The Theory Of Self Efficacy By Albert Bandura Essay

The lack of knowledge and confidence of obtaining a manual blood pressure is an ever growing issue in the healthcare field. This paper will outline the importance of taking a manual blood pressure accurately. Providing the proper blood pressure measurement can determine a patient’s care and outcome when in a healthcare facility. I will talk about the pros and cons of manual blood pressures and personal experience of this vital skill in the healthcare field. I will also provide some simple but effect ways to increase confidence and knowledge by just basic education. All of my information and numbers will be supported by using references and studies in the use of manual blood pressure monitoring.

The participants in the home-based educational interventions will be encouraged to purchase automated home blood pressure monitoring devices. All the patients will use similar devices and will be taught how to take BP readings and record the readings correctly. A registered nurse will visit the patients on a weekly basis to validate the BP monitoring techniques and review the recorded BP readings. The participants will also be educated on the importance of adherence to medications even when HTN symptoms seem under

Self-efficacy, for the purpose of this study, may be defined as a person’s optimistic self-belief. This is the belief that a person can develop the skills to perform new or difficult tasks to cope with changes in health and functioning. When a person perceives self-efficacy, it will facilitate goal-setting, effort, investment, persistence, overcoming obstacles and recovery from disappointments and failures. It can be regarded as a positive outlook or proactive way to handle stress factors. It is the ability to successfully cope with health changes, and implies an internal and stable acceptance of changes and ability to successfully adapt to those changes. Perceived self-efficacy is functional in

Efficacy is defined as the ability to produce the desired result (“Efficacy,” n.d.). One way to establish efficacy is to test the knowledge of the health care providers. The blood pressure program will be ineffective if the providers lack HTN knowledge. The author will plan to evaluate fluctuations in employee knowledge, attitudes, and viewpoints about blood pressure screening and control. Furthermore, the health care team members need to understand how to measure a manual blood pressure adequately. Accurate blood pressure readings will facilitate more validity in the results (CDC, 2014). Efficiency distinctly represents the ability to accomplish tasks in the least amount of time and effort (“Efficiency,” n.d.). Measurement tools used for determining efficiency will be proper staffing, working equipment, various sizes of blood pressure cuffs, and acceptable space for the program. Quality is the characteristic or feature that something possesses (“Quality,” n.d.). Trained health care providers will aid the program in obtaining good quality. Also, new sphygmomanometer that are calibrated and education pamphlets will serve as increasing the quality of the program.

Bosworth, Olsen, Grubber, Powers, and Oddone (2012) conducted a three-arm randomized controlled trial to determine the differences in AAs and Caucasians in two self-management hypertension interventions (N=636; non-whites n=328, and whites n=308). The subjects were randomly placed in the usual care (UC), home BP monitoring (HBPM), a tailored behavioral self-management intervention (TBSMI), and the two groups combined (TBSMI + HBPM). Data collection was done at the initiation of the research, 12 months, and 24 months from the control and intervention groups. BP results on whites at the baseline and intervention groups did not differ, but there was significantly reduction in the systolic BP of 7.5 mm Hg in AAs. This study denotes that a home BP monitoring in combination of nurse-administered telephone behavioral intervention was most effective in BP control in AAs.

Also, to improve patient compliance with medications, both the providers took extra time with the patient to clarify concerns. Additionally, a home BP monitoring system was installed to generate automatic BP readings to monitor improvements in blood pressure. Despite having well-planned processes, some hindrances happened due staff call-ins and home BP monitoring failure. Overall, in this cycle, a 10 to 15% improvement was observed in all four ramps (See Figure. 4).

A weighing scale and a blood pressure monitor is wirelessly connected to a phone, which automatically transmits information to data center. The portability of the device gave patient more freedom and mobile. The study showed an improvement with self-maintenance (TM > UC, p=0.03) and better compliance with therapy; which then lead to improved quality of life QOL (TM > UC, p = 0.05). There is also an improvement in post- study in BNP decreased by 150 pg/mL (p = 0.02); LVEF increased by 7.4% (p = 0 .005); Self-care maintenance increased by 7 points (p = 0.05); management increased by 14 points (p=0.03); while the UC did not. No differences between the TM and UC in terms of hospitalization, mortality, or ER

The HBP-SCP is an English questionnaire containing 60 items categorized into 3 components that assess behavior, motivation and self-efficacy, that can be self-administered. A 4-point ordinal scale is used in each of the questions. Questions start with the phrases "(1) how often do you do; (2) how important you think it is to do; and (3) how confident are you in doing a particular task?" (Koh et al., 2016, p. 2). This questionnaire was specifically designed to addresses the primary aspects of hypertension self-care and management which are lifestyle modification, medication adherence, BP self-monitoring, regular visit to healthcare provider and reducing stress (Han, Lee, Commodore-Mensah, & Kim, 2015; Koh et al., 2016). This tool has construct and concurrent validity, and has been validated in the African-American population with age ranging from 30-95, 76.1% female and 61.5% High School education using 213 samples (Koh et al., 2016). A test-retest reliability assessment was done on this tool using 160 English-literate Asian population, out of which 71 completed the test-retest. The assessed scale had high internal consistency: the reliability coefficient was 0.83-0.93 using Chronbach's Alpha statistic

According to the Centers for Disease Control and Prevention (CDC) (as cited in Kear, 2015), hypertension is a common, long term health condition that affects over one billion people worldwide and 76.4 million adults in the United States. Hypertension is classified as having a systolic blood pressure of or greater than 130 mmHg and a diastolic blood pressure of or greater than 90 mmHg (Kear, 2015, p. 182). As a nurse you will encounter many patients that are hospitalized with hypertension and co-morbidities related to. As this is a chronic disease, patient compliance, prognosis, and future healthcare cost are contingent upon treating this issue as it can significantly affect the patient overall health status. Hypertension is a “silent killer” as many people are living with hypertension and are unaware of having this disease process. The cause of hypertension may be multi dynamically related to lifestyle risk factors such as, diet, exercise, familial history, stress, occupation, and the list goes on. Managing hypertension is a multifaceted approach as it consists of a collaboration with multiple healthcare providers the doctors, nurses, dietitian, the patient, the family, as well as other environmental factors that affect compliance and adherence (Kear, 2015). Hypertension can lead to several debilitating diseases such as heart attack, stroke, blindness, kidney failure just to name a few and it should be monitored and treated early to prevent any

The design for this capstone project consisted with the wishes and suggestions provided from the aggregates themselves. It was requested that electronic blood pressure monitors be available for easy access and are user friendly. They requested if a poster or a flyer would be available for them to have a point of reference regarding their numbers.

Reduction in hypertension (two or more readings within the normal range) plus improved patient self-efficacy

The table was set up with blood pressure cuffs, stethoscopes, and brochures with the explanation of normal blood pressure ranges and high blood pressure ranges. Also, the information of the free clinic was provided if the readings of the clients were higher than average. The brief teaching session was delivered by nursing student explaining why blood pressure screenings are essential, what signs and symptoms may appear with high blood pressure and what complications may be with untreated blood pressure. As a complimentary for the participation homeless men obtained a toothbrush with

The career decision-making self-efficacy (CDMSE) assessment, evolved from Albert Bandura’s theory of self-efficacy (Betz & Taylor, 2001). The CDMSE test results, considers one’s confidence level as it pertains to education progress and career development (Betz & Taylor, 2001). Bandura speculated there is a strong relation between one’s ability to become successful and exercise competency, with the amount of confidence and the extent to which one perceives themselves as capable (Behrend & Howardson, 2015). Personally, this theory supports what I have found to be true with education and life experience.

I am a Doctor of Nursing Scholar at Chamberlain College of Nursing, I am currently preparing for my DNP Capstone Project on hypertension management in an outpatient setting. I am writing to you to request permission to use your tool: Hypertension Self-Care Profile for which you hold the copyright.

Through defining self-efficacy it involve a person’s judgment about being able to complete particular task on their own and informs the belief of a student’s idea in saying “I can” or “I cannot” (net). There is always a confusion in between the two terms of self-esteem and self-efficacy, the differences between these two is when self-esteem is how an individual feel about their worth or value and self-efficacy is the confidence of an individual’s performance within specific class activities (net). In order to understand if a student has a low sense of self-efficacy towards class activities is determined through their avoidance of their interaction towards an assigned task, whereas with high self-efficacy students they are more likely to engage