Date Approved

2001

Graduate Degree Type

Thesis

Degree Name

Nursing (M.S.N.)

Degree Program

College of Nursing

Abstract

This secondary analysis evaluated the effect of a mutual goal setting nursing approach on the level of self-efficacy to manage disease in general in patients with congestive heart failure (CHF). The conceptual frameworks utilized were King's theory of goal attainment and Bandura's theory of self-efficacy. The primary study used a convenience sample of 54 patients who had been admitted to two home healthcare agencies with the primary diagnosis of CHF. Data were collected at baseline, 3-months and 6-months. The data collection tool was the Self-Efficacy Tool, which was from Outcome Measures for Health Education and other Health Care Interventions (Lorig, et al., 1996). Statistically significant results were found in the mutual goal setting group as measured on post-test scores at 6-months (p=.04). This finding suggest that the nursing intervention of mutual goal setting may enhance the level of self-efficacy of patients to self-manage their disease in general.

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