Self-Efficacy Of Self Management Support In Health Care

When identifying uses and meanings of ‘self-care’, I first looked in a dictionary. The concept was defined in the Shorter Oxford dicitonary as, “Self-care (noun) taking care of one-self; self-interested behavior.” I searched the internet to get a generalized view of how the concept was being used and it was defined on Wikipedia as, “Self-care refers to actions and attitudes which contribute to the maintenance of well-being, personal health, and promotion of human developent.” I searched data bases for scholary peer reviewed articlew and retrieved limited amount of English articles on self-care. Key word searches consisted of self-care, self-care maintenance, and self-management. The definitions and uses of the concept were fairly broad. I narrowed the search to post-op patients and self-care. The two uses for the concept in the post op patient would be self-care of the post op patient and also supportive care to promote self-care of the post-op patient. The supportive care could be from a nursing system or a family member.

Dorthea E. Orem’s self-care model emphasizes both a patient 's ability and responsibility to care for themselves. Self-care as defined by Orem as “the practice of activities that individuals initiate and perform on their own behalf to maintain life, health, and well-being” (Catalano, 2015, p. 58). Since individuals function at varying levels, Orem has identified three levels of nursing care: wholly compensated care, partially compensated care, and supportive developmental care. This theories goal is to help each individual reach his or her maximum level of function and to take responsibility for his or her health (Catalano, 2015). Self-reliance is also core value in my own personal life. I believe that a person who is capable of performing any part of their own self-care should be encouraged to do so because it will help them become independent, improve their psychosocial status, and promote self worth at a time when they rely so heavily on other people for their care. Orem’s theory matches my own belief of the importance of independence and self-reliance because the main goal is to help patients become as self-reliant as possible in their healthcare. This theory emphasizes the important role of education in nursing in order to enable them to take control of their own health. Because of health deficits, some individuals may require more assistance from care providers. However, even these patients should be encouraged and allowed to do whatever they are able to do for

The theory focuses on the ability of a person to meet his or her own needs. Developed in the year 1970, Orem’s theory focused on the three various concepts, namely self-care, self-care deficit, and the nursing system. Self-care is a group of activities or processes that a person performs to maintain health, life, and wellbeing (Orem, 2001). For instance, self-care is being demonstrated when a chronic heart failure patient checks his or her weight daily, takes prescribes medications, and avoids salty foods. Self-care deficit happens when an individual is not able to provide effective self-care (Orem, 2011). Nurses are able to assist patients in this state by educating them with their disease condition and treatment compliance. A nursing

Leventhal’s model of self-regulation is based on the idea that each person forms a cognitive representation of their illness, which allows them to make sense of their symptoms. This illness perception and the patient’s emotional response then guide behaviour towards managing the illness (Leventhal et al., 1984). An illness perception is made up of five major components. These are illness identity, potential cause, timeline, its consequences and how it may be controlled. Often patients with similar diseases can hold very different perceptions of their illness (Petrie and Weinman, 2012). Clinical severity of the condition does not necessarily predict how a patient will cope. This essay will outline strengths and weaknesses of whether the model can be used to explain health outcomes and coping strategies, implement successful interventions and predict or even improve adherence to treatment. Finally, the importance of constructs not included in the model, such as social support, will be discussed. The essay will evaluate the model using examples of illnesses such as stroke, cancer, diabetes and asthma.

The aim of this essay is to consider approaches to promoting the self-management of a long-term condition. The focus will be linked to module content and based on a patient that I have provided nursing care for during my clinical practice. There will be a brief introduction of the patient and the context in which I was involved in their nursing care. The pathophysiology of the chosen LTC along with the related physical, psychological and social needs of the patient will be considered. There will be a discussion of principles of self-management that will link to national LTC policies. This will also include initiatives and analysis of the evidence of the underlying principles for an approach to providing self-management support, for the

Self care is essential to the nursing profession because it is a reflection on the quality of health care nurses provide to their patients, it portrays an image to the patients on what’s necessary towards healthy living and can help nurses battle with stress and personal health. Self care can be expressed as taking care of ones self’s health and overall wellbeing. This can be shown through eating healthy, exercising daily, getting enough sleep and completing weekly activities to reduce stress. Improving your overall health can benefit nurses from overworking themselves and help minimize the affects certain stressors can have on them. By doing so, the overall atmosphere in the workplace and the quality of healthcare provided to the patients will be greatly improved.

A patient centered approach is an important element in promoting self-efficacy as it encourages patients to participate in their care and become part of the decision making (Eich, Kiss, Langewitz & Wossmer, 1998). When the patient is excluded from the discussion and decision making of the nursing staff it makes room for a loss of opportunity by the patient for health promotion and self-efficacy. Patients’ perceptions of their level of self-efficacy could either augment or interfere with their health teaching learning abilities. As cited by Kaşıkçı, M. (2011) a central concept in Bandura’s theory (1997), self-efficacy is defined as the degree of confidence that individuals have in their ability to perform specific activities successfully.

Readmission cost alone account for 37.2 billion dollars annually and without intervention to could increase by 120% by the year 2030 (Schell 2014. In order to prevent these astronomical increases in cost it is imperative that health care strategies focus on reducing readmissions. The literature supports that many readmissions are preventable through self- management, which is described by Sterne, Grossman, Migliardi & Swallow (2014) as “the degree to which individuals can obtain, process, and understand basic health information and services needed to make appropriate health decisions” p. 321. Self-management guidelines are well documented to impact patient outcomes, however there are many noted barriers preventing maximum efficacy in disease control such social

The Conceptual-Theoretical-Empirical (CTE) structure for this evidence based project (EBP) highlights the importance of self-management from a self-regulation and health promotion standpoint. The conceptual component of the CTE framework for this EBP refers to a set of relatively abstract ideas that address the phenomenon of clinical interest to the project as well as to the discipline of nursing. The concept of interest for this EBP is self-management (SM). Improvements in self-management (SM) as a result of an evidence based depression care management intervention will be assessed.

A large number of Hispanics do not speak English and this means that communication is largely in their local Spanish dialect. For the Spanish-speaking Hispanic population with T2DM, communication of self-management practices can only be successful with the use of Spanish language. Prior to the assessment of the knowledge and health behavior between this group and other using English speaking self-management, a consideration of what passes, as self-management is important. Chodosh and Morton (2005) define self-management as a systematic intervention that requires the patient to be actively involved in the physiological processes associated with self-monitoring and decision making that affects the patient’s health. The projection by Chodosh and Morton (2005) is that self-management involves patient and provider collaboration where there is an enabling of problem-solving skills that are important to the patient’s ability to maintain self-care. From this definition, self-management is therefore seen as an approach towards ensuring that the patient is not highly reliant on the provider with regards to the care

The authors indicate that the intention of all these new systems/strategies is to increase the available programs for sustaining self-management. Another purpose is the establishment and employment of a series of interferences that make use of new media to amplify evidence-based strategies of patient intervention and assessment that previously have occurred within the medical setting rather than the everyday environments in ways that are complimentary to the age, lifestyle and cultural setting of a patient. The basis for the new interference is that

Results from this systematic review showed that SMEPs seem to have a positive impact in COPD patients. SMEPs can improve HRQoL, self-efficacy, COPD knowledge, and decrease health care use (COPD-related hospitalization and ED visits) in patients with COPD. Therefore, the studies demonstrated improvement of self-management behavior in COPD patients for a long period of time after the self-management education.

The model is concerned with the provision and management of self-care. A requirement for nursing exists when a person is unable to maintain for him/herself self-care action which is therapeutic in sustaining life and health, recovering from disease and injury or coping with their effects. Meet own needs through nutrition, fitness, hygiene, rest and relaxation, interpersonal relationships, meaningful work, spiritual practices, prevention and health promotion practices

This study aims to know if the proposed intervention, using a video presentation or an interactive computer based learning module, is better than the usual care, using paper-based education materials on improving self-care and treatment compliance which is the designated outcome of the study.

Orem’s Self-Care Theory lays the foundation to measure self-care maintenance, management, and confidence. The framework of Orem’s theory contributes an optimistic patient view to their own personal healthcare and the goal of nurses, and the independent function of their patients. The identification of nursing as a science and an art are identified as well as its boundaries, and serve as unique contributions to nursing. The research that Orem completed was designed to measure self-care deficits and the quality of life to help determine the correlation between both (Seed & Torkelson, 2012).