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Self-Efficacy in People With Chronic Disease: An Evolutionary Concept Analysis
Diana Achury-Saldaña1,2, María Mercedes Duran De-Villalobos3, Alejandra Fuentes-Ramirez3
1School of Nursing, Pontificia Universidad Javeriana, Bogotá, Colombia.
This study clarifies self-efficacy in chronic disease patients, identifying key attributes and antecedents. Enhanced understanding can improve patient self-care and quality of life through targeted interventions.
Area of Science:
- Health Sciences
- Nursing Research
- Psychology
Background:
- Self-efficacy is crucial for managing chronic diseases.
- Existing literature lacks a clear, unified definition of self-efficacy in this context.
Purpose of the Study:
- To clarify the concept of self-efficacy for individuals with chronic diseases.
- To identify the core attributes, antecedents, and consequences of self-efficacy.
Main Methods:
- A systematic literature search was conducted in PubMed, Scopus, and OVID databases (Jan 2018-Nov 2023).
- Rodgers' Evolutionary Method of Concept Analysis was applied to 30 peer-reviewed articles.
Main Results:
- Five core attributes of self-efficacy were identified: motivation, individual perception, judgment, direct experience, and self-regulation.
- Key antecedents include educational level, social modeling, and health literacy; consequences impact quality of life and adherence.
- Self-efficacy consistently predicts self-care and treatment adherence in chronic disease management.
Conclusions:
- This concept clarification provides a foundation for developing targeted educational interventions for nurses.
- Identified attributes and antecedents can guide interventions to enhance patient decision-making and problem-solving.
- Future research should focus on developing a validated scale for assessing self-efficacy in chronic disease patients.
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