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Self-efficacy literature review
Multidisciplinary approach to patient care
Short notes on self efficacy
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The impact of educational in-home videos on self-care behaviors in patients with heart failure has not been well studied. Veroff and colleagues (2012) conducted a study that included a Living with Heart Failure DVD and accompanying booklet to assess whether or not in-home videos would increase self-care in patients with heart failure. It was concluded that the DVD and booklet had a positive impact on patient’s self-care behaviors. Patient educational aids in DVD format are a more economical form of disease management, delivery compared to in-person, clinician led programs. Having a DVD and booklet is less costly and puts a lasting source of evidence-based information directly in the patient’s hands. The average cost of a multidisciplinary …show more content…
Self-efficacy theory was developed by Albert Bandura in the 1970s. This theory explores the person’s awareness of their abilities. Bandura’s model says there are 3 factors that influence self-efficacy: behaviors, environment, and personal or cognitive factors. They all affect each other. Self-efficacy develops from mastery of experiences in which goals are achieved through perseverance and overcoming obstacles and from observing others succeed. Therefore, the ability to learn and master objectives may influence aspirations, level of motivation, and overall accomplishments (Bandura, …show more content…
A provider’s overall perception of their knowledge related to heart failure may influence their willingness to teach the principles needed for the patients, leading to either a better or poorer outcome for the patients. In contrast, if the provider believes himself or herself to have mastery of the heart failure principles, they will be more willing to share this knowledge, which will result in better outcomes for the patients. The same is true with the patient’s self-care knowledge. If the patients are knowledge about their self-care needs the outcomes will be better. In contrast, if they lack the knowledge their outcomes will be poor, which will lead to increased hospital
The NHS Outcomes Framework has five standard domains which is set out to improve the quality and outcome of care and services that is being delivered to the patients and service users (National Quality Board, 2011). As such, this project plan is focused on domain 2 as it has been mentioned before, is based on improving the quality of people with long term conditions. Nurses will give cardiac discharge advice to patients on self care, thus identifying how to improve and manage their condition so that they can continue with their normal lifestyle. Furthermore patients will be advised on how to overcome stress and depression which will help them in maintaining the activities of living (DoH, 2013).
The systematic review indicated (1) ‘Case management interventions were associated with reduction in all-cause mortality at 12 months follow up, but not at six months’. (Takenda, et al, 2012) The systematic review also went on to state that while case management interventions were not associated with reduced mortality, case management interventions were indicated to reduce the occurrence of patients presenting to hospital with exasperations of chronic heart failure. The benefits of case management based interventions were apparent after 12 months had lapsed. Six of the twenty five studies assessed (2) heart failure clinics, and the evidence for this intervention was less convincing with the review stating ‘there was no real difference in all-cause mortality, readmissions for HF or between patients who attended a clinic and those who received usual care’. (Takenda, et al., 2012)
The symptoms of heart failure can be treated in several ways depending on the severity of illness. In early stages, non-invasive strategies such as life style changes, including diet and exercise, are usually recommended (Dumitru, 2015). These non-pharmacologic therapies include dietary sodium and fluid restriction, physical activity as appropriate, and attention
I believe knowledge is an important factor to empower the patients about heart failure care and nurses spend nearly 24 hours a day with hospitalized patients; therefore, nurses can be patient advocates by reinforcing teaching. Most importantly, I believe that catering to the patient’s individual needs and establishing a good nurse-patient relationship enhances trust and learning which in the long run, is very beneficial to both nursing practice and the quality of life of the patient. Overall, what I discovered about heart failure is that there is no simple solution in preventing heart failure hospital readmission. Even with the recommended evidence-based practice suggestions, hospital readmission rates for HF still seem to remain high throughout the country.
Also, Bandura focused on self-efficacy. Self-efficacy means that the individual will feel as if they are worthy of the best (Schultz & Schultz, 2013). “People low in self-efficacy feel helpless, unable to exercise control over life events” (Schultz & Schultz, 2013, p. 338). Although Antwone joined the navy, he was still haunted by his past. His models taught him to not enjoy being intimate with anothe...
Annotated Bibliography Bandura, A. (1977) The 'Secondary' of the 'Secondary' of the 'Secondary' of the Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191-215. Bandura is the first to bring about the concept of self-efficacy. This article presents the concept, four characteristics, and origins of self-efficacy.
Scottish Intercollegiate Guideline Network (SIGN) 95 (2007): Management of Chronic Heart Failure (Online). Available at: http://www.sign.ac.uk/pdf/sign95.pdf (Accessed 8th June 2010)
The unpredictability of the disease makes the assistance of partners important in the care of patients with heart failure. The support from partners or family members contribu...
As opposed to the 19th century where the prevalence of preventable infectious disease was the leading cause of mortality, we face a new challenge today: decreasing the occurrence of chronic diseases such as cardiovascular disease, cancer, and strokes. Overwhelmingly so, cardiovascular disease remains the number one killer in the United States. This can be attributed to the state of poor psychological health and poor behavioral choices promoted by a variety of biological, psychological, and social influences. A healthier lifestyle is linked to a longer lifespan and better quality of life for an individual, so in order to promote a healthier lifestyle the dangers and risks of everyday life must be recognizable and approachable. Current questions I want to answer is; What is the most effective heart disease prevention, onset, and intervention methods? Looking through the biopsychosocial model scope is useful because it is a recent and practical framework to implement and operationalize.
The study compared two groups, those receiving intensive education and those with limited counseling regarding their disease. The authors concluded that the patients who received in depth information about their disease were more motivated to maintain a healthy life-style and thus improve outcomes. The importance of this research to my position is to continue to give in-depth educational information about patient disease, risk factors, and to involve them in controlling their health since motivation is a key factor in achieving improved
Katzenstein, Larry, and Ileana L. Pinã. Living with Heart Disease: Everything You Need to Know to Safeguard Your Health and Take Control of Your Life. New York: AARP/Sterling Pub. Co, 2007. Print.
... patients with heart failure: Impact on patients. American Journal of Critical Care, 20(6), 431-442.
According to the Healthy People Database, in 2010 the aging population was estimated at 40 million, this number is expected rise to nearly 70 million by the year 2030 (National Center for Health Statistics, 2000). At the forefront of health concerns for this aging population will be the intervention, management and treatment of chronic diseases. This increase in both this specific population as well as the required medical care will place a significant amount of stress on an already distressed healthcare system, which in turn will affect the availability of recourses and costs. Including patients in their self care with strategic health promotion such as encouragement and education geared towards specific socioeconomic groups will be more cost effective and beneficial in the management of chronic disease. Studies indicate that patients involved in self management of disease processes often have better patient outcomes.
The Dutch Heart Failure Knowledge Scale is the tool that will be utilized to assess knowledge retention. It is a 15-item questionnaire that can be self-administered. T...
The concept of self-efficacy is grounded in Bandura’s (1977) social learning theory. Bandura (1994) defines perceived self-efficacy as “people’s beliefs about their capabilities to produce efforts” (p. 71). In essence, one having strong self-efficacy experience increase in motivation, accomplishment, and personal well-being ( Bandura, 1994). Those with a low sense of self-efficacy, on the other hand, often suffer stress and depression; unbelieving of their capabilities and often succumbed to failure (Bandura, 1994).