An integrative review of self-efficacy and patient recovery post acute injury

Connolly, Fiona R., Aitken, Leanne M. and Tower, Marion (2014) An integrative review of self-efficacy and patient recovery post acute injury. Journal of Advanced Nursing, 70 4: 714-728. doi:10.1111/jan.12237

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Author Connolly, Fiona R.
Aitken, Leanne M.
Tower, Marion
Title An integrative review of self-efficacy and patient recovery post acute injury
Journal name Journal of Advanced Nursing   Check publisher's open access policy
ISSN 0309-2402
Publication date 2014-04
Sub-type Article (original research)
DOI 10.1111/jan.12237
Open Access Status
Volume 70
Issue 4
Start page 714
End page 728
Total pages 15
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell
Collection year 2015
Formatted abstract
Aim: To present an integrative literature review examining the relationship between self-efficacy and patient recovery post acute injury. Background: Self-efficacy is a belief in one's ability to perform a set of actions; the greater a person's confidence, the more likely they will initiate and continue activity that will produce a positive outcome in terms of recovery. Increasingly, research indicates that application of self-efficacy theory into clinical practice is likely to promote recovery in the rehabilitation setting. This review examines self-efficacy in the post acute injury group.

Design: Integrative literature review.

Data sources: A database search was conducted in PSYCHINFO, MEDLINE and CINAHL between 1990-2012.

Review methods: Whittemore and Knafl's theoretical framework was used to guide the review in conjunction with a critical appraisal template. Findings from studies were extracted, critically examined and grouped into key themes under factors (interventions) and outcomes relating to self-efficacy.

Results: Eighteen articles met the inclusion criteria. Level of education may be a significant factor related to self-efficacy. Educational, physical and psychological interventions to improve self-efficacy emerged, but few interventions led to significantly enhanced self-efficacy. Self-efficacy was found to influence outcomes, including pain and disability, adherence to discharge instructions, locomotion recovery and quality of life.

Conclusion: Interventions addressing the connection between physical and psychological health with respect to mood, emotion, stress, fear and anxiety to improve the psychological response to acute injury may enhance self-efficacy and patient recovery.
Keyword Acute care
Literature review
Psychosocial nursing
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Link to Journal Article:

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Nursing, Midwifery and Social Work Publications
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Citation counts: TR Web of Science Citation Count  Cited 2 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 2 times in Scopus Article | Citations
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Created: Thu, 05 Mar 2015, 09:55:06 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work