Demonstrates building on peer postings and extending the discussion. Questions posed are thoughtful and relevant. Includes substantial factually correct content which demonstrates evidence of comprehension, application, and/or appraisal. Includes evidence of self-reflective content which demonstrates views, beliefs, and/or feelings. Interaction demonstrates respect and sensitivity to others.
Peer Response to Amy Peek…

Discussion 5.1: Connecting Nursing and Health-Related Theory by Amy Peek

The theory I am presenting is the Theory of Self-Efficacy by Barbara Resnick. The theory is adapted from Albert Bandura’s self-efficacy theory; Resnick implemented the theory in adult care. The self-efficacy theory’s core meaning states that people can exercise influence over what they do. Self-efficacy is the belief in one’s ability to accomplish a goal. The theory states that people attempt tasks they think they can achieve but not attempt tasks they might fail. Nursing care aims to discuss the patient’s environment, mental status, goal, and care plan options to optimize their desire and opportunity to achieve their self-efficacy status. The self-efficacy theory takes into consideration the person, health, nursing, and environment. The three key elements are role or self-modeling, verbal encouragement, and physiological sensations. The goal is to be a model for patients and encourage them they can overcome the obstacles to obtain their goals of self-care and self-efficacy. By helping change the obstacles in their environment, such as socioeconomic issues, patients can become self-efficient.

The social cognitive theory describes the influence of individual experiences, actions of others, and environmental factors on an individual’s health behaviors (Rural Health Information, 2018). The key concepts to the theory are self-control, observational learning, reinforcements, expectancies, expectation, behavioral capability, and self-efficacy (Rural Health Information, 2018). In the socio-cognitive view of Bandura, people are self-organizing, proactive, self-reflecting, and self-regulating, not just individuals shaped by external factors (Bandura, 1999). In addition, the social cognitive theory, similar to the self-efficacy theory, indicates that people can exercise control over their thought processes, motivations, and actions (Bandura, 1999).

I find the social cognitive theory and the self-efficacy theory to be similar. The theories both employ the idea that the patient is in control of their accomplishments and goal. Also, both theories envelop environmental and personal factors into the patient’s plan of care and achievement of goals. The difference I see in the theories is that the social cognitive theory emphasizes that cognition is the main factor in a person’s behaviors, such as exercising control, self-reflection, and placing themselves in reality (Bandura, 1999).

I feel both theories are suitable for advanced practice nursing. With both theories, the patient is to set and obtain goals; the nurse is there for encouragement, help with environmental factors, and maintain care plans. The objective is the same; many vital factors are the same, except cognitive function is more involved with the social cognitive theory. I would not hesitate to use either theory, as both theories are for the patient to be self-efficient and confident in their skills to care for themselves daily.

References

Bandura, A. (1999). A social cognitive theory of personality. In L. Pervin & O. John (Ed.), Handbook of personality (2nd ed., pp. 154-196). New York: Guilford Publications. (Reprinted in D. Cervone & Y. Shoda [Eds.], The coherence of personality. New York: Guilford Press.)

Lopez-Garrido, G. (2020, August 9). Self-Efficacy Theory. https://www.simplypsychology.org/self-efficacy.html

Rural Health Information. (2018, April 30). Social Cognitive Theory. https://www.ruralhealthinfo.org/toolkits/health-promotion/2/theories-and-models/social-cognitive


 

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