h2cm, Bortz's Next Medicine and self-efficacy
Here on W2tQ I've written about the primacy of the individual within the health care domains model. The person, the unique human being is at the center of the nurses' focus and values.
I had a gut instinct with Bortz's book Next Medicine which I am now half-way through. This book is a real gift to me searching for evidence that supports the model's original creation and its purposes. As the book's title attests I'm also seeking evidence that highlights the model's potential today. On page 92-93 Bortz writes:
Self-efficacy. It sounds like an erudite, vacuous, scholarly term of little relevance. But just a moment's reflection leads to the recognition that self-efficacy is the centerpiece, the keystone on which all other body and mind functions depend. Self-efficacy: self-sufficiency, intactness, wholeness, autonomy, independence. These concepts embody the essence of what it means to be fully alive, fully functional. ... Self-efficacy, he [Albert Bandura] says, is health. Health is self-efficacy. Rather than being a remote scholarly label, it comes close to being the central axis for health and Next Medicine.Bortz also highlights Bandura's notion of self-efficacy and self-efficacy prescriptions.
(My emphasis.)