Self-efficacy in the context of heart transplantation - a new perspective

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title = "Self-efficacy in the context of heart transplantation - a new perspective",
abstract = "AIMS AND OBJECTIVES: An in-depth exploration of self-efficacy among heart transplant recipients by means of Bandura's self-efficacy theory.BACKGROUND: An essential component of chronic illness management is self-management, which refers to activities carried out by people to create order, structure and control in their lives. Self-efficacy is an important aspect of self-management, which seems to have become the main paradigm for long-term management after solid organ transplantation.DESIGN: A directed content analysis using Bandura's self-efficacy theory.METHODS: Open-ended, in-depth interviews were conducted with 14 heart transplant recipients at their 12-month follow-up after heart transplantation.RESULTS: This study generated the hypothesis that from the patients' perspective, self-efficacy after heart transplantation concerns balancing expectations to find the optimum level of self-efficacy. Performance accomplishment was found to have the greatest impact on self-efficacy, while its absence was the main source of disappointments. It was also revealed that the gap between performance accomplishment and efficacy expectations can be understood as uncertainty.CONCLUSIONS: It is essential to assess both expectations and disappointments from the patient perspective in order to promote an optimum level of self-efficacy among heart transplant recipients. This includes supporting the heart recipient to adopt mental and physical adjustment strategies to balance her/his expectations as a means of minimising disappointments. The understanding that uncertainty can undermine self-efficacy is crucial.RELEVANCE TO CLINICAL PRACTICE: The merging of the uncertainty in illness and self-efficacy theories provides an excellent framework for the provision of self-management support. In addition, focusing on a partnership between the transplant professionals and the recipient is essential because it minimises the use of a behavioural approach.",
author = "Matilda Almgren and Annette Lennerling and Martina Lundmark and Anna Forsberg",
note = "{\circledC} 2016 John Wiley & Sons Ltd.",
year = "2017",
doi = "10.1111/jocn.13647",
language = "English",
volume = "26",
pages = "3007--3017",
journal = "Journal of Clinical Nursing",
issn = "1365-2702",
publisher = "Wiley-Blackwell",
number = "19-20",