ORCID Profile
0000-0002-0720-4458
Current Organisations
Southern Cross University Coffs Harbour Campus
,
Coffs Harbour Health Campus
,
Western Sydney University - Campbelltown Campus
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Publisher: Wiley
Date: 21-08-2023
DOI: 10.1002/NOP2.1960
Abstract: To examine the associations between self‐efficacy, resilience and healthy ageing among older people who have an acute hospital admission. A cross‐sectional study. Survey and medical record data were collected from older people on discharge from hospital. The survey measured self‐efficacy with the 6‐item General Self‐Efficacy scale (GSE‐6), resilience with the Brief Resilience Scale (BRS), and healthy ageing with the Selfie Ageing Index (SAI). Medical record data included potential confounders: co‐morbidities, frailty items, previous falls and previous admission in the last 28 days. Multi‐linear regression and Spearman's rank correlation coefficient were used to examine the independent associations between self‐efficacy, resilience and healthy ageing. Responses were received from 143 older people (mean age 79). After adjusting for potential confounders, co‐morbidities ( ß = ‐0.08, p = 0.001) remained negatively associated with healthy ageing, while self‐efficacy ( ß = 0.03, p = 0.005) and resilience ( ß = 0.05, p 0.001) remained positively associated with healthy ageing ( R 2 = 0.243). Positive correlations were found between self‐efficacy ( ρ = 0.33, p 0.01), resilience ( ρ = 0.38, p 0.001) and healthy ageing. Positive correlations were also found between self‐efficacy and resilience ( ρ = 0.38, p 0.01). Those with lower self‐efficacy and resilience were more likely to report reduced activities of daily living, mobility, physical activity and mood. Findings indicate that while the number of co‐morbidities have negative consequences for healthy ageing among older people who are hospitalised, the promotion of self‐efficacy and resilience can potentially contribute to healthy ageing within the physical and psychological domains. Nurses can promote self‐efficacy, which can potentially increase resilience and help to improve self‐management of chronic conditions, functional ability in daily activities, mobility and physical activity and reduce both anxiety and depressive symptoms. Participant feedback throughout the data collection process assisted in the evaluation of study methods and data interpretation. This included processes such as assessing selected tools and clarifying the meanings of healthy ageing factors.
Publisher: Elsevier BV
Date: 06-2023
Publisher: Elsevier BV
Date: 10-2019
Publisher: Wiley
Date: 29-10-2021
DOI: 10.1111/JOCN.16104
Abstract: The aim of this integrative review was to investigate current literature exploring relationships between general self‐efficacy and the healthy ageing of older people. Enhancing the health and well‐being of older adults, while mitigating consequences of illness and frailty are important priorities in healthy ageing. General self‐efficacy is closely associated with human behaviour and has been linked with improved health and well‐being. An integrative review using the five‐stage method described by Whittemore and Knafl (Journal of Advanced Nursing, 2005, 52, 546). Academic databases CINAHL, MEDLINE and APA PsycInfo were searched between 2010 and 2020 for original, peer‐reviewed papers, published in English that investigated general self‐efficacy and factors associated with the healthy ageing of older people. Included papers were critically appraised using the Appraisal tool for Cross‐Sectional Studies (AXIS tool) and Critical Appraisal Skills Programme, and underwent data abstraction and synthesis via a constant comparative method. This review was also evaluated using the PRISMA checklist. Twenty‐one papers were included in this review. Two main themes emerged. The first highlights positive relationships between general self‐efficacy and health and ageing perceptions, with subsequent influence on health behaviours. The second includes two sub‐themes, which explores general self‐efficacy’s role in maintaining well‐being through its effects on psychological health and overcoming physical decline through adaption to changing physical and health conditions. Promoting general self‐efficacy has potential benefits for the healthy ageing of older people through positive effects on ageing and health perceptions, health behaviours, psychological health and overcoming physical decline. Understanding how general self‐efficacy facilitates healthy ageing can guide nursing practices that reduce or mitigate consequences of illness and physical decline on the health and well‐being of older people. Strategies aimed at increasing older people’s general self‐efficacy can help to facilitate subsequent positive effects on factors that promote healthy ageing.
No related grants have been discovered for Sarah Remm.