DQ: Psychosocial theory in nursing practice includes factors, such as self-efficacy, stress and coping, learned helplessness, and social support
DNP 815 Topic 6 DQ 1
Psychosocial theory in nursing practice includes factors, such as self-efficacy, stress and coping, learned helplessness, and social support. Choose one aspect of a psychosocial theory that relates to your DNP Project.
REPLY TO DISCUSSION
Behavior change is an important concept in relation to health promotion and disease prevention. Self-efficacy has been identified as an important determinant of health behavior, future health behavior and health behavior change. (Halloway & Watson ,2002) Bandura defined self-efficacy as confidence that one can successfully execute a course of action to produce a desired outcome in a given situation and contended that self-efficacy determines how much effort and persistence people exhibit in the face of obstacles or aversive experiences.
Inpatient fall prevention has been an individual area of concern for nursing for almost 50 years. Traditional hospital-based incident reports deem all inpatient falls to be avoidable, and therefore falls are classified as adverse events. Indeed, falls are the most frequently reported adverse events in the adult inpatient sett
ing. And for this patient to regain their strength and ability to function postoperatively the DNP project will be using utilizing some aspect of the self-efficacy theory.
Self-efficacy proposed by Bandura plays an important role in modulating health behaviors and in turn positively
affecting life qualities. Many studies have indicated that patients with higher self-efficacy are more effective in the self-management of illnesses. Patients with high self-efficacy would be more likely to deal with life stressors with confidence and engage in the necessary behaviors to preserve or restore health (Xu, et al 2018).
To improve patients’ self-efficacy and quality of life,the DNP project will educate, provide psychological intervention, send relevant materials, and suggestions on expanding on nursing training. All these changes will allow post-operative patients and other patients in general to improve their self-care abilities, rehabilitation techniques, and encouragement to actively participate in the rehabilitation of their disease process.
References
Holloway, A., & Watson, H. E. (2002). Role of self-efficacy and behavior change. International journal of nursing practice, 8(2), 106–115. https://doi.org/10.1046/j.1440-172x.2002.00352.x
Xu, S., Zhang, Z., Wang, A., Zhu, J., Tang, H., & Zhu, X. (2018). Effect of Self-efficacy Intervention on Quality of Life of Patients with Intestinal Stoma. Gastroenterology nursing: the official journal of the Society of Gastroenterology Nurses and Associates, 41(4), 341–346. https://doi.org/10.1097/SGA.0000000000000290
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Replies
Positive Psychology
- Posits that people want more than just an end to suffering and seek to lead meaningful lives.
- Aims to move psychology away from the preoccupation with repairing the worst in life toward building positive qualities.
- Proposes that positive experiences, positive individual traits, and positive institutions are the three central concerns for psychology.
- Seligman posits that happiness could be analyzed into three different elements that one chooses for their own sake: positive emotion, engagement, and meaning.
- His five crucial elements of well-being: PERMA
- Positive Emotion
- Engagement
- Relationships
- Meaning
- Accomplishment
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Also Read: DQ: Examine change theories in scholarly literature
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Thank you for this post. I utilize these concepts often when I teach and work with learners; however, I did not know there was an actual concept to defend or support it. It is essential to ensure that the learners feel a positive environment while learning as it facilitates a more excellent grasp of complex concepts. Alongside this, it is essential that learners remain engaged in the learning process as it can significantly impact whether or not the lesson is heard. To engage learners in active listening and learning, there needs to be a relationship, like a rapport with clients, to open that door for communication and mutual respect. Once this is done, the learners can begin learning and can do so with meaning behind their thoughts, actions, and emotions. This helps to give the learners a greater sense of accomplishment when they are fully competent in the topic and details of the lesson.
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Orem’s self-care model and Bandura’s self-efficacy theory implied that patients who take greater care of their own medical care have less depression and are more motivated to promote and perform activities to improve or maintain health care (Maharjan & Davenport, 2019). Self-efficacy is one facet of psychosocial theory relating to my DNP project. Psychosocial adaptation to hemodialysis patients is as important as a physical condition in determining the quality of disease experience, adherence to treatment associated with adjustment, and psychosocial factors that may influence the mortality rate (Lee et al., 2019). Uncertainty has a negative impact on the psychological adaptation of hemodialysis patients, where a cognitive state happens when the outcome is difficult to predict.
Due to the complexity of the treatment process, personal perception of the disease changes on a continuum by failing to determine meaningful value. Social support has a direct impact on the adaptation and improving the quality of life of hemodialysis patients through depression, wherein the lower the recognized social support, the higher the suicidal thoughts. Coping is the process of managing a burdensome environment, and the use of effective coping strategies influences positive adaptation outcomes, such as improving psychological adaptation levels and improving quality of life (Lee et al., 2019). Self-efficacy is believed to affect the patient’s quality of life.
For hemodialysis patients, the stigma perceived as a disability and the psychological stress that death is imminent are factors of conflict or stress, and the use of effective coping strategies is needed to maintain balance in their life and improve outcomes.
References
Lee, K. S., Kim, H., Hai, M., Lee, K. S., Kim, H. Y., & Lee, M. H. (2019). Psychosocial adaptation influencers in hemodialysis patients. Korean Journal of Adult Nursing, 31 (1), 38- 49.
https://doi.org/10.7475/kjan.2019.31.1.38
Maharjan, S. R. J., & Daveport, A. (2019). The effects of supported shared-care and hemodialysis self-care on patient psychological well-being, interdialytic weight gain, and blood pressure control. Hemodialysis International, 24 (1), 29-35.
https://doi.org/10.1111/hdi.12799
For my DPI project, I am focusing on a method to improve a daily process that nurses utilize to communicate and promote continuity of care. This only works when the nurses have the desire to do what is best for their patients. This desire is driven by the psychosocial theory of self-efficacy, which, as said by Butts and Rich in 2018, results in greater commitment and true performance of a goal or action (Butts & Rich, 2018, chapter 18, p. 628). This is a great psychosocial theory to have as a foundation for a project that requires nurses to want to do their jobs the best way possible, which requires making goals and sticking to those and the actions required to complete their tasks. With self-efficacy, nurses ensure that their health and mindsets are up-to-par to be successful and productive in their daily activities. This means that nurses need to have the mindset to care for themselves and seek success in their future. This can be driven by the desire to help the public. With proper communication, safety amongst the clients and staff increases. This is the premise of the project itself. As nurses, we have the desire to keep our clients safe. This desire falls in the premise of self-efficacy where in which we want to do a good job for our clients and ourselves. With this desire, we need to ensure that we are communicating appropriately. That is where the project stems from.
I agree with you that psychosocial theories can provide structure and framework in dealing with the emotional and mental aspects of patients in clinical settings. Different psychosocial theories help in dealing with different emotional and mental issues. Part of psychosocial theory in nursing practice involves the idea of patient’s self-efficacy. Similarly, psychosocial theory entails the belief that the patient has the ability to generate an outcome if given the right personal perception and support system (Mutschler et al., 2018). Therefore, healthcare organizations and other stakeholders have the responsibility of creating a suitable environment for their patients. Different clinical settings benefit from various psychosocial theories. Health promotion and self-efficacy is a throughout care continuum in different capacities (Burgon et al., 2018). Therefore, psychosocial theories are applied through the care continuum. Effective selection and use of these models ensure that patients with various emotional and mental complications get better healthcare services. Self-care theories allow patients to be actively involved in treatment and recovery processes.
References
Burgon, H., Gammage, D., & Hebden, J. (2018). Hoofbeats and heartbeats: equine-assisted therapy and learning with young people with psychosocial issues–theory and practice. Journal of Social Work Practice, 32(1), 3-16. https://doi.org/10.1080/02650533.2017.1300878
Mutschler, C., Rouse, J., McShane, K., & Habal-Brosek, C. (2018). Developing a realist theory of psychosocial rehabilitation: the Clubhouse model. BMC health services research, 18(1), 1-12.
Topic 6 Discussion Question 1
Self-efficacy is the most commonly applied concept of psychosocial theory. In the healthcare sector, self-efficacy theory has been considered a significant predictor of behavioral change (Shorey & Lopez, 2021). Self-efficacy aims at explaining the efforts and actions needed to change human behavior. The concept of self-efficacy relates to how an individual perceives his or her capacity to think, feel, motivate, and take an action to change a particular behavior. Self-efficacy also involves one’s belief in his or her capacity to perform a particular task and accomplish it, achieving the desired behavioral change. An individual processes, evaluates, and incorporates information obtained from diverse sources concerning one’s capability and integrates the desired behavioral change. One’s expectations concerning the efficacy and mastery of their capacity to perform activities of behavioral change depend on how an individual sees himself or herself in terms of self-esteem and self-concept.
The concept of self-efficacy relates to the selected DNP project, which focuses on the prevention of falls among elderly adults aged 60 years and above, receiving home healthcare. Self-efficacy will significantly influence nurses’ efforts and actions needed to accomplish the desired change. Through self-efficacy nurses believe in their capacity to implement fall prevention programs among elderly adults aged 60 years and above, receiving home healthcare to reduce the risk of falls in this population. Additionally, self-efficacy involves how elderly adults receiving home healthcare perceive their ability to think, feel, and take actions needed to prevent themselves from falling, thus reducing fall-related adverse outcomes. According to Haddad et al. (2021), treating fall related-related injuries imposes a huge financial burden on the United States healthcare system. Therefore, self-efficacy will play a significant role in preventing falls and fall-related injuries.
References
Haddad, Y. K., Bergen, G., & Florence, C. (2019). Estimating the economic burden related to older adult falls by state. Journal of public health management and practice: JPHMP, 25(2), E17. Doi: 10.1097/PHH.0000000000000816.
Shorey, S & Lopez, V. (2021). Self-Efficacy in a Nursing Context. In book: Health Promotion in Health Care – Vital Theories and Research (pp.145-158). DOI: 10.1007/978-3-030-63135-2_12.