Threats to Pediatric Nurses’ Perception of Caring Self-efficacy: A Qualitative Study

Abstract

Background:Nurses are considered the largest and most important human resource for healthcare organizations. Self-efficacy as the main predictor of nurses’ behavior plays an important role in nurses’ professional behavior. However, the various dimensions and threats of caring self- efficacy concept have not been taken into consideration.Objectives:The present paper attempts to identify threats to self-efficacy as an important aspect of the concept of pediatric nurses’ caring self-efficacy.Materials and Methods:This study is part of a larger study on the caring self-efficacy concept that was conducted through content analysis and from a qualitative approach in 2014 in Iran. Twenty-seven nurses and pediatric clinical instructors participated in this research according to the purposive sampling method employed in the study. Data were collected through semi-structured interviews. The collected data were analyzed using the conventional content analysis method.Results:“Threats to self-efficacy” was one of the main themes extracted from the interview analysis results in the present study. The theme consists of two main categories “individual barriers,” including not having a caring attitude and not being interested in children, and “organizational barriers,” including an inefficient educational system, not developing professional capabilities, non-valuation of the organization in a caring context, a poor rewards system, and inappropriate managerial policies.Conclusions:Nursing management and custodians of nursing trainings can break through the barriers to self-efficacy by knowing these factors and making changes in the educational programs and providing supporting policies. This can be an important step toward improving nurses’ inefficacy and ultimately improving the provision of quality healthcare services.

Effect of palliative care training on perceived self-efficacy of the nurses

“…Knowledge is considered a stable and fundamental element for nursing performance. Enjoying knowledge increases the ability to perform, and thus bears an indirect impact on self-efficacy which leads to optimal performance [30]. Self-efficacy predicts nurses' individual and professional behaviors and affects an individual's effort and commitment to achieve goal behavior [26].…”

Effect of a Workbook in Health Education on Self-Efficacy and Quality of Life of Patients With Coronary Heart Disease

“…Likewise, with self-efficacy, an increase in scores occurred one month after the pre-est. According to Alavi et al (2015), self-efficacy were influenced by experience, motivation, knowledge, and efficient educational system. Respondents had received health education either through direct education programs or through the workbook in accordance with their illness while undergoing treatment.…”

“…Self-efficacy is shaped by one's own experience, other people's experiences, verbal persuasion and one's psychological or affective state (Bandura, 1997). In addition, education, as well as an efficient education system can influence the improvement of self-efficacy (Alavi et al, 2015). Positive psychological conditions and educational efforts that have been made to respondents in this intervention group can strengthen the assumption that the differences in selfefficacy that occur between the control group and the intervention are due to additional interventions in the form of educational models using the workbook.…”

To embrace and be present: The lived experiences of nurse-led consultations in Sweden from the perspective of pediatric nurses

“…For a nurse to maintain confidence in their own ability, having enough time to perform nurse-led consultations is as important as having a wide range of caring skills and knowledge. Alavi et al (2015c) described individual and organizational barriers as threats to pediatric nurses' perceptions of their caring abilities. In addition, not having a caring attitude or an interest in children can be a barrier to a pediatric nurse's abilities.…”