Abstract
Clients seeking treatment for substance abuse frequently present with a disturbance in their self-esteem. Yet how does low self-esteem influence the process of change relating to an addiction? Self-efficacy, an aspect of self-esteem, refers to the belief in one's abilities to succeed with a task such as changing behaviors to overcome an addiction. Neuman systems model is a nursing model that can be applied to clients with disturbances in self-esteem. Prochaska and DiClemente's states of change incorporate self-efficacy as a key factor in taking action to change a behavior. A model is developed that is applicable to clients with nursing diagnoses such as self-esteem disturbances, which can be used to help the client through the process of change in the hopes of achieving abstinence from drug use, an improved ability to cope with stressors, and an increased level of health.
Self-esteem disturbance is a common nursing diagnosis applicable to clients seeking treatment for substance As a a result of our interactions with such clients, a question arises: How does low self-esteem influence the process of change relating to an addiction? In addressing this question, self-efficacy can be explored within a nursing framework and a change theory relevant to addictions. The Neuman systems model is a multidisciplinary nursing model that can be applied to clients with disturbances in self-esteem. Prochaska and DiClemente's stages of change deal specifically with changing addictive behaviors. This article develops a model that can be utilized to deal with nursing diagnoses, such as self-esteem disturbances, to facilitate a client's passage through the process of change in the hopes of achieving abstinence (or control) of drug use.