting the recovery process,
doubting one’s performance, struggling with close relationships, feeling abandoned and doubting the future. Uncertainty
emerges when the heart recipients are unable to ascribe meaning to illness-related events and might therefore be a
source of distress. Performance accomplishment, which comprises physical, social and mental aspects, was seen as
the main factor affecting self-efficacy after heart transplantation. Lack of performance accomplishment led to
disappointment and therefore our hypothesis was that self-efficacy after heart transplantation concerns balancing
expectations in accordance with realistic accomplishments.
Conclusions
Complications, setbacks and symptoms together with expectations are sources of uncertainty. Performance
accomplishment enables expectations to be met and might therefore constitute a source of uncertainty when
accomplishments are not achieved. Uncertainty can undermine performance and might thereby hamper selfefficacy
and self-management. (Less)
Abstract
Background
Self-management is the main concept constituting the foundation of follow-up care after heart transplantation.
Self-efficacy is a foundation of self-management. Little is known about heart recipients’ experiences in relation to
self-efficacy and self-management after heart transplantation.
Aim
The overall aim of this thesis was to explore uncertainty and self-efficacy as important aspects of the lived experience
of heart recipients one year after heart transplantation.
Methods
Both an inductive and a deductive approach have been used in combination with qualitative research methods.
The study group consisted of 14 patients (I and II) who were due for their one year follow-up after heart
... (More)
Background
Self-management is the main concept constituting the foundation of follow-up care after heart transplantation.
Self-efficacy is a foundation of self-management. Little is known about heart recipients’ experiences in relation to
self-efficacy and self-management after heart transplantation.
Aim
The overall aim of this thesis was to explore uncertainty and self-efficacy as important aspects of the lived experience
of heart recipients one year after heart transplantation.
Methods
Both an inductive and a deductive approach have been used in combination with qualitative research methods.
The study group consisted of 14 patients (I and II) who were due for their one year follow-up after heart
transplantation. Interviews were performed and analysed by phenomenological hermeneutics (inductive) developed
by Lindseth & Norberg and directed content analysis (deductive) developed by Hsieh & Shannon.
Results
The meaning of uncertainty after heart transplantation involved: doubting survival, doubting the recovery process,
doubting one’s performance, struggling with close relationships, feeling abandoned and doubting the future. Uncertainty
emerges when the heart recipients are unable to ascribe meaning to illness-related events and might therefore be a
source of distress. Performance accomplishment, which comprises physical, social and mental aspects, was seen as
the main factor affecting self-efficacy after heart transplantation. Lack of performance accomplishment led to
disappointment and therefore our hypothesis was that self-efficacy after heart transplantation concerns balancing
expectations in accordance with realistic accomplishments.
Conclusions
Complications, setbacks and symptoms together with expectations are sources of uncertainty. Performance
accomplishment enables expectations to be met and might therefore constitute a source of uncertainty when
accomplishments are not achieved. Uncertainty can undermine performance and might thereby hamper selfefficacy
and self-management. (Less)
Please use this url to cite or link to this publication:
author
supervisor
opponent
  • docent Almerud, Sofia, Växjö
organization
alternative title
Ovisshet efter hjärttransplantation : ett nytt perspektiv på self-management och self-efficacy
publishing date
type
Thesis
publication status
published
subject
keywords
Uncertainty in illness, Self-efficacy, Self-management, Heart Transplantation
pages
49 pages
publisher
Lund University, Faculty of Medicine
defense location
Hörsal 1, Health Science Centre, Baravägen 3 i Lund
defense date
2018-03-02 09:00
language
English
LU publication?
yes
id
b5868d08-1fd0-451e-9871-97dfdaff6b8b
date added to LUP
2018-02-12 09:40:46
date last changed
2018-02-16 13:23:48
@misc{b5868d08-1fd0-451e-9871-97dfdaff6b8b,
  abstract     = {Background<br>
Self-management is the main concept constituting the foundation of follow-up care after heart transplantation.<br>
Self-efficacy is a foundation of self-management. Little is known about heart recipients’ experiences in relation to<br>
self-efficacy and self-management after heart transplantation.<br>
Aim<br>
The overall aim of this thesis was to explore uncertainty and self-efficacy as important aspects of the lived experience<br>
of heart recipients one year after heart transplantation.<br>
Methods<br>
Both an inductive and a deductive approach have been used in combination with qualitative research methods.<br>
The study group consisted of 14 patients (I and II) who were due for their one year follow-up after heart<br>
transplantation. Interviews were performed and analysed by phenomenological hermeneutics (inductive) developed<br>
by Lindseth &amp; Norberg and directed content analysis (deductive) developed by Hsieh &amp; Shannon.<br>
Results<br>
The meaning of uncertainty after heart transplantation involved: doubting survival, doubting the recovery process,<br>
doubting one’s performance, struggling with close relationships, feeling abandoned and doubting the future. Uncertainty<br>
emerges when the heart recipients are unable to ascribe meaning to illness-related events and might therefore be a<br>
source of distress. Performance accomplishment, which comprises physical, social and mental aspects, was seen as<br>
the main factor affecting self-efficacy after heart transplantation. Lack of performance accomplishment led to<br>
disappointment and therefore our hypothesis was that self-efficacy after heart transplantation concerns balancing<br>
expectations in accordance with realistic accomplishments.<br>
Conclusions<br>
Complications, setbacks and symptoms together with expectations are sources of uncertainty. Performance<br>
accomplishment enables expectations to be met and might therefore constitute a source of uncertainty when<br>
accomplishments are not achieved. Uncertainty can undermine performance and might thereby hamper selfefficacy<br>
and self-management.},
  author       = {Almgren, Matilda},
  keyword      = {Uncertainty in illness,Self-efficacy,Self-management,Heart Transplantation},
  language     = {eng},
  note         = {Licentiate Thesis},
  pages        = {49},
  publisher    = {Lund University, Faculty of Medicine},
  title        = {Uncertainty after heart transplantation. A new perspective on self-efficacy and self-management.},
  year         = {2018},
}