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

Artikel i vetenskaplig tidskrift
Författare Matilda Almgren
Annette Lennerling
Martina Lundmark
Anna Forsberg
Publicerad i Journal of clinical nursing
Volym 26
Nummer/häfte 19-20
Sidor 3007–3017
ISSN 1365-2702
Publiceringsår 2017
Publicerad vid Institutionen för vårdvetenskap och hälsa
Sidor 3007–3017
Språk en
Länkar dx.doi.org/10.1111/jocn.13647
www.ncbi.nlm.nih.gov/entrez/query.f...
Ämnesord chronic illness management;content analysis;heart transplantation;patient perspective;qualitative;self-efficacy;self-management;uncertainty
Ämneskategorier Omvårdnad

Sammanfattning

An in-depth exploration of self-efficacy among heart transplant recipients by means of Bandura's self-efficacy theory.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.A directed content analysis using Bandura's self-efficacy theory.Open-ended, in-depth interviews were conducted with 14 heart transplant recipients at their 12-month follow-up after heart transplantation.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.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.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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