Type 2 diabetes mellitus (T2DM) is a chronic metabolic condition that can substantially affect quality of life (QoL) across physical, psychological, social, and environmental domains. Although self-care management and self-efficacy are recognized as important factors in diabetes outcomes, their contributions to QoL remain insufficiently examined in community-based populations. This study examined the predictive contributions of self-care management ability and self-efficacy to QoL among adults with T2DM in Laoag City, Ilocos Norte, Philippines. A cross-sectional predictive correlational design was employed among 150 adults with T2DM selected through total enumeration. Data were collected using the Diabetes Self-Management Questionnaire (DSMQ), Diabetes Empowerment Scale (DES), and WHOQOL-BREF. Descriptive statistics and MM-estimator robust multiple regression with 1,000-resample bootstrapped confidence intervals were used following assessment of regression assumptions. Results showed significant regression models for physical health (Robust R² = 0.255, p < 0.001), psychological health (Robust R² = 0.114, p = 0.009), and social relationships (Robust R² = 0.194, p < 0.001). Dietary control (β = 0.232, p = 0.026) and glucose management (β = 0.257, p = 0.021) significantly predicted physical health. For psychological health, glucose management was a significant predictor (β = 0.254, p = 0.040), whereas dietary control was not significant (β = 0.219, p = 0.058). For social relationships, dietary control (β = 0.225, p = 0.030) and glucose management (β = 0.292, p = 0.009) were significant positive predictors. The environmental model was not significant (Robust R² = 0.105, p = 0.063). Findings indicate that specific self-care behaviors, particularly glucose management and dietary control, contribute to selected QoL domains, with physical health showing the greatest explained variance. Structural, socioeconomic, and contextual factors beyond individual self-care behaviors may more strongly influence environmental QoL.
John Art Pascua, Jonathan M. Laranang· Journal of Interdisciplinary...· 0 citations
Introduction: Continuous professional growth is essential for nurses to maintain competence, promote patient safety, and respond effectively to increasingly complex healthcare demands. Although established nursing and educational theories explain the development of clinical competence, experiential learning, caring practice, and self-efficacy, they do not explicitly integrate the psychological mechanisms that initiate and sustain nurses’ professional growth. Objective: This article presents the Curiosity–Courage–Confidence (3C) Theory of Professional Growth in Nursing, a conceptually derived, practice-informed middle-range theory that explains the psychological processes underlying nurses’ continuous professional growth. Methods: The theory was developed using Walker and Avant’s theory synthesis and theory derivation strategies. The development process incorporated a structured literature review, concept analysis, conceptual integration, and practice-informed observations. Established perspectives from nursing, psychology, and experiential learning informed the construction of the theoretical framework. Results: The resulting theory comprises three interrelated constructs: curiosity, which initiates knowledge-seeking and lifelong learning; courage, which enables nurses to apply knowledge despite uncertainty or perceived risk; and confidence, which develops through successful experiences and reinforces professional engagement, autonomous clinical judgment, and leadership. These constructs operate within a continuous, self-reinforcing cycle influenced by organizational and environmental conditions. Conclusion: The 3C Theory provides a theoretically grounded and practice-informed framework for understanding the psychological processes that support nurses’ professional growth. It offers potential applications in nursing education, clinical practice, leadership development, and future empirical research.
Jonathan M. Laranang· Celebes Nursing Journal· 0 citations
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