theoretical model allows for successful change based on an evaluation of patient behavior, motivation and learning in an environment of caring and trust and incorporates phases of research utilization based on a foundation of critical thinking and self-efficacy (White, K.M., Dudley-Brown, S. & Terhaar, M., 2016) . Perceived self-efficacy involves people's beliefs in their abilities to exert control over their own functioning and over experiences that affect their lives. Beliefs in personal efficacy affect personal life choices, driving forces, degree of functioning, ability to withstand adversity and adapt to stress. People's beliefs in their efficacy are developed by four main sources of influence. They include domination of proficiencies,
