Coronary Care Unit Nurses’ Experiences of Care Management Self-Efficacy: A Qualitative Content Analysis

Authors

Fatemeh Mansouri, Guilan University of Medical Sciences, Rasht, IranFollow
Parand Pourghane, Guilan University of Medical Sciences, Rasht, IranFollow
Maryam Rajab pour Nikfam, Guilan University of Medical Sciences, Rasht, IranFollow
James C. Oleson, University of Auckland

Abstract

Recognizing various aspects of the self-efficacy concept in specialized medical units such as intensive care units (ICUs) and coronary care units (CCUs) has the potential to help nurses improve their quality of care. Therefore, we conducted a qualitative content analysis study in 2018 in hospitals of the Guilan Province, northern Iran, to help explain nurses’ perceptions of self-efficacy in care management within CCU wards. Thirty-four semi-structured interviews were conducted with nurses from CCUs. Using Graneheim and Lundman’s (2004) analytical techniques, we extracted three main themes and nine sub-themes from the data: decline in self-efficacy (e.g., time constraint, high work pressure, emotional stresses, and loss of motivation); care development (e.g., experience-based care, knowledge-based care, and personal capability); and organizational challenges (e.g., weak management and unavailable physician). Our findings suggest that decreases in nurse self-efficacy (and resulting weak care management) could be prevented by establishing clear plans and enrolling nurses into appropriate training courses. The constant development of knowledge and experience alongside supportive supervisors and physicians are also effective in improving nurses’ self-efficacy.

Keywords

care management, self-efficacy, coronary care, nurse experiences, qualitative content analysis

Author Bio(s)

Fatemeh Mansouri (https://orcid.org/0000-0003-3068-9235) is a Msc elderly nursing student in the department of nursing in the Faculty of Nursing and Midwifery at Guilan University of Medical Sciences, Rasht, Iran. Her areas of research include education, elderlies and qualitative studies, and content analysis.

Parand Pourghane, PhD (https://orcid.org/0000-0001-9927-5861) is an associate professor in the department of nursing in the Faculty of Nursing and Midwifery at Guilan University of Medical Sciences, Rasht, Iran. Her areas of research include education, cardiac rehabilitation and qualitative studies, and content analysis. Correspondence concerning this article should be addressed to pourghanep@gmail.com.

Maryam Rajab Pour Nikfam (https://orcid.org/0000-0001-7450-4066) has a master’s degree in intensive care nursing and is a nurse in cardiac care unit at Guilan University of Medical Sciences, Rasht, Iran. Her areas of research include education, qualitative studies, content analysis, and intensive care.

James C. Oleson (https://orcid.org/0000-0002-2680-2808) is an associate professor of criminology at the University of Auckland. He earned his BA from St. Mary’s College of California, his MPhil and PhD from the University of Cambridge, and his JD from the University of California, Berkeley. He served as one of the four 2004-05 United States Supreme Court Fellows and led the Criminal Law Policy Staff of the US Courts between 2005 and 2010. He is interested in psychological criminology, risk assessment, penology, criminological theory, and research methods.

Acknowledgements

The authors wish to thank the Research Deputy and the Student Research Committee at Guilan University of Medical Sciences, Rasht, Iran, for its financial support of this study. The authors are also grateful to the 34 nurses who participated in the study, and to the editors and reviewers of The Qualitative Report for their assistance in developing the manuscript.

Publication Date

2-3-2023

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 4.0 International License.

DOI

10.46743/2160-3715/2023.4387

Recommended APA Citation

Mansouri, F., Pourghane, P., Rajab pour Nikfam, M., & Oleson, J. C. (2023). Coronary Care Unit Nurses’ Experiences of Care Management Self-Efficacy: A Qualitative Content Analysis. The Qualitative Report, 28(2), 417-436. https://doi.org/10.46743/2160-3715/2023.4387