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1

Greene, Dorothy, Mary Mullins, Paul Baggett, and Donna Cherry. "Self-Care for Helping Professionals: Students' Perceived Stress, Coping Self-Efficacy, and Subjective Experiences." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/7646.

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Little has been published regarding BSW students' perceived stress, coping self-efficacy, and self-care. A preexperimental study, with one qualitative question, was used to determine the effects of a self-care course on students' perceived stress scores (PSS), coping self-efficacy scores (CSES), and subjective experiences. Nineteen undergraduate students participated. Mean age of participants was 25, 90% were female, and most were Caucasian. The average CSES was 161.42 (SD=41.57) at pretest and 180.72 (SD=34.97) at posttest. A statistically significant difference in mean scores was found (t=−2.109, p=.05). The average PSS was 17.58 (SD=8.50) at pretest and 14.83 (SD=5.607) at posttest. Students' subjective experiences with the course were positive, and 79% noted that their understanding of self-care changed. Despite the small sample and lack of diversity, the study's contribution is noteworthy. To the authors' knowledge, this is the first study to examine the impact of a 3-credit course on self-care for BSW students.
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Irizarry-Fonseca, Lesley Odette. "Foster care parents' perceptions of their foster care youth's self-efficacy beliefs." Diss., University of Iowa, 2011. https://ir.uiowa.edu/etd/2718.

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Every year, thousands of children end in foster care. It is estimated that approximately 24,000 foster youths age-out of the system each year. The improvement of outcomes of foster youths when they age-out of the system has been a concern among government agencies, policy makers, and advocates. Although research in the foster care area has studied the outcomes of foster youths when they age-out of the system, the role of the foster parents in improving these outcomes, especially in the area of career development, has not received the same attention. The purpose of this study was to explore the perception of foster parents of youths with and without disabilities about their foster youth's career self-efficacy beliefs. A total of 157 foster parents registered in the Iowa Foster and Adoptive Parents Association (IFAPA) and Nebraska Foster and Adoptive Parent Association (NFAPA) email databases responded to an online survey. The survey included a demographic questionnaire which presented questions about the extent of their role as foster parents and the Career Decision Making Self-Efficacy Scale - Short Form (CDMSE-SF) that measured the foster parents' perception of the career self-efficacy of their foster youth. After conducting a MANOVA and ANOVA analyses, a highly perceived self-efficacy belief was found among the foster parents in general. However, when the group of foster parents who reported having a youth with disability and those who do not have a youth with disability were compared, the perceived career self-efficacy beliefs were higher among the foster parents of youths without disabilities. Additionally, the foster parents identified services and/or training they understand are important for them and the foster youth such as more orientation about disabilities, the parent's role in Individual Educational Plan (IPE) meetings, and the opportunity for the foster youth of having employment experience before they leave the foster care system. Considering the important role of the family in the career development of youths and the development of expectations, these findings are important not only to the rehabilitation counseling professionals, but to many individuals in the helping professions, educators, researchers, and policy makers.
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Ferguson, Pam Adkins Amee. "Transcultural self-efficacy in graduating nursing students." Normal, Ill. : Illinois State University, 2007. http://proquest.umi.com/pqdweb?index=0&did=1414124091&SrchMode=1&sid=2&Fmt=2&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1205255176&clientId=43838.

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Thesis (Ph. D.)--Illinois State University, 2007.
Title from title page screen, viewed on March 11, 2008. Dissertation Committee: Amee Adkins (chair), Zeng Lin, Dianne Gardner, Jacklyn Ruthman. Includes bibliographical references (leaves 122-127) and abstract. Also available in print.
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4

Kidd, Lisa. "An exploration of patients' perceived control, self efficacy and involvement in self care during chemotherapy for colorectal cancer." Thesis, University of Stirling, 2007. http://hdl.handle.net/1893/307.

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This thesis describes a three year study which explored perceptions and experiences of being involved in self care and perceptions of control and self-efficacy over time amongst patients receiving a six month course of chemotherapy treatment for colorectal cancer. The study was underpinned by Leventhal’s Self Regulation Model and aimed to explore how patients undergoing chemotherapy for colorectal cancer perceived the meaning of self care, what they did as part of their self care in managing the effects of their treatment and whether this changed between the beginning and end of their six month course of chemotherapy. The study also set out to explore the relationship between patients’ perceptions of control and self efficacy and their involvement in self care. The study adopted a patient focussed, mixed method, longitudinal approach for complementarity and expansion purposes in which the qualitative findings formed the focus of the investigation, supplemented by the quantitative findings. This was important to provide a greater breadth and range to the study and to obtain a realistic understanding of patients’ perceptions and experiences of being involved in self care during their six month course of chemotherapy treatment and the influence of their perceptions of control and self efficacy on their involvement in self care. Thirty one patients participated in the study and data were collected using qualitative semi structured interviews (with a subsample of patients who participated in the study) and quantitative questionnaires (Illness Perception Questionnaire-revised and the Strategies Used by People to Promote Health) and prospective self care diaries with the full study sample. Data were collected at several time points over the course of patients’ chemotherapy treatment (beginning, middle and end of treatment) and were analysed and integrated in accordance with Tashakkori and Teddlie (1998)’s guidance for integrating qualitative and quantitative findings in a mixed methods study. The study findings revealed that the use of a mixed method, longitudinal study design was a valuable approach for understanding patients’ involvement in self care during chemotherapy for colorectal cancer and the influence of factors, such as their perceptions of control, on their subsequent involvement in their self care. In particular, the principal findings suggested that self care held a range of meanings to the patients in this study. Principally, patients’ self care consisted of two components; physical self care, carried out to manage the physical impact of undergoing treatment, and emotional self care, carried out to manage their emotional response to being diagnosed with, and undergoing treatment for, cancer. The findings suggested that there was no association between patients’ perceptions of control and the degree of self care that they carried out identified in the quantitative analysis. However, in the qualitative analysis, it was revealed that patients’ perceptions of control were likely to influence their attitudes towards their active involvement in self care and the importance with which they viewed this role. In particular, patients who considered themselves to have a high degree of control during their treatment were more likely to believe that they could limit the impact of the treatment through their own actions, that being actively involved in their self care was important and were interested in taking on this role, and that they would use a greater range of self care strategies in helping to manage the impact of their treatment. Conversely patients who considered themselves to have a lower degree of control during their treatment were less likely to believe that they could limit the impact of the treatment through their own actions, that their active involvement in self care was important and were less likely to expect to take on an active role, preferring to leave the management of treatment-related effects to health professionals, whom they regarded as being the “experts”. The findings from this study have implications for nursing practice because they reinforce the importance of the listening to the patient’s experience and how this approach can contribute to a fuller and more accurate understanding of how patients become involved in their self care and the factors that influence this. This is important so that nurses can provide holistic care, tailored to meet their patients’ self care needs and preferences, and to encourage partnership working between patients, nurses, allied health professionals and other agencies in promoting involvement in self care. The findings also have implications for theories relating to self care in emphasising the importance of patient centred models of care and for Leventhal’s Self Regulation Model in adding further support for the components of the model yet also offering a greater understanding of how the model fits with patients’ emotional responses to the effects of illness and its’ treatments. Finally, the study findings have implications for future research, calling for further research to focus on the meaning of constructs such as self care and control from the patients’ perspective and to further explore the use of the mixed methodology in researching and understanding patients’ involvement in self care and the factors that influence this.
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5

Dzenis, Haralds (Jack). "Effectiveness of Health Promotion Interventions Upon High Risk Lifestyle Behaviours of Adult Clients of Health Benefits Organisations." Queensland University of Technology, 2004. http://eprints.qut.edu.au/16068/.

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Over the past 100 years the average life span of humans has increased in developed countries. Mortality rates have changed because of the virtual eradication of infectious diseases, such as polio and smallpox, and the increase in chronic diseases. Chronic diseases, such as coronary heart disease, are related to lifestyle behaviour, a factor over which the individual has some control. Matarazazo (1984) believes that 'behavioural pathogens are the key to understanding health behaviours of the individual and subsequently designing more effective methods of dealing with chronic disease and illness. Fries (1980) suggests another approach to dealing with chronic disease, through the strategy of 'compressed morbidity'. This refers to the postponement of chronic infirmity relative to average life duration. By achieving compressed morbidity, it is expected that health costs will decrease and improvement of quality of life will occur. This may be possible in at least two ways: firstly, by self-empowerment of the individual and secondly by the development of health self-efficacy. Thus giving the individual the power to act upon certain health-damaging behaviours as well as the confidence to influence behavioural change and persistence to cope with difficulties whilst the process of change is occurring. Thirdly, as a result of this, behaviour changes will occur and this would lead to a reduction in health cost which would be of overall benefit to the community. One method of reducing these health care costs is through health promotion and health education. Improvements in health knowledge and skills through health education and health promotion has been shown to facilitate changes in lifestyle and so reduce the incidence of various diseases. This study examined the effectiveness of two types of self-care models, health self-care and medical self-care. Health self-care refers to individuals assuming more responsibility for prevention, detection and the treatment of health problems using self-care information. Medical self-care involves the use of General Practitioners (GP) offering advice to their patients and subsequently patients making informed decisions about their health. The health self-care model Healthtrac, attempts to provide an effective use of the Australian health care system. Healthtrac is an information and skills based mail delivery program designed to assist individuals in elevating their perceptions of health self-efficacy and improve their lifestyle behaviours. Better Health is the medical self-care model which is designed with the perspective that GP's are the best suited as the initiators of change in individual health self-care. Participants (N = 864) are adult males and females. The methodology for this study involved 864 high risk of chronic disease participants who have been identified using the Healthtrac Health Risk Assessment (HRA) instrument. There were (n = 343) participants in the health self-care group, (n =66) in the medical self-care group and (n = 455) in the control group. This instrument was designed to identify individuals who have or are at high risk of developing chronic disease. These participants were part of the Better Health promotion program of a Health Insurance company. All the participants received a letter of advice detailing the presence of certain risk factors as determined by their health risk appraisal. They were requested to visit their local GP who recommended the necessary behavioural changes and medical support required for medically satisfactory outcomes. They were encouraged to follow the advice of the GP and received a second HRA after 6 months and again12 months after the start of the project. The Healthtrac component of the study involved 343 subjects who completed the HRA instrument. Participants in this group were matched with the Better Health subjects for variables such as age, gender, employment, disease or lifestyle and educational level. Baseline impact variables were calculated and compared with the same variables at 6 monthly intervals during the 12 month period of the study. Process variables such as user satisfaction were determined by a questionnaire. Investigation of the Health Benefits Organisation records were used to gather data on the number of claims for hospitalisation and other medical costs. A control group of 455 participants were matched with the same variables as those participants in the health self-care model and medical self-care groups. The analysis of results indicate that variables such as number of doctor's visits, days spent in hospital and total risks scores for the health self-care model were lower than the Medical model scores. The variable, cost of disease findings indicate that there were no significant differences between the two experimental groups, from the baseline data (Q1) to the 12 month period (Q3). The cost of diseases for heart disease was able to be lowered more by participants in the health self-care than the medical self-care model. The opposite occurred for the blood pressure condition. The health self-efficacy questionnaire results indicate that the health self-care group participants reported higher self-efficacy scores, therefore they were more confident about the self-management of their health behaviours than the members of the medical self-care group. No significant differences occurred among the experimental and control groups on such variables as achievement of outcomes and management of disease on self-efficacy scores. Both experimental groups, health self-care and the medical self-care model philosophies have strengths and weaknesses. Health self-care provides health information and support through printed materials whereas the medical self-care model provides health information through GP's. Both health promotion programs are important in making the individual aware of methods needed to improve health and in developing the knowledge necessary to modify clients health behaviours. This in turn is an important factor in the reduction of medical costs and the prevention of some diseases.
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Chang, Su Hsien. "Testing the Self-Care Self-Efficacy Enhancement Program Aimed at Improving BADL Performance for Chinese Nursing Home Elders." Diss., The University of Arizona, 2006. http://hdl.handle.net/10150/195446.

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The purpose of this study is to test a theory-based intervention program to reverse excess disability of nursing homes elders in Taiwan. The program called the Self-Care Self-Efficacy Enhancement Program (SCSEEP) was derived from Social Cognitive Theory and Theory of Conformity with Nature. The program was tested by an experimental, two-group, pre-post design with forty-two qualified subjects, recruited from the two nursing homes located in the southern Taiwan. The subjects were randomly assigned to one of the two groups: the experimental group (n = 21) and the comparison group (n = 21). Subjects in the experimental group, who were aged from 73.8 to 94.7, received the SCSEEP. Subjects in the comparison group, who were aged from 71.2 to 95.6, received six-week social visits. Statistical data analysis showed that the following pair-variables were positively correlated: 1) life satisfaction and self-esteem, 2) life satisfaction and motivation, 3) self-esteem and motivation in health behavior, 4) self-esteem and levels of BADL performance, and 5) motivation in health behavior and levels of BADL performance. It also was found that elders receiving the SCSEEP significantly improved in most self-care abilities, after controlling for baseline BADL performance. However, the SCSEEP did not significantly affect elders' life satisfaction, self-esteem, and motivation in health behavior. This study provides a theory-based caring model for Chinese nursing home elders in improving their BADL performance if SCSEEP is provided.
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7

Matthie, Nadine. "Sickle Cell Disease: The Role of Self-Care Management." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4538.

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Abstract Sickle cell disease is the most common genetic disorder in the United States. Approximately 90% of the hospitalizations in this patient population occur due to the most common complication, pain crises. Prevention of these crises is therefore essential and requires the patient to assume an active role in his or her disease management. Studies suggest that further research is needed to examine the self-care management process and to identify factors influencing self-care behaviors. The relationships among these factors must be clearly defined before interventions to improve self-care management can be determined. The aims of the study were threefold. The first aim was to evaluate the relationships among psychosocial variables (SCD self-efficacy and social support) and socio-demographic variables (age, gender, education, employment status, income, and living situation) in understanding individual differences in self-care management variables (perceived self-care ability and self-care actions). It was hypothesized that higher SCD self-efficacy, greater social support, being employed, living with family or friends, increased age, more years of education, higher income, and being male are each associated with having higher perceived self-care ability and more frequent self-care actions. The second aim was to evaluate the relationships among psychosocial variables (SCD self-efficacy and social support), socio-demographic variables (age, gender, education, employment status, income, and living situation), and self-care management variables (perceived self-care ability and self-care actions) in understanding hospital visits for crises. It was hypothesized that higher perceived self-care ability and more frequent self-care actions are associated with fewer hospital visits for crises. The third aim was to evaluate the mediational role of perceived self-care ability and self-care actions in the relationships among psychosocial variables (SCD self-efficacy and social support), socio-demographic variables (age, gender, education, employment status, income, and living situation), and the number of hospital visits for crises. It was hypothesized that SCD self-efficacy, social support, and the socio-demographic variables have both a direct and an indirect relationship with the number of hospital visits for crises. In 103 young Black adults (ages 18-30) with sickle cell disease (SCD), an exploratory , correlational study was conducted, via secondary analysis of data, to examine the relationships among SCD self-efficacy, social support, socio-demographic variables, self-care management (self-care ability and self-care actions), and the number of hospital visits for crises. Bivariate correlations and regression analyses were conducted to evaluate the relationships among the variables and to examine the mediational role of self-care management. Sickle cell disease self-efficacy, social support, years of education, and income were significantly related to perceived self-care ability and self-care actions. Social support accounted for the majority of the variance in each self-care management variable. The hypothesis that higher SCD self-efficacy and greater social support are associated with higher perceived self-care ability and more frequent self-care actions was supported. Education was also associated with higher perceived self-care ability and self-care actions as hypothesized. The overall model with SCD self-efficacy, social support, years of education, income, perceived self-care ability, and self-care actions was not significant in predicting the number of hospital visits for crises. There were no significant associations noted among age, annual household income, living situation, employment status, and the self-care management variables. The hypothesis that higher perceived self-care ability and more frequent self-care actions are associated with fewer hospital visits for crises was not supported. Further, there was no adequate evidence to support a direct relationship between SCD self-efficacy, social support, years of education, and the number of hospital visits for crises. The indirect relationship, through self-care management, among the variables was also non-significant. There was however a significant direct relationship noted between income and the number of hospital visits for crises. The outcomes of the study may be important for clinical care, patient education, and health outcomes in the SCD population. Findings may be used to conduct larger confirmatory studies and to develop interventions that may be used to supplement therapy in the clinical setting and to enhance patient self-care management at home. Additional studies are needed, however, to clarify what additional variables may affect the number of hospital visits for crises and to identify specific pain prevention and management strategies used by SCD patients.
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Bordelon, Lori D. "Follow-Up Phone Calls Improving Self-Care Efficacy in Heart Failure Patients." Thesis, University of Louisiana at Lafayette, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10163307.

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The goal of the project was to implement best-practice guidelines for adults with heart failure (HF) receiving home care. Heart failure is incurable, but can be managed when healthcare providers use evidence-based treatment guidelines and patients comply with routine follow-up and practice a healthy lifestyle. Providing access to care for the elderly in the form of a structured telephone call program to monitor self-care efficacy related to adherence to medication and other treatments and therapies is associated with reduced HF symptoms and improved quality of life. This project implemented a phone call follow-up program to evaluate and improve self-care efficacy in adults with heart failure by monitoring compliance, providing education, and focusing on key indicators of HF symptom exacerbation. The Self-Care of Heart Failure Index (SCHFI) was used in weekly phone calls for a total of 10 weeks. Using the SCHFI tool provided structure and included key best practice content areas with scripting to enhance consistency. The project participants were adults age > 65 year old patients receiving care through a home health care team in central Louisiana who had an established diagnosis of heart failure.

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Perez, Rivera Alina Susana. "Dietetic Preceptors’ Perceived Knowledge and Self-Efficacy Toward the Nutrition Care Process." The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1338332456.

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10

Konstantinos, Kevin. "Self-Care Management of African American Men with Type 2 Diabetes." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4930.

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African American men are disproportionately affected by type 2 diabetes and have a 3 times higher rate of 3 serious complications of diabetes, including blindness, amputations, and end-stage renal disease, compared to other groups. The purpose of this project was to address the gap-in-practice disparity that exists in care of African American men with diabetes by providing one-on-one self-care management education in an outpatient clinic setting. The behavior change theories that supported the project intervention were Orem's self-care theory and Bandura's self-efficacy theory. Employing a quasi-experimental design, 33 participants between the ages of 40 and 65 were divided into an intervention group (n = 18) and a comparison group (n = 15) by self-selection. Only participants in the intervention group received the diabetes self-care education program. Both groups completed pretest and the posttest questionnaires that collected demographic data and data from the Summary of Diabetes Self-Care Activities, the Diabetes Knowledge Test, and the Self-Efficacy for Diabetes tool. Statistically significant differences between the groups were found in the posttest scores of self-care activities, diabetes knowledge, and self-efficacy. The differences can most likely be attributed to the diabetes education intervention. This project demonstrated that diabetes self-care management education can be provided effectively in the clinic office setting, making diabetes education more available to and accessible for patients who need it most. Integrating diabetes self-care education into primary care providers' offices has the potential to address the gap-in-practice that exists for African American men with type 2 diabetes and contribute to social change by preventing disease progression.
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Mir, Faisal. "The role of self-efficacy and attachment style : support of dietary self-care in adults with type 2 diabetes." Thesis, University of Birmingham, 2009. http://etheses.bham.ac.uk//id/eprint/452/.

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This thesis is submitted in order to meet the academic requirements for the award of Doctorate in Clinical Psychology, from the School of Psychology, University of Birmingham. This thesis is presented in two volumes, which comprises of a research component (Volume I) and clinical practice reports from five clinical placements (Volume II). Volume I This volume comprises of two parts. The first part is a theoretical review which evaluates empirical papers examining major depressive disorder (MDD) within a cognitive framework. A tentative model based upon a diathesis-stress framework is postulated which may account for the high prevalence of depression in type 2 diabetes. This paper was prepared for submission to the journal Diabetes/ Metabolism Research and Reviews. The second part is an empirical study which investigates self-efficacy and attachment style upon support of dietary self-care activities in people with type 2 diabetes and their spouse. This paper was prepared for submission to the journal Psychology and Health. Volume II Volume II comprises of four Clinical Practice Reports (CPR) and an abstract which summarises an oral presentation, assessed as the fifth and final CPR. The psychological models CPR presents the case of an 18-year-old male with a mild learning disability who was referred for treatment in relation to his social phobia. The report draws upon a cognitive-behavioural and psychodynamic model to formulate the case. The single-case experimental design CPR presents a functional analysis of a five-year old girl with cerebral palsy referred for challenging behaviour, to the community psychology learning disability service. A behavioural formulation is described and subsequent intervention implemented. The efficacy of the intervention is examined by utilising a split middle analysis. The small scale service-related project CPR investigates ward atmosphere, activity levels, and quality of life within a forensic in-patient setting. National service standards as stipulated by the Department of Health were drawn upon to evaluate the service. The case study CPR reports on the assessment, formulation, and cognitive-behavioural intervention of an 11-year old girl presenting with post-traumatic stress disorder symptoms. The fifth CPR describes an assessment, formulation, and cognitive-behavioural intervention of a 71-year old man presenting with a major depressive episode.
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O'Brien, Julia Ann. "The Relationships Among Health Literacy, Stigma, Self-efficacy, Self-care, and Health Outcomes in Patients with Sickle Cell Disease." Case Western Reserve University School of Graduate Studies / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=case1619721246113378.

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Gaffney, Mary Kathryn. "Critical Care Nurses' Perceptions of Their Knowledge and Self-Efficacy About Providing End-of-Life Care." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/886.

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Most nurses receive limited formal education regarding end-of-life (EOL) care, which affects their ability to meet dying patients' needs. Guided by Bandura's social learning theory, this explanatory correlational study examined the relationships between critical care nurses' personal and professional characteristics and their perceived knowledge and self-efficacy when providing EOL care at an academic medical center. Convenience sampling was used to recruit participants from the eligible adult, pediatric, and neonatal critical care nurses for this study. The 67 participants completed the End-of-Life Professional Caregiver Survey (EPCS) to assess EOL care knowledge and self-confidence. Total EPCS scores revealed only moderate levels of EOL knowledge and self-confidence. The Fisher's exact test indicated that higher EPCS scores were significantly associated with nurses' age and completion of advance directive. A 3-day workshop was designed to address deficits related to EPCS scores and advance directive completion, while educating younger nurses to gain confidence in their EOL discussions. Additional research is recommended to distinguish between nurses' actual knowledge and perceived knowledge about EOL care, the long-term effects of EOL care education on the quality of patient care, nurses' levels of moral distress and burnout, and nurses' communication skills with patients and other health care providers. The result of this research promotes positive social change through EOL education to improve the confidence of nurses working with dying patients and their families, as well as to understand the challenges of communicating difficult decisions regarding EOL care.
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Mularcik, Kari Arneson. "Self-Efficacy Toward Health Behaviors to Improve Blood Pressure in Patients Who Receive Care in a Primary Care Network." The Ohio State University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=osu1261165308.

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Occhiuzzo, Denise. "Professional Development and Self-Efficacy of Nurses Who Care for Patients Requiring Biocontainment." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4163.

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Increasing global occurrences of highly infectious, easily transmissible diseases unfamiliar to nurses affect the learning environment and the required skill set for professional nurses. The global threat of Ebola Virus Disease and other high-risk diseases requiring biocontainment necessitates competency in the management of complex patient needs, while ensuring safety measures that prevent spread of the potentially fatal disease. Guided by Bandura's social cognitive theory, this quantitative correlational study addressed the relationships between nurses' professional characteristics and their perceived self-efficacy when providing care to highly infectious patients requiring biocontainment. A full census of 92 nurses was used to recruit participants from eligible nurses for this study. Participants anonymously completed a cross-sectional electronic survey consisting of the Nursing Care Self-Efficacy Scale (NCSES) and questions related to the nurses' professional practice characteristics. Data analysis included descriptive statistics, correlations, and multiple linear regression. Results showed that the number of biocontainment drills and a higher level of formal education were significantly correlated with a higher total NCSES score. Years of nursing significantly predicted a higher total NCSES score. Results support the establishment of prerequisites criteria for learner participation in biocontainment training and the inclusion of multiple drill within the education design. Findings from this study may inform positive social change through educational enhancements that support the development of professional self-efficacy and competency in skill performance for nurses who care for patients with highly contagious diseases requiring biocontainment.
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Berghoff, Laurie Swaney. "Nursing Self-Efficacy in the Acute Care Setting with the Neighborhood Staffing Model." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5677.

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Due to changes in health care, along with increasing technological demands, nurse's experiences increased stress. Nurses who are asked to staff another area other than their own have increased stress that can lead to increased nurse turnover, absences, and nursing dissatisfaction scores. The purpose of this quality improvement project was to assess whether limiting what units a nurse works on can reduce nurse stress, improve self-efficacy, and improve nurse job satisfaction. The design of this pilot placed like nursing units within a neighborhood staffing model for floating. The plan-do-check-act model was used as a framework to implement a change in the nurse floating practices. An electronic survey was sent to the nursing team pre and post implementation of the model. Nursing hours will also be tracked during this period of time. Data related to floating after the implementation of the neighborhood staffing model showed a significant increase in floating hours inside (13.1 vs 20.9; t=3.98, p<.001), and there was a significant decrease in hours floated outside the neighborhood (26.3 vs 18.0; t=5.15, p<.000). Self-efficacy results showed an initial decline in the nurses' self-efficacy 4 weeks after the launch and a statistically significant increase over preimplementation levels at 8 weeks (pre 28.46; post 33.51; U=5003, p<.001); on the 3rd administration of the self-efficacy survey, a statistically significant increase was seen (28.5 vs. 33.5; t=12.1, p<.001). Allowing nurses to float to similar nursing areas will result in improved self-efficacy, a precursor to reduced job stress and increased job satisfaction, which represents a positive contribution to social change for the nurses who work in the hospital system.
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Ede, David E. Jr. "Self-Care Confidence Predicts Less Depression in Heart Failure." Kent State University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=kent1624135356324155.

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18

Kneckt, M. (Mirka). "Psychological features characterizing oral health behavior, diabetes self-care and health status among IDDM patients." Doctoral thesis, University of Oulu, 2000. http://urn.fi/urn:isbn:9514256301.

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Abstract Associations have been found between diabetes status and periodontal diseases and dental caries. In addition to biological explanations, psychological features can be proposed to affect the relations between oral health and IDDM (=insulin-dependent diabetes mellitus). The aim of this study was to evaluate the psychological features characterizing oral hygiene practices, dental visiting and diabetes self-care. The research population consisted of 149 IDDM patients, and cross-sectional data were collected by a quantitative questionnaire, in clinical examinations and from patient records. There was a positive correlation between the sum scores for dental self-efficacy and diabetes self-efficacy and, correspondingly, between the dental and diabetes locus of control beliefs. High self-esteem was found to associate with good adherence to some specific health behaviors, such as tooth brushing, exercising and insulin adjustment. When Weiner's attribution theory was used, there were similarities in the causal thinking in oral and diabetes view. All in all, especially the perception of self-efficacy was found to be a powerful feature characterizing health behavior. There were overlapping relations showing an association of high dental self-efficacy with good diabetes adherence, of high diabetes self-efficacy with frequent dental visiting, and of good metabolic control with high tooth brushing self-efficacy, frequent tooth brushing and low plaque level. On the basis of these results, enhancement of self-efficacy appears important. These results suggest that there might, indeed, be some common psychological features for both oral health behavior and diabetes self-care. These could partly explain the relations between diabetes status and periodontal diseases and dental caries. The results can be utilized in patient-centered health education by identifying and enhancing the psychological features that characterize health behavior and health status. The results emphasize the need for co-operation between dental and diabetes health care professionals in their daily practice.
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Merrill, Jennifer C. "Perceived Spousal Criticism, Self-Efficacy, and Adherence to Diet and Exercise Self-Care Behaviors in Adults with Type 2 Diabetes." Ohio University / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1219417386.

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Yang, Chia-chi Laffey James M. "Understanding participation and its relationship with arthritis self-efficacy in a computer-supported community of practice for rheumatoid arthritis patients." Diss., Columbia, Mo. : University of Missouri--Columbia, 2009. http://hdl.handle.net/10355/6877.

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Title from PDF of title page (University of Missouri--Columbia, viewed on Feb. 24, 2010). The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file. Dissertation advisor: Dr. James Laffey. Vita. Includes bibliographical references.
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Janicke, David Michael. "Children's Primary Health Care Services: A Social-Cognitive Model of Sustained High Use." Diss., Virginia Tech, 2001. http://hdl.handle.net/10919/37659.

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This study tested portions of a social-cognitive model that explained the mechanisms involved in the parent decision-making process that ultimately drive and maintain children's health care use. Eighty-seven primary caretakers of children ages 4 to 9 years completed measures of child health and behavior, parental stress and functioning, and social cognitive measures related to parenting and health care use. Primary care use data over the two-years prior to recruitment were collected from primary care providers. Regression analysis showed that social cognitive measures were significant predictors of pediatric primary care services. Specifically, parental stress interacted with general parenting self-efficacy; parents with high stress and high parenting self-efficacy were more likely to use pediatric primary care services. Self-efficacy for accessing physician assistance and parental outcome expectations for pediatric physician visits were positively related to pediatric primary care use. These social cognitive variables accounted for more variance than variables traditionally included in health care use research (i.e., child behavior, parental distress, and parent health care use). Best Subsets analysis resulted in an overall best predictive model that accounted for 29.8% of the variance in pediatric primary care use. In this model, the interaction between parental stress and general parenting self-efficacy was the best predictor of use, accounting for 11.5% of the variance in physician use. High internalizing behavior scores, higher self-efficacy for accessing physician assistance, use of medication, and more parent health care visits were associated with higher pediatric primary care use in this overall model. While acknowledging the role of child health and behavior, this study extends the literature by demonstrating the importance of considering parental perceptions of burden, confidence, and ability to help themselves and their family. Implications for health care professionals and directions for future research are discussed in light of these finding.
Ph. D.
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Davis, Jo Ann. "The relationship between self-efficacy of diabetes management and health-promoting behaviors." Virtual Press, 1997. http://liblink.bsu.edu/uhtbin/catkey/1041919.

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Diabetes Mellitus is a chronic disorder that requires daily adherence to complex regimens for glucose control. The purpose of this study was to examine the relationship between the capability for self-management of diabetes and the practices of health-promoting behaviors. Instruments used were the Health Promotion Lifestyle Profile to measure health-promoting behaviors, the Insulin Management Diabetes Self-Efficacy Scale to measure self-efficacy in diabetes management, and a demographic questionnaire.Fifty participants from the outpatients of a midwestern veterans hospital responded to the questionnaires. Results showed a moderately positive significant correlation between self-efficacy in diabetes management and health-promoting behaviors (r=.52, p<001).The findings of this study point the importance of higher levels of self-efficacy and participation in health-promoting behaviors for more effective management of diabetes and improved health and well-being.
School of Nursing
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Coates, Alice. "Understanding the psychological health and experiences of dementia care staff." Thesis, University of Oxford, 2015. https://ora.ox.ac.uk/objects/uuid:30bf5010-f4e8-4bc0-9a79-196140804020.

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Care work is emotionally and physically demanding and is coupled with organisational challenges. As such, care work has been associated with emotional exhaustion which not only negatively impacts staff but also the care that they provide. Greater understanding of the psychological health of dementia care staff and their perceptions of their work will provide insights into how this group may be better supported. The first paper provides a review of the literature relating to psychological outcomes in dementia care staff. The literature identified was viewed in terms of an existing model of psychological health, the BASIC Ph, with the aim of evaluating the evidence and enhancing understanding of psychological health in this group. The utility of this model was also evaluated. The model highlighted areas for potential intervention as well as those for future research. Clinical implications for Clinical Psychologists were also discussed. The second paper aimed to increase understanding of the experiences of dementia care assistants who perceived themselves to be competent in their role. Eight care assistants who had high levels of self-efficacy were interviewed. Interpretative Phenomenological Analysis (IPA) revealed four superordinate themes. Accounts of experiencing dilemmas provided important contextual information and constituted the first superordinate theme. The second theme 'togetherness and connection' described participants' experience of the need for support, closeness and the value of engaging with older people with dementia. The third theme encompassed the attunement between care assistants and the older people for whom they cared and described empathy, personal perspective-taking and circularity of emotion as guides to care. The final theme 'caring as part of life' described the link between caring and identity as well as a genuine interest in people, an accepting attitude and motivation to care. These themes provide fruitful areas for further research and have implications for care staff training.
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Brown, Annemarie Kathleen. "The development and validation of a self-efficacy tool for people over 60 with venous leg ulceration." Thesis, University of Hertfordshire, 2013. http://hdl.handle.net/2299/13899.

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Venous leg ulceration has a high recurrence rate. Patients with healed or frequently recurring venous ulceration are required to perform self-care behaviours to prevent recurrence or promote healing, but many find these difficult to perform. Bandura’s self-efficacy theory is a widely used and robust behaviour change model and underpins many interventions designed to promote self-care in a variety of chronic conditions. By identifying areas where patients may experience difficulty in performing self-care, interventions can be developed to strengthen their self-efficacy beliefs in performing these activities successfully. There are currently a variety of self-efficacy scales available to measure self-efficacy in a variety of conditions; but not a disease-specific scale for use with venous ulcer patients. The aim of this study, therefore, was to develop a disease-specific, patient-focused self-efficacy scale for patients with healed venous leg ulceration. Phase 1 consisted of a qualitative design and used focus group methodology to generate an item pool for potential inclusion into the scale from the patients’ perspective. In phase 2, factor analysis using equamax orthogonal rotation methods was used to reduce the items from 60 to 30, resulting in 5 major domains: general self-care; daily self-care tasks; normal living; developing expertise and avoiding trauma. Preliminary reliability studies indicated that the developed scale, VeLUSET© has good internal consistency, with an overall Cronbach alpha of .929 and a strong test-re-test reliability. Furthermore, correlation with the General Self-Efficacy Scale demonstrated a strong positive relationship between the two scales. These results indicate that the VeLUSET©, although still in the early validation stages, is a reliable instrument to measure venous leg ulcer patients’ self-efficacy in performing self-care tasks within clinical practice. The development of this disease-specific tool has now filled a gap in the research on managing patients with healed venous leg ulceration.
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Bucknall, Kate Alexandra. "The influence of self-efficacy on perceived marital support and adherence to dietary self-care activities in adults with type 2 diabetes." Thesis, University of Birmingham, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.486626.

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The research study aimed to provide insight into the level of agreement between individuals with type 2 diabetes and their partner's perceptions of diabetes, support, and dietary self-efficacy or self-efficacy to provide support (for the person with diabetes and their partner respectively). The introduction discusses the MDQ and social cognitive theory. Past research on self-efficacy and social support is discussed and the need for research exploring partner's perceptions is raised. A cross-sectional, postal questionnaire design was used with 96 Canadian and UK couples. When the participants were classified into one of three psychosocial clusters, the results indicated differences in patient and partner perceptions of several key variables (support self-efficacy, self-management self-efficacy, perceived support and negative reinforcing behaviour). The results are discussed in terms of the effects that these discrepancies have on couple's psychosocial adaptation to diabetes. Limitations of the study are highlighted and clinical implications of the study are raised with respect to working with couples in the management of patients with diabetes.
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Pouladi, Fatemah Ali RN. "Diabets Knowledge, Self-Effecacy, Social Support, and Diabetes Self-management Affecting Type II Diabetes Outcomes In Qataris." Case Western Reserve University School of Graduate Studies / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=case151512792425253.

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O'Donnell, Sandra M. "The effect of acute care orientation coaching on perceived self-efficacy among new graduate nurses /." Electronic version (Miscrosoft Word), 2006. http://dl.uncw.edu/etd/2006/odonnells/sandraodonnell.doc.

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Wang, Tongyao. "Pictographic Education Handout: Significant Impact on Patients and Family Caregivers' Self-Efficacy on Tracheostomy Care." Case Western Reserve University School of Graduate Studies / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=case161945406039485.

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Kerr, Laura. "Foster carer self-efficacy and the role of attributions and coping in the quality of foster placements." Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/9725.

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Aims: Children who experience abuse and neglect prior to being fostered and/or adopted are a particularly vulnerable group within society and more research is required to better understand the outcomes for these young people. In relation to this population, this thesis had three aims: to review the impact of attachment based interventions, to evaluate the role of foster carer factors in the provision of quality placements and to assess foster carer and social worker agreement on ratings of placement quality. Methods: Aims are addressed separately in three journal articles. A systematic review of attachment based interventions is presented in journal article 1. The findings from a quantitative cross sectional study involving foster carers (n=91) and social workers (n=87) are presented in journal articles 2 and 3. Correlation and multiple regression analyses explore the relationship between foster carer self-efficacy, coping, attributions and placement quality. The weighted kappa statistic is used to explore the agreement between ratings of placement quality within foster carer/social worker dyads. Results: The systematic review indicated that there is some support for the positive impact of attachment based interventions, particularly with young children (0-6 years) in foster/adoptive care. There are significant limitations of the research in this area and further research is required to establish the efficacy of such interventions. Foster carer self-efficacy emerged as a significant predictor of placement quality. Due to a number of measurement and statistical issues, this finding requires replication. Agreement between foster carers and social workers regarding placement quality was slight to fair, indicating the presence of some discrepancies. Conclusions: The results are discussed in relation to previous research with this population of children/young people. Findings from the systematic review suggest the importance of further intervention studies and the results from the empirical study highlight possible areas for intervention, namely foster carer self-efficacy. A number of issues in relation to future research are raised, specifically the development of a standardized measure of placement quality and the impact of systemic issues, such as foster carer/social worker communication on children and young people’s outcomes.
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Culver, Leslie Midtbo. "Counselor Perceptions of the Efficacy of Training and Implementation of Self-Care Strategies Related to Trauma Work." ScholarWorks@UNO, 2011. http://scholarworks.uno.edu/td/1298.

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Various forms of trauma are regularly reported across the spectrum of counseling settings and the potential negative psychological effects on counselors who are repeatedly exposed to traumatic material are well documented. However, many researchers suggest that vicarious traumatization can be prevented and mitigated with personal and professional self-care strategies. The American Counseling Association (ACA) Code of Ethics indicates that counselors have a professional responsibility to engage in self-care activities, as efforts to ensure the psychological health of counselors will have a direct effect on their ability to help clients. The purpose of this mixed-method, descriptive, correlational research was to explore what types of educational preparation and training counselors have received regarding self-care and what types of self-care strategies counselors are using. The efficacy of those training methods and self-care strategies when implemented were also measured, from the perspective of the participants. The Self-Care Training and Implementation Questionnaire (STIQ), a 19-item, structured and semi-structured questionnaire developed for this research, was electronically sent to 3000 randomly selected members of ACA, resulting in 310 responses, 286 of which were deemed appropriate for inclusion. Analysis included descriptive analyses (quantitative data) and content and theme analyses (qualitative data). The results of this study indicated that counselors recognized the value of self-care and participated in activities that promoted a healthy lifestyle and mitigated stress, thus working toward a balance that fostered effective work performance. However, the findings demonstrated that most counselors do not receive formal self-care training and self-care has been an endeavor pursued independently, outside of education and work settings. Implications for counselor education, training, policy and research are discussed.
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Michalowska-Zinken, Katarzyna. "Analysis system for self-efficacy training : development and validation of an evaluation tool in diabetes care." Thesis, University of Southampton, 2009. https://eprints.soton.ac.uk/72427/.

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The research reported in this thesis investigates the self-efficacy construct in the context of (real world) diabetes self-management programmes. Self-efficacy interventions, although widely implemented in diabetes care, lack basic information on what exactly was delivered. More importantly, there has been no assessment tool which would enable researchers to externally evaluate the use of self-efficacy-based techniques in interventions and provide accurate report information about the process of intervention delivery. To address this gap, the present PhD aimed to develop a reliable and valid coding tool to assess the use of self-efficacy-based techniques among nurses delivering education for people with diabetes and test its clinical utility by delivering a self-efficacy-based intervention to diabetes nurses. The four sources of self-efficacy: mastery experience, role modelling, verbal persuasion and physiological and affective states formed the conceptual basis of the coding tool. The findings of the literature review and observation of three educational programmes provided an operationalisation of the four sources of self-efficacy and resulted in 11 verbal behavioural techniques. Four coders rated diabetes programmes to establish reliability of the coding tool. Cross-sectional and longitudinal data from 52 patients, based on self-report and objective measures, as well as demographic information about five nurses were related to nurse-led self-efficacy based techniques to establish the validity of ASSET. In a single pre-post design, the feasibility and effectiveness of ASSET-based interventions delivered to five nurses were evaluated. The key findings were that ASSET could be a useful tool to identify the use of self-efficacy in interventions. The use of self-efficacy-based techniques reflected nurses’ work-related experience gained prior to the study, and to some extent predicted patientrelated outcomes including intention and behaviour regarding diabetes management. The use of self-efficacy based techniques by nurses, however, did not predict patients’ selfefficacy beliefs. ASSET-based training guided nurses in reflecting on their practice. As a result of that, nurses started using more self-efficacy-based techniques when delivering group-based education. The effect was, however, not maintained over time. Nurses who were less experienced prior to the intervention increased their use of self-efficacy-based techniques to a greater extent than those with prior experience. One of the major limitations of the thesis was that only the author of the thesis coded all nurse-led speech utterances. The other three coders rated a selection of utterances. Therefore, there is no sufficient evidence to conclude on the reliability or validity of ASSET.
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Lammert, Lucas William. "Investigating the Relationship Between Self-Efficacy and Cardiopulmonary Resuscitation Quality in Certified Athletic Trainers." Thesis, North Dakota State University, 2020. https://hdl.handle.net/10365/31755.

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Certified athletic trainers (ATCs) are often the first to respond to an athletic sudden cardiac arrest (SCA) and are expected to administer the highest quality of cardiopulmonary resuscitation (CPR) possible. The goal of this study was to investigate the relationship between confidence and CPR quality in ATCs. Fifty ATCs completed confidence questionnaires before and after performing a prolonged CPR assessment on a medium-fidelity manikin. CPR data included measures of chest compression and ventilation quality. Data were analyzed to compare confidence levels pre- and post-CPR assessment, as well as to determine the relationship between CPR performance and self-efficacy. A small, negative correlation was found between confidence and CPR performance but performing a prolonged session of CPR did not affect confidence levels. Overall CPR quality was adequate, but ventilations and compression rates were lacking. The relationship between confidence and CPR quality must be explored further to help revise athletic training educational curricula.
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Wu, Shu Fang. "Effectiveness of self-management for persons with type 2 diabetes following the implementation of a self-efficacy enhancing intervention program in Taiwan." Queensland University of Technology, 2007. http://eprints.qut.edu.au/16385/.

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Objective The aim of this study firstly, was to translate and test the validity and reliability of two diabetes-specific self-efficacy instruments (the Diabetes Management Self-Efficacy Scale; DMSES and the Perceived Therapeutic Efficacy Scale; PTES) in a Taiwanese population. The main aim of this study was then to develop an intervention based on self-efficacy theory that was appropriate for the Taiwanese population and to examine the effects of a self-efficacy enhancing intervention program (SEEIP). Background In Taiwan, the prevalence, mortality rate and healthcare cost of diabetes has dramatically increased. People with diabetes have low participation rates in performing self-care activities, with some two-thirds of diabetic patients not controlling their disease appropriately. Moreover, few studies in Taiwan have conducted randomised controlled trials or had improvement in patient self-care or self-management as their primary goal and no instruments that measure self-efficacy related to the management of diabetes (especially for outcome expectations) have yet been found and appropriately used to measure the effectiveness of self-management. Therefore, there is a particular need for research on self-efficacy enhancing intervention programs for people with type 2 diabetes. Design A convenience sample survey (n=230) was used in order to test the validity and reliability of C-DMSES and C-PTES in a Taiwanese population. Moreover, a randomised controlled trial (RCT) (n=145; the intervention group (72); the control group (73)) design was conducted in the main study with pre (baseline) and post-testing (undertaken at 3 months and 6 months following baseline collection). Intervention Both the control group and intervention group received the standard diabetic educational program in the outpatient clinic. The intervention group participants received the standard diabetic educational program and the following additional interventions: (1) viewed a 10-minute DVD (2) received a "Diabetes Self-Care" booklet (3) participated in four efficacy- enhancing counselling intervention sessions, and (4) participated in telephone follow-up. The self-efficacy model was adapted from Shortridge-Baggett & van der Bijl (1996). Diabetes self-management principles were used in program development and evaluation. Main outcome measures Instruments used in data collection included 1) Self-efficacy towards management of type 2 diabetes (as measured by the Chinese version of the Diabetes Management Self-Efficacy Scale; C-DMSES and the Chinese version of the Perceived Therapeutic Efficacy Scale; C-PTES); 2) self management behavior (as measured by the Summary of Diabetes Self-Care Activities; SDSCA); 3) health-related quality of life for diabetes (as measured by the Short Form-12; SF-12); 4) psychosocial well-being (as measured by the Medical Outcomes Study (MOS), Social Support Survey (SSS) tool and the Center for Epidemiology Studies Short Depression Scale; CES-D) and 5) health care utilisation (as measured by health care utilisation self report instrument). Data analysis Data were double-entered for verification using SPSS® statistical software. Study I: Descriptive statistics, regression analysis, Pearson's correlation, Cronbach's alpha-coefficients, factor analysis and Bland-Altman plots with 95% limits of agreement (LOA) were performed to evaluate validity and reliability of C-DMSES and C-PTES. Study II: Descriptive analysis was used to examine demographic variables and outcome variables. T-tests were used to analyse differences on continuous data between mean scores for the intervention and control groups. Categorical data were analysed using Chi-square statistics to test the significance of different proportions. To assess the group differences of dependent variable changes, repeated measures ANOVA/ ANCOVA were used. Results Study I: Convergent validity showed that C-DMSES correlated well with the validated measure of the General Self-Efficacy Scale (GSE) in measuring self-efficacy. Criterion-related validity showed that the C-DMSES was a significant predictor of the Summary of Diabetes Self-Care Activities (SDSCA) scores. Factor analysis supported the C-DMSES being composed of four subscales with good internal consistency (Cronbach's alpha=.77 to .93) and stability (ICC=.82). Similarly, significant criterion-related validity was demonstrated between the C-PTES and SDSCA scores. Convergent validity was confirmed as the C-PTES converged well with the GSE Scale in measuring self-efficacy. Construct validity of the C-PTES was confirmed through factor analysis and a single subscale formed. Internal consistency with a Cronbach's alpha was .95 and the test-retest reliability (ICC) was .77 and a Bland-Altman plot showed 97% of the subjects were within 2 standard deviations of the mean. Study II: The 3- and 6-month benefits of the intervention over usual care were increases in self-efficacy, outcome expectation, self-care activities, and social support. However, the results of the health-related quality of life and depression scores indicated that the change over time was not different in the two groups. A smaller proportion of the participants significantly in the intervention group, had been hospitalised and visited the emergency room than participants who were in the control group at the 6-month period. However, health-related quality of life and depression were not significantly increased in the intervention group at the 3- and 6-month compared to the control group. Conclusion Results of Study I support the psychometric properties of C-DMSES and C-PTES in providing a measure for self-efficacy specific to persons with type 2 diabetes in Taiwan. The main study revealed that the SEEIP for type 2 diabetes based on self-efficacy theory was culturally acceptable to Taiwanese people with diabetes and that the SEEIP was effective in the self-management of people with type 2 diabetes.
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Friberg, Anders, and Jenny Rossgård. "HUR BASAL KROPPSKÄNNEDOM KAN PÅVERKA PATIENTERNA I DERAS VARDAGLIGA LIV : En kvalitativ intervjustudie av fysioterapeuters erfarenheter." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-48063.

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Bakgrund: Basal Kroppskännedom (BK) är en rörelsebaserad behandlingsmetod som praktiseras av specialiserade sjukgymnaster/fysioterapeuter. Metoden har visat sig vara verksam på ett flertal patientgrupper, men metoden har till största delen använts och forskats på inom psykiatrin. Det har däremot inte studerats hur erfarenheten ser ut för fysioterapeuter i olika verksamheter och som arbetar med olika patientgrupper gällande hur BK kan påverka patienterna i deras vardagliga liv. Syfte: Att undersöka fysioterapeuters erfarenheter av hur behandling med Basal Kroppskännedom kan påverka patienterna i deras vardagliga liv. Metod: Studien är en kvalitativ explorativstudie. Sex informanter intervjuades utifrån en semistrukturerad intervjuguide. Dataanalysen gjordes med induktiv ansats och manifest fokus. Resultat: Dataanalysen resulterade i 7 kategorier och 22 underkategorier. De 7 kategorierna benämndes: ökad självkännedom, självkänsla, kommunikation, makt över sitt liv, hälsorelaterade beteendeförändringar, kroppsligt och bättre förutsättningar i livet. Slutsats: Studien visar att de intervjuade fysioterapeuternas erfarenhet är att behandling med Basal Kroppskännedom, oavsett patientgrupp eller verksamhet, på många sätt har en positiv inverkan på patienterna i deras vardagliga liv. Informanternas erfarenhet var att patienterna ändrade såväl inre som yttre beteenden. Till dessa räknas tankar, känslor och fysiologiska reaktioner respektive aktivitet, levnadsvanor, rörelsemönster och social interaktion. Sju kategorier och tjugotvå underkategorier identifierades vilka täcker in ovan nämnda beteenden. Författarnas uppfattning är att det verkar finnas en bred tillämpbarhet av BK inom fysioterapin.
Background: Basic Body Awareness Therapy (BBAT) is a movement-based treatment method practised by specialized physiotherapists. The method has proven to be efficient on multiple patient groups, but the method has mostly been used and researched on within the psychiatric area. However, the experiences of physiotherapists in different areas and who work with different patient groups regarding how BBAT may affect patients in their everyday life, have not been studied. Aim: To examine physiotherapists’ experiences of how treatment with basic body awareness therapy can impact patients in their everyday life. Method: The study is a qualitative explorative study. Six informants were interviewed based on a semistructured interview guide. Analysis of data was made with inductive approach and manifest focus. Result: The analysis of data resulted in 7 categories and 22 subcategories. The 7 categories were named: increased self-awareness, self-esteem, communication, power over one’s life, health related behavioral changes, bodily and better conditions in life. Conclusion: This study shows that the experiences of the physiotherapists who were interviewed are that treatment with Basic Body Awareness Therapy, regardless of patient group or area of treatment, in many ways has a positive impact on the patients in their everyday life. The experiences of the informants were that the patients changed covert as well as overt behaviors. These include thoughts, emotions, and physiological reactions respectively activities, living habits, patterns of movement and social interaction. Seven categories and twenty-two subcategories were identified which covers the mentioned behaviors. The authors view is that BBAT within physiotherapy seems to be broadly applicable.
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Flores, Lise. "Environmental barriers, self-efficacy and the direct and indirect effects of diabetes-specific cultural beliefs on health status in a community sample of diabetic patients /." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 2004. http://wwwlib.umi.com/cr/ucsd/fullcit?p3159192.

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Sturt, Jacqueline Alys. "Implementation of self-efficacy theory into health promotion practice in primary health care : an action research approach." Thesis, Bucks New University, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.251328.

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Hynes, Elizabeth. "Learning needs and perceived self-efficacy of patients with chronic low back pain." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/mq25851.pdf.

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Maher, Kathryn. "THE EFFECT OF YOUTH DIABETES SELF-EFFICACY ON THE RELATION AMONG FAMILY CONFLICT, DISEASE CARE AND GLYCEMIC CONTROL." VCU Scholars Compass, 2014. http://scholarscompass.vcu.edu/etd/3495.

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The aim of the current study was to examine the associations among youth diabetes self-efficacy, family conflict, disease care and glycemic control via a comprehensive path model. Data were from a baseline assessment of a longitudinal RCT of 257 adolescent/parent dyads (adolescents aged 11–14). Each member of the dyad separately completed the Self-efficacy for Diabetes Self-Management Scale, Family Environment Conflict subscale, Diabetes Family Conflict Scale, Diabetes Behavior Rating Scale, and 24-hr Diabetes Interview Blood Glucose Frequency subscale. Additionally, a biological marker of glycemic control, or HbA1c, and relevant demographic variables were collected. A mediation model found higher youth diabetes self-efficacy mediated the link between lower family conflict and better disease care (β = -.08, p <.01) to glycemic control (β = .05, p <.05.). Further, the relation of higher self-efficacy to better glycemic control was mediated by better disease care (β = -.06, p <.05). Higher youth diabetes self-efficacy (β = -.16, p <.05), lower family conflict (β = .19, p <.001), and better disease care (β = -.17, p <.01) each were directly related to better glycemic control. The overall model with relevant demographic factors fit the data well [χ² (2) = .50, p = .78, CFI = 1.00, RMSEA= .00] and accounted for 13% of the variance in self-efficacy, 32% of the variance for disease care, and 25% of the variance in glycemic control. Interventions that target better youth diabetes self-efficacy and lower family conflict concurrently may promote better disease care and glycemic control.
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Duffy, Brigid. "Burnout amongst care staff for older adults with dementia : the role of reciprocity, self-efficacy and organisational factors." Thesis, University of Birmingham, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.486633.

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The literature review examines the empirical evidence for a relationship between higher levels of self-efficacy and lower levels of distress amongst family caregivers for older adults with dementia. Each of the relevant studies identified within the review are critically evaluated. Overall the review has illustrated clear evidence for a relationship between self-efficacy and distress in these family caregivers. A negative relationship has been supported in the literature; furthermore self-efficacy appears to have a mediating influence upon distress in family caregivers. The empirical paper examines the role of burnout amongst paid care staff for older adults with dementia. The study examines the roles of reciprocity, self-efficacy and organisational factors upon burnout and also aimed to identify which variable was the greatest predictor of burnout. Sixty-one members of staff in continuing care homes for people with dementia completed self- report questionnaires. Self-efficacy was significantly associated with all the dimensions of burnout and was found to be the greatest predictor of burnout. Low reciprocity with the older adults, age and contracted hours were also found to be significantly associated with burnout. The clinical implications of the study, methodological considerations and recommendations for future research are discussed.
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Diggle-Fox, B. Suzy. "A comparison of two teaching strategies on nursing students' knowledge and self-efficacy regarding their geriatric nursing care." Thesis, Capella University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3606856.

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The purpose of this study was to examine the effectiveness of the most frequently utilized teaching strategy of lecturing followed by discussion and to compare it with lecturing followed by role playing to determine how to best prepare nursing students both in terms of knowledge and self-efficacy. The primary goal of the study was to learn how to educate nursing students who will be better prepared to meet societal needs by learning to become confident, knowledgeable, and therefore competent healthcare providers. The study revealed there was not a statistically significant relationship between type of teaching strategy to which the students were exposed and either of the final self-efficacy or knowledge posttest scores of the students. This was true even after controlling for pretest scores as well as for any other potentially influential demographic variables. There were significant increases in both the knowledge and self-efficacy scores of the students for both of the teaching strategy groups. Three associate nursing programs were utilized and all the participants completed two pretests and two posttests, one for self-efficacy and one for knowledge, related to geriatric care. Analysis of covariance was utilized because significant extraneous variables were considered in this quantitative nonrandomized quasiexperiment. For example, the number of years of college education was not a significant predictor of pretest or posttest scores. Demographic data were analyzed in this study to investigate if they affected the results in any way. The study revealed that an individual's age, school, and exposure to geriatric care in a work environment were related to pretest knowledge scores. In addition, self-efficacy posttest scores were not different according to the research groups, even after adjusting for any potential demographic or pretest influences. Both of the research groups increased their knowledge and self-efficacy tests significantly even after adjusting for any potential demographic and pretest influences. The study revealed the pretest scores were predictors of the posttest scores.

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41

Humble, Gabrielle. "Social Emotional Learning: Presence and Prevalence in Early Care and Education Programs and Effects on Teacher Self-Efficacy." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/honors/636.

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A large pool of reviewed literature and studies suggest that Social Emotional Learning (SEL) provides a multitude of developmental benefits to early childhood-aged children. The focus of this study was to assess whether SEL techniques were utilized within early care and education programs throughout the East Tennessee region and to investigate the relationship between SEL techniques and teacher self-efficacy. Sixteen early childhood teachers in the East Tennessee region completed a survey that gauged both their exposure and usage of SEL techniques in the classroom and their teacher self-efficacy. Findings showed that teachers primarily implemented self-studied SEL techniques in the classroom with the majority having not received any professional training. This project also found that teachers had high teacher self-efficacy, relating to their willingness and ability to efficiently implement SEL techniques. Results support the hypothesis that early childhood teachers are knowledgeable and capable of implementing SEL techniques within the classroom. However, a lack of professional training and direct SEL program implementation may affect the guarantee of efficiency and effectiveness within the implementation to students.
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42

Chlebowy, Diane Orr. "Impact of social support, self-efficacy, and outcome expectations on self-care behaviors and glygemic control in Caucasian and African-American adults with type 2 diabetes mellitus." The Ohio State University, 2002. http://rave.ohiolink.edu/etdc/view?acc_num=osu1233596691.

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43

Chlebowy, Diane Orr. "Impact of social support, self-efficacy, and outcome expectations on self-care behaviors and glycemic control in Caucasian and African-American adults with type 2 diabetes mellitus /." The Ohio State University, 2002. http://rave.ohiolink.edu/etdc/view?acc_num=osu1486461246815309.

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44

Mills, Daniel W. "Improving Self-efficacy and Relational Health in Foster Youth: An Evaluation of the Fostering Success Program." Xavier University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1502201609173779.

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Robinson, Barbara Phillips. "A meta-analysis of effects of participation in internet support groups on outcomes related to chronic illness /." Connect to abstract via ProQuest. Full text is not available online, 2008.

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Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2008.
Typescript. Includes bibliographical references (leaves 57-65). Free to UCD affiliates. Online version available via ProQuest Digital Dissertations;
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46

Bruno, Nicole Carol. "Cooking Self-Efficacy, Knowledge, and Skills Among Foster Adolescents Participating in a Nutrition Cooking Class." Kent State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=kent1573218146438714.

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47

Many, Mary Alice. "Efficacy of Self-Care and Traditional Mental Health Counseling in Treating Vicarious Traumatization Among Counselors of Hurricane Katrina Survivors." ScholarWorks@UNO, 2012. http://scholarworks.uno.edu/td/1463.

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The population consisted of 9,000 Gulf Coast Licensed Professional Counselors. Surveys were returned by 609 participants. In the researcher-developed demographic survey, 586 individuals responded to the questions regarding age, gender, ethnicity, and years of counseling experience; 585 individuals responded to questions about exposure to prior trauma, and personal Katrina-related losses; 578 individuals responded to the question about the percentage of their work week that was spent counseling victims, and 579 individuals responded to questions regarding the type of mental health care strategy they participated in. There were 439 usable surveys for the PTSD Checklist-Civilian Version (PCL-C) (Weathers, Litz, Huska, & Keane, 1994) and 448 for the Compassion Fatigue Subscale of The Compassion Fatigue and Satisfaction Self-Test for Helpers (Figley & Stamm, 1996). The PTSD Checklist-Civilian Version (PCL-C) (Weathers, Litz, Huska, & Keane, 1994) was utilized to evaluate Gulf Coast Licensed Professional Counselors for vicarious traumatization within the first year of working with Hurricane Katrina survivors. A total score of 30 or above on the PCL-C is required to meet criteria for PTSD. A total of 32.1% of respondents (141 individuals) scored 30 or above- criteria for vicarious traumatization. Respondents were evaluated for current compassion fatigue symptoms using the Compassion Fatigue. A score of 36-40 indicates high risk for compassion fatigue and a score of 41 and above indicates an extremely high risk for compassion fatigue. When the participants were evaluated based on their symptoms 5 years after Hurricane Katrina, 5.1% scored 36 or above, indicating high or extremely high risk for compassion fatigue. The strategies examined were traditional clinical psychotherapy (individual, group, couples or family) and non-clinical self-care (prayer, meditation, exercise, yoga, engaging in pleasurable activities). The relationship between these types of mental health care and CFS scores were examined, and the results indicated that participation in traditional mental health counseling is associated with lower CFS scores, which indicate a lower risk for compassion fatigue, and participation in non-clinical self-care is also associated with lower CFS scores, which indicates a lower risk for compassion fatigue; however, participation in traditional mental health counseling is more strongly associated with lower CFS scores than non-clinical self-care.
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Moura, Talita Helena Monteiro de. "Adaptação transcultural da self-efficacy in infant care scale para o Brasil e validação de conteúdo da versão brasileira." Universidade Federal de Pernambuco, 2015. https://repositorio.ufpe.br/handle/123456789/14944.

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A consulta de enfermagem em puericultura oferece assistência sistematizada à criança e sua família utilizando a educação em saúde para orientar e apoiar as práticas de cuidado de promoção à saúde. A confiança em desempenhar com sucesso o cuidado da criança é definida como autoeficácia no cuidado, que pode ser avaliada por meio de instrumentos para identificar as dificuldades da mãe e planejar estratégias educativas específicas. Nesse contexto, o objetivo desta dissertação foi adaptar a Self-efficacy in Infant Care Scale (SICS) para a realidade cultural do Brasil. Pesquisa metodológica desenvolvida em duas fases: tradução e adaptação transcultural; e validação de conteúdo. Foram elaborados dois artigos, o primeiro: “Cuidados domiciliares para a promoção da saúde da criança no Brasil: revisão integrativa”, buscou responder a questão: quais os cuidados realizados no domicílio voltados a promoção da saúde da criança no Brasil? As publicações foram selecionadas pelas bases: Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Cumulative Index to Nursing and Allied Health Literature (CINAHL) e no portal US National Library of Medicine (MEDLINE). Os descritores utilizados foram: Lactente, Cuidado do lactente, Promoção da saúde, Família, Saúde da criança e Bem-estar da criança, com suas respectivas traduções padronizadas no Medical Subject Heading (MESH). Foram selecionados 11 artigos, os resultados foram categorizados de acordo com os domínios da SICS: promoção do desenvolvimento, cuidados gerais de saúde, segurança e dieta. Os resultados evidenciaram, sobretudo, cuidados voltados às necessidades gerais de saúde, com destaque nos cuidados técnicos e suprimento das necessidades biológicas da criança. O segundo artigo: “Adaptação Transcultural e Validação de Conteúdo da Self-efficacy in Infant Care Scale para o Brasil” descreve o processo de adaptação transcultural que seguiu as etapas: tradução inicial, síntese das traduções, back-translation, comitê de juízes e pré-teste da versão final. A validação de conteúdo foi realizada por meio da análise de oito especialistas e análise semântica por 30 mães de crianças de 0 a 12 meses, acompanhadas na puericultura no Distrito Sanitário V do município de Recife, PE. Os itens foram avaliados quanto à clareza e compreensão, associação com a autoeficácia, relevância e grau de relevância, utilizando os índices de 9 concordância (IC) e de validade de conteúdo (CVI). O CVI final da escala (S-CVI/Ave) foi de 0,959. O IC, em relação à compreensão após análise semântica foi de 0,983. Todos os dados foram analisados utilizando o IBM SPSS Statistics versão 18.0 for Windows. A escala adaptada consta de 43 itens. Na assistência de enfermagem à criança é comum o grande volume de informações, por isso, espera-se que a SICS contribua na otimização do tempo da consulta de puericultura, por meio da seleção de informações oriundas da confiança do cuidador e que subsidie o planejamento de ações educativas direcionadas às dificuldades no cuidado. Recomenda-se a avaliação das propriedades psicométricas para a continuidade do processo de validação.
The nursing consultation in child care offers systematic assistance to children and their families using health education to guide and support in child care practices that promote health. Trust in play successfully child care is defined as self-efficacy in care, which can be evaluated by means of tools to identify problems and plan specific educational strategies. In this context, the aim of this work was to adapt the Self-efficacy in Infant Care Scale (SICS) to the cultural reality of Brazil. Methodological research developed in two phases: translation and cultural adaptation; and validating content. Two articles, the first were prepared: "Home care for child health promotion in Brazil: an integrative review" sought to answer the question, what the care provided at home facing the promotion of child health in Brazil? The publications were selected by bases: Latin American and Caribbean Health Sciences (LILACS), Cumulative Index to Nursing and Allied Health Literature (CINAHL) and portal US National Library of Medicine (MEDLINE). The descriptors used were: Infant, Infant care, Health promotion, Family, Child Health and Well-being of children, with their translations standardized at the Medical Subject Heading. 11 articles were selected, the results were categorized according to the areas of SICS: promoting development, general health care, safety and diet. The results showed, above all, focused care to the general health needs, especially in the technical care and supply of the child's biological needs. The second article, "Cross-Cultural Adaptation and Content Validation of Self-efficacy in Infant Care Scale to Brazil" describes the cross-cultural adaptation process that followed the steps: initial translation, synthesis of translations, back-translation, expert committee and pre -test the final version. The content validation was performed by analysis of eight experts and semantic analysis for 30 mothers of children 0-12 months accompanied in child care in the Health District V in the city of Recife. The items were evaluated for clarity and understanding, associated with self-efficacy, relevance and degree of relevance, using the concordance rates (IC) and content validity (CVI). The final CVI range (S-CVI/Ave) was 0,959. The index, when compared to the understanding after semantic analysis was 0,983. All data were analyzed using IBM SPSS Statistics version 18.0 for Windows. The adapted scale consists of 43 items. In pediatric nursing care is the common wealth of information, so it is expected that 11 the SICS contribute in the optimization of childcare query time by the selection of information from reliable caregiver and subsidize planning educational activities directed to the difficulties in care. It is recommended to determine the psychometric properties for the continuity of the validation process.
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Yamonn, Nyo. "Examination of the Association between Patient Empowerment and Diabetes Management among an Urban African American Population by Gender, Age, Socioeconomic Status and Education Level." Digital Archive @ GSU, 2010. http://digitalarchive.gsu.edu/iph_theses/83.

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Diabetes mellitus is a significant problem in the United States with the burden being greater in the African American population. Because diabetes is complex and costly, the importance of self-care management changes the disease management paradigm from “provider-centered” to patient-centered”. Empowerment is a possible solution for barriers to better diabetes management. Patient empowerment is helping patients discover and develop the inherent capacity to be responsible for their own life. Although patient empowerment is a valuable philosophy, there are gaps between the philosophy and actual practice. There are limited studies addressing the effectiveness of patient empowerment at improving diabetes management. Therefore, this study examined the association of patient empowerment and diabetes management by gender, age, socioeconomic status and education level by using the data from the Patient Empowerment to Improve Diabetes Care intervention conducted in the Diabetes Clinic of the Grady Health System (GHS). In this study, diabetes management was measured by glycated hemoglobin (HbA1c) level which shows the average blood glucose level over the past two to three months. Patient empowerment was measured by two standardized tools which were the Diabetes Empowerment Scale-Short Form and Patient Activation Measure. In this study, patient empowerment scores measured by these tools were not associated with HbA1c level in African American diabetes patients of the Diabetes Clinic of the GHS. Further study is necessary to understand the association between patient empowerment and diabetes disease management by using different measures of patient empowerment, different levels of disease management, and measurement in different settings.
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50

Gage, LaToya Brown. "Perceived Quality of Care and Burnout in Psychiatric Caregivers Working With Offenders." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/6022.

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Perceived quality of care and burnout affects psychiatric care workers profession-ally and physically. Psychiatric caregivers working in forensic facilities encounter negative changes with perceived quality of care and burnout when working with offender patients. Recognizing the variables that lead to burnout and perceived quality of care may assist professionals and organizations with the information needed to prevent burnout and poor perceived quality of care among psychiatric caregivers. Using self-efficacy theory as a framework, this correlational design examined whether years of experience, self-efficacy, and caseload complexity predict burnout and perceived quality of care. A total of 148 psychiatric caregiver participants completed questionnaires comprised of the Maslach Burnout Inventory-HSS, General Self-efficacy Scale, and Quality of Care Measures (staff-form), along with demographic questions. Multiple regression determined that self-efficacy and years of experience significantly predicted personal accomplishment, which is a subscale of burnout. However, self-efficacy did not predict of depersonalization or emotional exhaustion the other 2 subscales of burnout. Self-efficacy was also found to be a positive predictor of perceived quality of care. The research findings have the potential to influence social change by providing professionals and organizations a better under-standing of the factors that influence burnout and perceived quality of care when work-ing with offender patients. In relation, improvements in trainings, interventions, and strat-egies for positive employee well-being and increased patient care could possibly reduce burnout and increase perceived quality of care.
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