Nursing Interventions Focusing on Self-efficacy for Patients With Multiple Sclerosis in Rehabilitation: A Systematic Review

Brenner, Rouven; Witzig-Brändli, Verena; Vetsch, Janine; Köhler, Myrta

doi:10.7224/1537-2073.2021-166

Cited by 7 publications

(4 citation statements)

References 63 publications

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“…Self-efficacy, or a person’s belief in their ability to succeed in particular situations (Bandura, 1977), has been considered an important psychological factor associated with positive outcomes and connected with the concept of core self-evaluations. Specifically, there is literature to support the efficacy of rehabilitation interventions to increase self-efficacy for patients with MS (Brenner et al, 2022; Daniali et al, 2016; Hersche et al, 2019; Mulligan et al, 2016). Benefits of psychosocial interventions, such as cognitive behavioral therapy (CBT) have been documented for improving self-efficacy in adults with MS (e.g., Rigby et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Subjective well-being of adults with multiple sclerosis during COVID-19: Evaluating stress–appraisal–coping and person–environment factors.

Iwanaga¹,

Chan²,

Rumrill³

et al. 2023

Rehabilitation Psychology

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Background: People with multiple sclerosis (MS) have been coping with high levels of stress during the ongoing coronavirus pandemic, affecting their employment, physical, and mental health, and overall life satisfaction. Objective: This study evaluated constructs of the stress-appraisal-coping theory and positive person-environment factors as predictors of subjective well-being for adults with MS. Method: Participants included 477 adults with MS recruited through the National Multiple Sclerosis Society. Hierarchical regression analysis was used to determine the incremental variance in subjective well-being accounted for by demographic covariates, functional disability, perceived stress, stress appraisal, coping styles, and positive person-environment contextual factors. Results: Positive stress appraisal and coping flexibility were significantly associated with subjective well-being at the bivariate correlation level and at the step they were entered into the regression model. Marital status, household income, functional disability, perceived stress, hope, core self-evaluations, and social support were significant predictors in the final model, accounting for 60% of the variance in subjective well-being scores (R 2 = .60, f 2 = 1.48; large effect size). Conclusions: Findings from this study support a stress management and well-being model based on constructs of Lazarus and Folkman's stress-appraisal-coping theory and positive person-environment contextual factors, which can inform the development of theory-driven and empirically supported stress management and wellbeing interventions for people with MS during the ongoing global health crisis. Impact and ImplicationsThe coronavirus disease 2019 (COVID-19) has significantly disrupted the lives of people around the world and disproportionately affected the disability community, including people with multiple sclerosis (MS). In addition to managing stressors and challenges associated with chronic disease, people with MS must also cope with high levels of stress and anxiety during the ongoing pandemic, which can acutely affect their physical health, mental health, and life satisfaction. Therefore, effective stress management and well-being interventions that can be provided remotely, in person, and blended are needed to help individuals with MS manage disease complications and stress levels. This study evaluated constructs of the stress-appraisal-coping theory and positive person-environment contextual factors as predictors of subjective well-being in adults with MS. Findings suggested that positive personality traits and supportive environments may play a role as protective factors against perceived stress and facilitate subjective well-being. Importantly, findings of this study can be used to guide the development of theory-driven and empirically supported stress management, health promotion, and psychological interventions for people with MS during and beyond the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 99%

Subjective well-being of adults with multiple sclerosis during COVID-19: Evaluating stress–appraisal–coping and person–environment factors.

Iwanaga¹,

Chan²,

Rumrill³

et al. 2023

Rehabilitation Psychology

View full text Add to dashboard Cite

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“…Its overarching goal is the development, evaluation and implementation of a theory-based nursing consultation for MS patients in rehabilitation guided by the Medical Research Council (MRC) framework [ 26 ]. Further information’s are reported elsewhere [ 27 ].…”

Section: Methodsmentioning

confidence: 99%

“I would stress less if I knew that the nurse is taking care of it”: Multiple Sclerosis inpatients’ and health care professionals’ views of their nursing-experience and nursing consultation in rehabilitation—a qualitative study

et al. 2022

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Background Nurses play a crucial role in the multidisciplinary team in the rehabilitation of multiple sclerosis (MS) patients. However, little is known about patients' and health care professionals’ (HCP) experiences (physicians, therapists) with nurses in rehabilitation. The aim of this qualitative study is (i) to describe the rehabilitation nursing care from the perspective of MS patients and HCPs and their view of a nursing consultations (ii) to elaborate similarities and differences of patients’ and HCP’s views. Methods We used a qualitative approach and selected the participants purposively. We conducted semi-structured individual MS patient (n = 15) and two focus groups interviews with HCPs (n = 8) in an inpatient rehabilitation clinic in Switzerland. We analysed the data using a structuring content analysis approach. First, we analysed patients’ and HCPs’ perspectives separately. Afterwards we elaborated similarities and differences descriptively. Results Main categories of patients’ perspectives were “need for nursing care” and “relationship between nurses and MS patient”. MS patients have mentioned the following points according to a nursing consultation: (i) nurses as advocates, (ii) involvement of relatives (iii) peer groups (iv) contact person. “Nurses in their scope of practice”, “nurses as a part of the multidisciplinary team” and “the specifications in the treatment of MS patients” were main categories of HCPs’ perspective. MS patients and HCPs demonstrated similarly the importance to have a nurse as a contact person in the multidisciplinary team and the need to integrate a nurse-led peer group in a nursing consultation. While HCPs prefer that relative always be included in nursing consultations, patients provided reasons when inclusion was not desirable. Conclusion The results indicate that continuity in the nursing care for MS patients could contribute to a trusting nurse-patient relationship. This facilitates nurses to create a deeper understanding of MS patients and their needs in daily rehabilitation. The need for MS patients to share their concerns and receive scientifically proven knowledge from peers could addressed with a nurse-led peer group.

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“…His model recommended four sources of self-efficacy, including previous activities, vicarious practices such as having a role model, verbal encouragement such as coaching and evaluative guidance, and emotional arousal [63,64]. It refers to a nurse's belief in his/her ability to effectively cope with tasks, duties, and encounters related to his/her proficient role [65][66][67][68]. Kim and Sim examined the structural relationship among clinical nurses' self-efficacy, communication ability, self-leadership, and nursing performance.…”

Section: Training To Improve Professional Skills and Competencymentioning

confidence: 99%

The role of continuing medical education programs in promoting iranian nurses, competency toward non-communicable diseases, a qualitative content analysis study

et al. 2022

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Background Continuing medical education is essential for nurses to provide quality patient care and upgrade their professional skills and competence. The need for continuing medical education (CME) has become more apparent in the face of advances in medical science, the ever-changing healthcare system, and nurses’ vital role in improving health care. It is, therefore, imperative to explore the nurses’ experience of CME courses and the extent to which such programs are effective. Objective The present qualitative study aimed to explore and describe nurses’ experiences of the effect of CE programs in promoting their competencies toward non-communicable diseases. Methods This qualitative content analysis study was conducted from December 2019 to April 2020 at various hospitals affiliated to Shiraz University of Medical Sciences (Shiraz, Iran) and based on the principles of conventional content analysis. The target population was nurses who actively worked in the chronic wards of these hospitals. The participants were selected using maximum variation sampling, including nine nursing managers, education and clinical supervisors, and staff nurses. Data were collected through individual, face-to-face, semi-structured interviews guided by an interview guide, and data collection continued until data saturation was achieved. Each interview took about 30–45 min. Follow up questions were used for clarification when needed. Data trustworthiness was assessed according to the criteria proposed by Guba and Lincoln. Results Analysis of the interview data resulted in 230 primary codes, based on 8 categories, and three themes were identified. The extracted themes were gaps in the planning of the CME program, problematic context, and training to improve professional skills and competency. The associated categories were gaps in the planning of the CME program, problematic context, and training to improve professional skills and competency. Conclusion Professional competence and performance of nurses can be improved through intrinsic motivation stimulation, planning, and implementation of training programs based on professional needs and effective assessment of the teaching/learning process.

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Nursing Interventions Focusing on Self-efficacy for Patients With Multiple Sclerosis in Rehabilitation: A Systematic Review

Cited by 7 publications

References 63 publications

Subjective well-being of adults with multiple sclerosis during COVID-19: Evaluating stress–appraisal–coping and person–environment factors.

Subjective well-being of adults with multiple sclerosis during COVID-19: Evaluating stress–appraisal–coping and person–environment factors.

“I would stress less if I knew that the nurse is taking care of it”: Multiple Sclerosis inpatients’ and health care professionals’ views of their nursing-experience and nursing consultation in rehabilitation—a qualitative study

The role of continuing medical education programs in promoting iranian nurses, competency toward non-communicable diseases, a qualitative content analysis study

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