Is nurses' self-esteem interwoven with patients' achievements? The concept of patient-invested contingent self-esteem.
Identifieur interne : 000426 ( Main/Corpus ); précédent : 000425; suivant : 000427Is nurses' self-esteem interwoven with patients' achievements? The concept of patient-invested contingent self-esteem.
Auteurs : Veerle Duprez ; Maarten Vansteenkiste ; Dimitri Beeckman ; Sofie Verhaeghe ; Ann Van HeckeSource :
- Journal of clinical nursing [ 1365-2702 ] ; 2019.
English descriptors
- KwdEn :
- MESH :
- nursing : Chronic Disease.
- psychology : Nursing Staff, Hospital, Self-Management.
- Adult, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Self Concept, Surveys and Questionnaires.
Abstract
OBJECTIVES
To explore the notion of patient-invested contingent self-esteem (Pa-CSE) and investigate its association to nurses' self-reported engagement in controlling or autonomy-supportive interactions with chronic care patients.
BACKGROUND
Considering the high number of patients sub-optimally managing their chronic condition, nurses might experience a drop and rise in self-worth when patients fail and succeed, respectively, in managing their chronic condition. This dynamic has not received prior research attention.
DESIGN
Multivariate analysis employing cross-sectional data according to STROBE guidelines.
METHODS
Self-reports among nurses employed in chronic care (N = 394) from eight randomly selected hospitals in Belgium. Exploratory factor analysis and stepwise linear regression analyses were conducted.
RESULTS
Success-based and failure-based orientations could be distinguished and refer to nurses' tendency to associate, respectively, patients' successes with feelings of professional success and self-worth and patients' failures with feelings of professional failure, shame and inadequacy. Nurses' self-esteem is fairly interwoven with patients' achievements in the management of their chronic condition. A success-based orientation was positively related to autonomy-supportive care in case a failure-based orientation was low. Nurses with a simultaneous success-based and failure-based orientation interacted in a more controlling way.
CONCLUSIONS
The findings of this study suggest that basing one's self-worth on patients' accomplishments may be a double-edged sword. Although tying one's personal glory to the successes of one's patient is related to greater patient participation and support of autonomy, these effects only emerge if nurses' self-worth is not interwoven with patients' failures. In fact, having both success- and failure-oriented contingent self-worth is related to a more pressuring approach.
RELEVANCE TO CLINICAL PRACTICE
To prevent nurses from developing inferior professional feelings when their patients fail to manage their condition, a reflective stance towards the impact of patients' behaviour on the nurses' professional feeling of (in)adequacy is an important step to deal with such situations.
DOI: 10.1111/jocn.14994
PubMed: 31294505
Links to Exploration step
pubmed:31294505Le document en format XML
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The concept of patient-invested contingent self-esteem.</title><author><name sortKey="Duprez, Veerle" sort="Duprez, Veerle" uniqKey="Duprez V" first="Veerle" last="Duprez">Veerle Duprez</name><affiliation><nlm:affiliation>Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Vansteenkiste, Maarten" sort="Vansteenkiste, Maarten" uniqKey="Vansteenkiste M" first="Maarten" last="Vansteenkiste">Maarten Vansteenkiste</name><affiliation><nlm:affiliation>Department of Developmental, Personality and Social Psychology, Ghent University, Ghent, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Beeckman, Dimitri" sort="Beeckman, Dimitri" uniqKey="Beeckman D" first="Dimitri" last="Beeckman">Dimitri Beeckman</name><affiliation><nlm:affiliation>Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>School of Health Sciences, Örebro University, Örebro, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Verhaeghe, Sofie" sort="Verhaeghe, Sofie" uniqKey="Verhaeghe S" first="Sofie" last="Verhaeghe">Sofie Verhaeghe</name><affiliation><nlm:affiliation>Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department Health Care, VIVES University College, Roeselare, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Van Hecke, Ann" sort="Van Hecke, Ann" uniqKey="Van Hecke A" first="Ann" last="Van Hecke">Ann Van Hecke</name><affiliation><nlm:affiliation>Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Ghent University Hospital, Ghent, Belgium.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of clinical nursing</title><idno type="eISSN">1365-2702</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Chronic Disease (nursing)</term><term>Cross-Sectional Studies (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Nursing Staff, Hospital (psychology)</term><term>Self Concept (MeSH)</term><term>Self-Management (psychology)</term><term>Surveys and Questionnaires (MeSH)</term></keywords><keywords scheme="MESH" qualifier="nursing" xml:lang="en"><term>Chronic Disease</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Nursing Staff, Hospital</term><term>Self-Management</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Self Concept</term><term>Surveys and Questionnaires</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>To explore the notion of patient-invested contingent self-esteem (Pa-CSE) and investigate its association to nurses' self-reported engagement in controlling or autonomy-supportive interactions with chronic care patients.</p></div><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Considering the high number of patients sub-optimally managing their chronic condition, nurses might experience a drop and rise in self-worth when patients fail and succeed, respectively, in managing their chronic condition. This dynamic has not received prior research attention.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Multivariate analysis employing cross-sectional data according to STROBE guidelines.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Self-reports among nurses employed in chronic care (N = 394) from eight randomly selected hospitals in Belgium. Exploratory factor analysis and stepwise linear regression analyses were conducted.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Success-based and failure-based orientations could be distinguished and refer to nurses' tendency to associate, respectively, patients' successes with feelings of professional success and self-worth and patients' failures with feelings of professional failure, shame and inadequacy. Nurses' self-esteem is fairly interwoven with patients' achievements in the management of their chronic condition. A success-based orientation was positively related to autonomy-supportive care in case a failure-based orientation was low. Nurses with a simultaneous success-based and failure-based orientation interacted in a more controlling way.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The findings of this study suggest that basing one's self-worth on patients' accomplishments may be a double-edged sword. Although tying one's personal glory to the successes of one's patient is related to greater patient participation and support of autonomy, these effects only emerge if nurses' self-worth is not interwoven with patients' failures. In fact, having both success- and failure-oriented contingent self-worth is related to a more pressuring approach.</p></div><div type="abstract" xml:lang="en"><p><b>RELEVANCE TO CLINICAL PRACTICE</b></p><p>To prevent nurses from developing inferior professional feelings when their patients fail to manage their condition, a reflective stance towards the impact of patients' behaviour on the nurses' professional feeling of (in)adequacy is an important step to deal with such situations.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31294505</PMID><DateCompleted><Year>2019</Year><Month>12</Month><Day>24</Day></DateCompleted><DateRevised><Year>2020</Year><Month>01</Month><Day>08</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1365-2702</ISSN><JournalIssue CitedMedium="Internet"><Volume>28</Volume><Issue>21-22</Issue><PubDate><Year>2019</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Journal of clinical nursing</Title><ISOAbbreviation>J Clin Nurs</ISOAbbreviation></Journal><ArticleTitle>Is nurses' self-esteem interwoven with patients' achievements? The concept of patient-invested contingent self-esteem.</ArticleTitle><Pagination><MedlinePgn>3858-3865</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/jocn.14994</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To explore the notion of patient-invested contingent self-esteem (Pa-CSE) and investigate its association to nurses' self-reported engagement in controlling or autonomy-supportive interactions with chronic care patients.</AbstractText><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Considering the high number of patients sub-optimally managing their chronic condition, nurses might experience a drop and rise in self-worth when patients fail and succeed, respectively, in managing their chronic condition. This dynamic has not received prior research attention.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Multivariate analysis employing cross-sectional data according to STROBE guidelines.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Self-reports among nurses employed in chronic care (N = 394) from eight randomly selected hospitals in Belgium. Exploratory factor analysis and stepwise linear regression analyses were conducted.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Success-based and failure-based orientations could be distinguished and refer to nurses' tendency to associate, respectively, patients' successes with feelings of professional success and self-worth and patients' failures with feelings of professional failure, shame and inadequacy. Nurses' self-esteem is fairly interwoven with patients' achievements in the management of their chronic condition. A success-based orientation was positively related to autonomy-supportive care in case a failure-based orientation was low. Nurses with a simultaneous success-based and failure-based orientation interacted in a more controlling way.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The findings of this study suggest that basing one's self-worth on patients' accomplishments may be a double-edged sword. Although tying one's personal glory to the successes of one's patient is related to greater patient participation and support of autonomy, these effects only emerge if nurses' self-worth is not interwoven with patients' failures. In fact, having both success- and failure-oriented contingent self-worth is related to a more pressuring approach.</AbstractText><AbstractText Label="RELEVANCE TO CLINICAL PRACTICE" NlmCategory="CONCLUSIONS">To prevent nurses from developing inferior professional feelings when their patients fail to manage their condition, a reflective stance towards the impact of patients' behaviour on the nurses' professional feeling of (in)adequacy is an important step to deal with such situations.</AbstractText><CopyrightInformation>© 2019 John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Duprez</LastName><ForeName>Veerle</ForeName><Initials>V</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-2973-3684</Identifier><AffiliationInfo><Affiliation>Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vansteenkiste</LastName><ForeName>Maarten</ForeName><Initials>M</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-6983-3607</Identifier><AffiliationInfo><Affiliation>Department of Developmental, Personality and Social Psychology, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Beeckman</LastName><ForeName>Dimitri</ForeName><Initials>D</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-3080-8716</Identifier><AffiliationInfo><Affiliation>Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Health Sciences, Örebro University, Örebro, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Verhaeghe</LastName><ForeName>Sofie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department Health Care, VIVES University College, Roeselare, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Hecke</LastName><ForeName>Ann</ForeName><Initials>A</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-3576-7159</Identifier><AffiliationInfo><Affiliation>Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Ghent University Hospital, Ghent, Belgium.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><Agency>Ghent University</Agency><Country></Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>09</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Clin Nurs</MedlineTA><NlmUniqueID>9207302</NlmUniqueID><ISSNLinking>0962-1067</ISSNLinking></MedlineJournalInfo><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName><QualifierName UI="Q000451" MajorTopicYN="N">nursing</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009741" MajorTopicYN="N">Nursing Staff, Hospital</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012649" MajorTopicYN="Y">Self Concept</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073278" MajorTopicYN="N">Self-Management</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Self-Determination Theory</Keyword><Keyword MajorTopicYN="N">care relationship</Keyword><Keyword MajorTopicYN="N">chronic condition</Keyword><Keyword MajorTopicYN="N">contingent self-esteem</Keyword><Keyword MajorTopicYN="N">nursing</Keyword><Keyword MajorTopicYN="N">patient-invested contingent self-esteem</Keyword><Keyword MajorTopicYN="N">professional self-esteem</Keyword><Keyword MajorTopicYN="N">self-management</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>01</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2019</Year><Month>04</Month><Day>05</Day></PubMedPubDate><PubMedPubDate 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|area= AutomedicationFrancoV1
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|clé= pubmed:31294505
|texte= Is nurses' self-esteem interwoven with patients' achievements? The concept of patient-invested contingent self-esteem.
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Pour générer des pages wiki
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| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd \
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