Activities of the APN to Enhance Unpartnered Elders Self-Efficacy After Myocardial Infarction

Abstract

Unpartnered elders recovering from a myocardial infarction find themselves with limited support to contend with their physical and emotional recovery. The advanced practice nurse (APN) can play an instrumental role in improving the health outcomes of these elders. Detailed description of the activities of the APN that affect patient outcomes in current randomized clinical trials have been inadequate in published reports. Therefore, the purpose of this article is to describe the activities of an APN in a nurse-coached intervention study for unpartnered elders post-myocardial infarction. Thematic analysis from the subject logs and narratives from the APN identified the four themes of patient education, validation/feedback, encouragement/support, and problem solving as the unique activities of the APN. These activities enhanced the recovery of these vulnerable unpartnered elders after a myocardial infarction.

Maximizing Stroke Recovery Using Patient Self-Care Self-Efficacy

“…Self‐efficacy has been studied in patients with diverse medical conditions, such as alcohol and drug abuse, rheumatoid arthritis, smoking cessation, and eating disorders, and in health promotion programs, school achievement, and athletic performance (Bandura, 1997). Two studies in which nurses were involved in self‐efficacy interventions were done by Lev and Owen (2000), whose patients were receiving treatments for breast cancer, and by Carroll, Robinson, Buselli, Berry, and Rankin (2001), whose patients were recovering from myocardial infarction (MI). Lev and Owen (1996) reported that higher self‐care self‐efficacy was associated with a higher quality of life and less symptom distress.…”

Enhancing three bliss concepts among nursing home elders in Taiwan

“…For instance, Allison and Keller (2004) used self‐efficacy enhancing interventions to improve walking ability in older adults with coronary heart disease. Carroll et al. (2001) reported that advanced practice nurses who provided self‐efficacy interventions successfully assisted older adults in living with myocardial infarction.…”

“…For instance, Allison and Keller (2004) used self-efficacy enhancing interventions to improve walking ability in older adults with coronary heart disease. Carroll et al (2001) reported that advanced practice nurses who provided self-efficacy interventions successfully assisted older adults in living with myocardial infarction. However, this study assumed that nursing home elders receiving the SCSEEP from staff could maintain or improve their levels of ADL and therefore maintain or improve their three bliss concepts, life satisfaction, self-esteem and motivation in health behaviours.…”

Implementation of Efficacy Enhancement Nursing Interventions with Cardiac Elders

“…Since at least three of the four required contacts were by telephone, verbal encouragement and persuasion were important components of telephone coaching. Carroll et al (2001) found encouragement and support, validation and feedback, and “providing a listening ear” to be important telephone coaching techniques used by APNs to enhance efficacy. Mastery, in combination with patient education and teaching about disease process, enabled patients to understand which skills and behaviors were necessary to their recoveries and helped them to set and achieve realistic short‐ and long‐term goals, organize resources, and implement problem‐solving strategies.…”

“…Goals of the nursing support were to educate, enhance self‐confidence, and reduce emotional arousal, such as anxiety and distress. Carroll, Robinson, Buselli, Berry, and Rankin (2001) described advanced practice nurse (APN) interventions based on social cognition theory and designed to influence self‐efficacy in elders after myocardial infarction. The APN activities included patient education, validation/feedback, encouragement/support, and problem solving.…”