Mowat J, Laschinger H K
Faculty of Nursing, University of Western Ontario, London, Canada.
J Adv Nurs. 1994 Jun;19(6):1105-13. doi: 10.1111/j.1365-2648.1994.tb01194.x.
Research with caregivers of cognitively impaired individuals has provided evidence which suggests that most caregivers experience at least some degree of burden. However, it has been postulated that it is the caregiver's subjective interpretation of the situation that is the primary factor responsible for mediating the degree of burden experienced. Caregivers who cope well with this type of stress may possess a high level of self-efficacy. The purpose of this paper is to analyse the concept of self-efficacy and its relationship to health care using Walker & Avant's concept analysis methodology. Uses of the concept of self-efficacy, as well as its defining attributes, antecedents, consequences and empirical referents, are discussed. Also, model, borderline, related, contrary and invented cases are constructed to illustrate the concept further. The relevance of the concept to nursing practice and areas requiring future investigation are noted.
对认知障碍患者照顾者的研究提供了证据，表明大多数照顾者至少经历了一定程度的负担。然而，据推测，照顾者对情况的主观解读才是造成所经历负担程度的主要因素。能很好应对这类压力的照顾者可能具有较高的自我效能感。本文的目的是运用沃克和阿万特的概念分析方法来分析自我效能感的概念及其与医疗保健的关系。文中讨论了自我效能感概念的用途及其定义属性、前因、后果和实证参照。此外，还构建了模型案例、边界案例、相关案例、相反案例和虚构案例以进一步阐释该概念。文中指出了该概念与护理实践的相关性以及需要未来研究的领域。
