Nursing 16 Clinical Views

Discussion #5 Follow 1: Reply if you agree or disagree with the... | Nursing

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Reply if you agree or disagree with the following post. 200 words. ----------------------------------------------------------------------------------------------- The theory of self-efficacy, developed by Albert Bandura, has had a great influence on the field of psychology and nursing. However, like any theory, it is important to critically evaluate its strengths and weaknesses (Malik et al., 2021).       Internal criticism evaluates how well a theory meets its own stated objectives and criteria. The theory of self-efficacy for the study of the nursing profession aims to explain and predict how one's beliefs about one's own abilities affect one's motivation, behavior, and, ultimately, one's performance and achievements. Overall, the theory has strong internal validity. Bandura's claim that self-efficacy predicts motivation and success in many areas of health has been supported by hundreds of studies (Adebusuyi et al., 2022). The theory offers clear conceptual definitions and predictions that can be proven wrong and are supported by evidence. It also makes sense and considers what we already know about how people behave and what motivates them.            However, there are also some weaknesses on the inside. The theory focuses primarily on individual cognition and does not take into account social or structural factors that may influence our patient's self-efficacy and performance (Malik et al., 2021). The mechanisms by which self-efficacy affects outcomes are not fully specified in theory. There is a lack of clarity around the exact causal pathways linking self-efficacy to motivation and performance. Additionally, the theory relies heavily on self-reported measures of self-efficacy, which can be biased and inaccurate. Finally, although theory predicts that self-efficacy will influence motivation and performance, the reverse causal relationship has not been examined in depth (Adebusuyi et al., 2022). The theory would be strengthened by testing bidirectional causal models to determine whether motivation and performance also shape self-efficacy over time. In general, these are some internal weaknesses related to the specification of causal mechanisms, the incorporation of objective measures, and the examination of reverse causality.           External criticism evaluates how well a theory corresponds to objective reality and fits existing knowledge. An important strength here is that literally thousands of studies have provided empirical support for the theory in many contexts, including health professional education, sports (Malik et al., 2021). It is consistent with existing theories for the nursing process that emphasize cognition, motivation, and goal pursuit. The theory also provides practical utility by informing interventions aimed at changing human behavior by focusing on self-efficacy.          However, there are also limitations in terms of external validity. Most evidence-based practice research has been conducted through controlled health experiments rather than real-world settings (Adebusuyi et al., 2022). More longitudinal and multivariate research is needed to examine the complex dynamics between self-efficacy and outcomes over time. The theory may also place too much emphasis on individual agency and downplay structural barriers that can undermine self-efficacy. Additionally, more cross-cultural research is needed to determine whether the theory holds up in different medical and scientific contexts.          In conclusion, self-efficacy theory is internally robust in its ability to predict human motivation and performance based on self-efficacy beliefs. Externally, it is well supported by decades of research. However, the theory has gaps related to specifying causal mechanisms, capturing real-world complexity, and generalizing across cultures (Malik et al., 2021). Nursing-based critical analysis helps refine and improve theories over time. Self-efficacy theory has room to grow, but it provides a useful model for understanding an important set of psychological processes.
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