| Learning Objective #1: Describe the influence of spiritual growth on one's self-care agency | |||
| Learning Objective #2: Describe the influence of the routine practice of religion on health-promoting self-care behaviors, self-care self-efficacy, and self-care agency |
PURPOSE This abstract describes a study that explored the relationships among health-promoting self-care behaviors, self-care self-efficacy, and self-care agency. A descriptive multivariate design was used to investigate the relationships among these concepts in adults. The theoretical frameworks used to guide this study included Pender’s Health Promotion Model (1996), Bandura’s Self-Efficacy Theory (1997), and Orem’s Self-Care Deficit Theory (1995). The purpose of this study was to explore these conceptual relationships in order to determine their usefulness in guiding nursing interventions that may promote self-care and health in adult clients. METHODOLOGY The sample consisted of 379 subjects aged 18 to 65 who were recruited from within a health system, county college, and fire department. The instrumentation for this study included the Health-Promoting Lifestyle Profile II, the Self-Rated Abilities for Health Practices Scale, the Exercise of Self-Care Agency Scale, and a demographic information questionnaire. RESULTS A canonical correlation was used to analyze the relationships among the subscale scores of each of the three instruments. The results of this canonical correlation identified three significant canonical variates, the first having a canonical correlation of .76 (p = .000) and accounting for 58% of the variance explained by the measurement. The variables that loaded on this variate at .30 or higher included spiritual growth, self-concept, and initiative and responsibility. SIGNIFICANCE The significance of these research findings is that spiritual growth is more influential on one’s self-care ability than self-efficacy beliefs. Specific intervention strategies that promote spiritual growth need to be investigated to determine the effects these interventions would have on one's self-care agency. These findings do provide guidance to nurses when intervening with clients to enhance self-care agency. This investigator concluded that when using Orem’s model in nursing practice to promote self-care and health in clients, the assessment and promotion of one’s spiritual health is imperative.
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