Galit Palacios-Klein
Clalit H.M.O., Israel
Title: Life style self-efficacy among community nurses and healthy life style promotion with type 2 diabetics
Biography
Biography: Galit Palacios-Klein
Abstract
Background: Self-efficacy (SE) is defined as the perception of ones' ability to affect life events. Patients with high SE have better disease control. Health coaching identifies the gap between desired and actual behavior and increases SE, empowering patients to make healthier choices. The Sharon-Shomron District of Clalit H.M.O, Israel, has embraced health coaching as an essential part of day-to-day care in community nursing.
Objectives:-To explore the differences between SE and lifestyle among nurses before and after participating in a health coaching workshop. -To examine whether the nurses' SE influences patients with Type 2 diabetes SE and control level.
Methods: 2-phase intervention study: (1)42 nurses participated in a health-coaching workshop and completed a pre and post questionnaire on SE and lifestyle. (2)50 Patients with uncontrolled diabetes underwent 4-6 nurse-led coaching sessions. Patient SE questionnaire and medical records prior to and 3 months post-intervention were collected.
Results: Nurses' SE increased post- workshop (2.92 vs 3.19, p<0.01) and health behaviors improved (5.97 vs 6.64, p<0.01). Nurses' personal health SE correlated with them ability to affect patients' SE and health behavior (rs=0.38, p<0.05). Patients' SE increased following intervention (5.34 vs 7.88, p<0.01), also BMI and HbA1C improved (BMI: 32.17 vs 30.56, HBA1C 9.43 vs. 7.85, p<0.01).
Conclusion: Health coaching was effective in improving nurses' health behavior and SE. Nurses' SE positively correlated with better disease control in diabetic patients. These findings should be considered regarding future training resources.