Self-Efficacy in People With Chronic Disease: An Evolutionary Concept Analysis.
Diana Achury-Saldaña, María Mercedes Duran De-Villalobos, Alejandra Fuentes-Ramirez
PMID 40685866WHAT IT FOUND
Self-efficacy is distinct from self-management.
It is the patient's belief in their ability to organise and maintain self-care. Clinicians should assess this belief separately from actual behaviour to identify whether low adherence stems from a lack of skill or a lack of confidence.
Key findings
01Self-efficacy is defined as the confidence and belief in the ability to organise and maintain self-care, distinct from the observable behaviour of self-management.
02Five attributes characterise self-efficacy in chronic disease: motivation, individual perception, judgement, direct experience, and self-regulation.
03Antecedents influencing self-efficacy include educational level, social modelling, verbal persuasion, physiological states, coping styles, and health literacy.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a concept analysis, not an empirical study testing an intervention. It defines a construct but does not prove that assessing or targeting it improves patient outcomes. The search was limited to articles published in English between 2018 and 2023. Most of the selected studies focused on Chronic Obstructive Pulmonary Disease (COPD), which may limit the generalisability of the specific attributes and antecedents to other chronic conditions.
Declared interests
No specific funding or conflict of interest declarations were provided in the supplied text.
The easy way to misread this
Do not treat self-efficacy as a synonym for self-management. A patient can have high self-efficacy (confidence) but poor self-management (behaviour) due to external barriers, or vice versa. Assessing one does not automatically assess the other.