Date of Paper/Work


Type of Paper/Work

Doctor of Nursing Practice Project

Degree Name

Doctor of Nursing Practice



First Advisor

Patricia Finch-Guthrie


Doctor of Nursing Practice


This qualitative explanatory study examined the self-efficacy of peritoneal dialysis (PD) patients by a nurse practitioner (NP) led intervention in the home based on Albert Bandura’s Self-Efficacy Theory. Propositions were developed from the theory. Participants received two home visits one month apart. One participant received the intervention and one participant served as a comparison. The General Self-Efficacy Scale (GSES) was completed at each visit. Analysis employed coding from interviews, field notes, and journaling. The themes were created from triangulation of the GSES data and the interview data that emerged from the intervention participant. The themes included getting healthy to achieve the prize of kidney transplant, being proud of one’s progress, cultivating support, and resourcefulness. The present study showed that more issues were apparent at the second visit with the intervention patient. This indicated that the NP being present in the home set the stage for greater understanding of the patient and the home environment. In contrast, the data for the comparison patient did not change from the first to second visit. Additional studies are needed regarding home visit for PD patient and using self-efficacy to help improve well-being.

2017_DNP_dUscioM_Executive_Summary.pdf (257 kB)
Executive summary