title: Codman Award Paper: self-efficacy of staff nurses for health promotion counselling of patients at risk for stroke.
abstract: The effect of nurses' confidence to counsel patients at risk of stroke in selected health promotion areas: smoking cessation, exercise and nutrition was examined. Bandura's (1986) self-efficacy and Knowles' adult learning theories provided the theoretical underpinnings for the study. This was a quasi-experimental design in which neuroscience nurses (N = 23) from a quaternary hospital completed questionnaires prior to, immediately after, and 2 months post completion of a self-directed learning manual (SDL). The researcher-designed manual was designed to enhance learning about the risk factors for stroke and the importance of stroke prevention. Along with reflective activities and pre-post test, strategies for counseling high-risk, stroke-prone individuals in the areas of smoking cessation, exercise, and nutrition were also integrated. The Health Promotion Counseling Self-Efficacy Scale (Tresolini, Saluja, and Stritter, 1995), consisting of 10 self-efficacy subscales relating to self-confidence in knowledge and ability to counsel in health promotion areas, was used to capture the nurses' self-report of self-efficacy. Using a 5-point Likert Scale, nurses also rated their amount of agreement or disagreement about health promotion counseling in practice. Overall, self-efficacy levels for both knowledge and counseling increased significantly (p < .01) from pre-to immediately post completion of the manual, and decreased slightly at two-month follow-up. This pattern was evident in all health promotion areas measured except for knowledge in exercise (p = .015). Nurses' attitudes about aspects of health promotion practices correlated significantly (p < 05) at two-month follow-up with all health promotion areas. Results of this study support the usefulness of a self-directed learning manual as a teaching strategy for health promotion counseling of individuals at risk of stroke.
authors: Urgent TIA Clinic/Stroke Prevention Program, London Health Sciences Centre/University Campus, London, Ontario. Cheryl.Mayer@lhsc.on.ca
authors: Cheryl
authors: C
authors: Mayer
authors: Mary-Anne
authors: MA
authors: Andrusyszyn
authors: Carroll
authors: C
authors: Iwasiw
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003376:Counseling / Q000193:education / Q000592:standards; D004509:Education, Nursing, Continuing / Q000458:organization & administration; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000592:standards*; D006301:Health Services Needs and Demand; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration; D008297:Male; D008370:Manuals as Topic / Q000592:standards; D008875:Middle Aged; D009488:Neurosciences / Q000193:education; D024802:Nurse's Role; D015402:Nursing Education Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology; D015397:Program Evaluation; D011380:Programmed Instructions as Topic / Q000592:standards; D012307:Risk Factors; D020377:Self Efficacy; D020521:Stroke / Q000209:etiology / Q000517:prevention & control*; D011795:Surveys and Questionnaires; D013664:Teaching Materials / Q000592:standards