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Using self-efficacy as a client-centred outcome measure.

Gerry Fleming1, Maureen McKenna, Virginia Murchison

  • 1Soutra Day Unit, Herdmanflat Hospital, Haddington, East Lothian.

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|May 27, 2003
PubMed
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This study shows that self-efficacy, an individual's belief in their ability to control their life, improved in psychiatric patients after treatment. This suggests that psychiatric care can positively impact self-belief and life control.

Area of Science:

  • Psychiatry
  • Psychology

Background:

  • Self-efficacy, an individual's belief in their capacity to manage life domains, is a potential psychiatric outcome measure.
  • An audit assessed self-efficacy in 67 clients at an acute psychiatric day unit.

Purpose of the Study:

  • To evaluate the utility of self-efficacy as an outcome measure in psychiatric care.
  • To assess changes in self-efficacy among clients in an acute psychiatric day unit.

Main Methods:

  • Self-efficacy was measured using a 15-point questionnaire.
  • Measurements were taken at admission and discharge from the psychiatric day unit.

Main Results:

  • Self-efficacy was easily explained and measured in psychiatric clients.
  • A significant increase in self-efficacy was observed following treatment in the day unit.

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Conclusions:

  • The concept of self-efficacy is a viable and easily measurable outcome in psychiatric settings.
  • Improvements in self-efficacy suggest a positive impact of psychiatric day unit treatment on clients' self-belief and perceived control.