Delineation of Self-Care and Associated Concepts
Article first published online: 25 JUL 2011
© 2011 Sigma Theta Tau International
Journal of Nursing Scholarship
Volume 43, Issue 3, pages 255–264, September 2011
How to Cite
Richard, A. A. and Shea, K. (2011), Delineation of Self-Care and Associated Concepts. Journal of Nursing Scholarship, 43: 255–264. doi: 10.1111/j.1547-5069.2011.01404.x
- Issue published online: 26 AUG 2011
- Article first published online: 25 JUL 2011
- Accepted March 10, 2011
- Patient outcomes;
- healthcare outcomes;
- treatment outcomes;
- theory construction;
- theory testing;
- health promotion;
- health education;
- health behavior;
- chronic illness;
- chronic disease
Purpose: The purpose of this paper is to delineate five concepts that are often used synonymously in the nursing and related literature: self-care, self-management, self-monitoring, symptom management, and self-efficacy for self-care.
Method: Concepts were delineated based on a review of literature, identification of relationships, and examination of commonalities and differences.
Findings: More commonalities than differences exist among self-care, self-management, and self-monitoring. Symptom management extends beyond the self-care concepts to include healthcare provider activities. Self-efficacy can mediate or moderate the four other concepts. Relationships among the concepts are depicted in a model.
Conclusions: A clearer understanding of the overlap, differences, and relationships among the five concepts can provide clarity, direction and specificity to nurse researchers, policy makers, and clinicians in addressing their goals for health delivery.
Clinical Relevance: Concept clarity enables nurses to use evidence that targets specific interventions to individualize care toward achieving the most relevant goals.