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Self‐efficacy in the context of heart transplantation – a new perspective

Author

Listed:
  • Matilda Almgren
  • Annette Lennerling
  • Martina Lundmark
  • Anna Forsberg

Abstract

Aims and objectives An in‐depth exploration of self‐efficacy among heart transplant recipients by means of Bandura's self‐efficacy theory. Background An essential component of chronic illness management is self‐management, which refers to activities carried out by people to create order, structure and control in their lives. Self‐efficacy is an important aspect of self‐management, which seems to have become the main paradigm for long‐term management after solid organ transplantation. Design A directed content analysis using Bandura's self‐efficacy theory. Methods Open‐ended, in‐depth interviews were conducted with 14 heart transplant recipients at their 12‐month follow‐up after heart transplantation. Results This study generated the hypothesis that from the patients’ perspective, self‐efficacy after heart transplantation concerns balancing expectations to find the optimum level of self‐efficacy. Performance accomplishment was found to have the greatest impact on self‐efficacy, while its absence was the main source of disappointments. It was also revealed that the gap between performance accomplishment and efficacy expectations can be understood as uncertainty. Conclusions It is essential to assess both expectations and disappointments from the patient perspective in order to promote an optimum level of self‐efficacy among heart transplant recipients. This includes supporting the heart recipient to adopt mental and physical adjustment strategies to balance her/his expectations as a means of minimising disappointments. The understanding that uncertainty can undermine self‐efficacy is crucial. Relevance to clinical practice The merging of the uncertainty in illness and self‐efficacy theories provides an excellent framework for the provision of self‐management support. In addition, focusing on a partnership between the transplant professionals and the recipient is essential because it minimises the use of a behavioural approach.

Suggested Citation

  • Matilda Almgren & Annette Lennerling & Martina Lundmark & Anna Forsberg, 2017. "Self‐efficacy in the context of heart transplantation – a new perspective," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(19-20), pages 3007-3017, October.
    • Handle: RePEc:wly:jocnur:v:26:y:2017:i:19-20:p:3007-3017
    DOI: 10.1111/jocn.13647
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    References listed on IDEAS

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    1. Nuño, Roberto & Coleman, Katie & Bengoa, Rafael & Sauto, Regina, 2012. "Integrated care for chronic conditions: The contribution of the ICCC Framework," Health Policy, Elsevier, vol. 105(1), pages 55-64.
    2. Martina Lundmark & Lena‐Karin Erlandsson & Annette Lennerling & Matilda Almgren & Anna Forsberg, 2016. "Health transition after lung transplantation – a grounded theory study," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(15-16), pages 2285-2294, August.
    3. Kang‐Hua Chen & Li‐Chueh Weng & Sheuan Lee, 2010. "Stress and stress‐related factors of patients after renal transplantation in Taiwan: a cross‐sectional study," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(17‐18), pages 2539-2547, September.
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    1. Marita Dalvindt & Shahab Nozohoor & Annika Kisch & Annette Lennerling & Anna Forsberg, 2020. "Symptom Occurrence and Distress after Heart Transplantation—A Nationwide Cross-Sectional Cohort Study," IJERPH, MDPI, vol. 17(21), pages 1-13, November.
    2. Michela Luciani & Emanuela Rossi & Paola Rebora & Michael Stawnychy & Davide Ausili & Barbara Riegel, 2021. "Clinical and Socio-demographic Determinants of Self-care Maintenance, Monitoring and Management in US Adults with Type 2 Diabetes Mellitus," Clinical Nursing Research, , vol. 30(3), pages 285-292, March.
    3. Catharina Lindberg & Matilda Almgren & Annette Lennerling & Anna Forsberg, 2020. "The Meaning of Surviving Three Years after a Heart Transplant—A Transition from Uncertainty to Acceptance through Adaptation," IJERPH, MDPI, vol. 17(15), pages 1-11, July.

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