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Self-efficacy and Stress Among Informal Caregivers of Individuals at End of Life

Hampton, Michelle M., PhD, RN, NEA-BC; Newcomb, Patricia, PhD, RN

Journal of Hospice & Palliative Nursing: October 2018 - Volume 20 - Issue 5 - p 471–477
doi: 10.1097/NJH.0000000000000464
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Researchers have established associations between the stressors of providing informal care and caregiver health risks. Despite the negative consequences, researchers have identified the existence of protective factors that have the potential to buffer or prevent stress. The purpose of this study was to determine the relationship between self-efficacy and stress in adult informal caregivers providing end-of-life care. This cross-sectional, associational study analyzed data from questionnaires completed by adult informal caregivers providing end-of-life care for an adult in North Texas. Questionnaires provided measures of self-efficacy, stress, and caregiver perceived health. Findings indicated caregiver self-efficacy globally had a significant correlation with stress, whereas caregivers’ confidence in caring for themselves had a significant negative relationship with perceived stress. Specifically, study findings indicate caregivers with greater confidence in managing demands of caregiving have lower levels of stress, and caregivers with greater confidence in caring for themselves, specifically, have lower levels of perceived stress. Study findings highlight the importance of caregivers’ self-care needs. Health care practitioners should recognize and intervene to support caregivers’ self-care needs in order to prevent additional, needless health problems in this population.

Michelle M. Hampton, PhD, RN, NEA-BC, is director, Nursing Operations, Texas Health Harris Methodist Hospital Fort Worth, and adjunct faculty, University of Texas at Arlington, College of Nursing and Health Innovation.

Patricia Newcomb, PhD, RN, is nurse scientist, Texas Health Harris Methodist Hospital Fort Worth.

Address correspondence to Michelle M. Hampton PhD, RN, NEA-BC, Texas Health Harris Methodist Hospital Fort Worth, 701 5th Ave, Fort Worth, TX 76401 (

M.M.H. has received funding from the Fern Kyba Research Fellowship.

The authors have no conflicts of interest to disclose.

© 2018 by The Hospice and Palliative Nurses Association.