ArticleBMC nursing2025
Bridging the gap: the mediating role of self-efficacy in the impact of workload on core competencies among pediatric nurses.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Digital Competence and Career Adaptability Among Nurses: The Parallel Mediating Roles of Technological Self-Efficacy and Learning Agility.Journal of nursing management · 2026Article
- Polish Adaptation of the Nurse Professional Competence Scale.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Emotional exhaustion predicts poor sleep quality among orthopedic nurses: a cross-sectional study.Frontiers in public health · 2025Article
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Authors and funding
11 authors.
Funding
Abstract
backgroundPediatric nurses operate in high-stakes environments characterized by emotional, cognitive, and physical demands. Excessive workload can undermine nurses' ability to perform effectively, particularly when compounded by low self-efficacy. Core competencies such as clinical judgment, evidence-based practice, and communication are essential to pediatric nursing performance and are susceptible to the influence of psychological and environmental stressors.
aimThis study aimed to examine the mediating role of self-efficacy in the relationship between workload and core competencies among pediatric nurses in Egyptian governmental hospitals.
methodsA descriptive cross-sectional study was conducted from November 2024 to February 2025 with 198 pediatric nurses recruited from PICUs, NICUs, and pediatric wards using convenience sampling. Data were collected via self-administered questionnaires including the NASA Task Load Index (workload), General Self-Efficacy Scale, and the Core Competence Scale for Paediatric Specialist Nurses. Structural Equation Modeling (SEM) was used to assess direct and indirect effects.
resultsNurses reported high workload (M = 63.79, SD = 10.21), low self-efficacy (M = 18.90, SD = 4.12), and low core competencies (M = 76.74, SD = 11.56). SEM results showed that workload negatively predicted self-efficacy (β = -0.285, p < 0.001), and self-efficacy positively predicted core competencies (β = 2.186, p < 0.001). Self-efficacy mediated the relationship between workload and core competencies, with a significant indirect effect (β = -0.624, p < 0.001).
conclusionSelf-efficacy acts as a psychological buffer against the negative effects of workload on professional performance. Enhancing nurses' self-efficacy through targeted interventions may mitigate workload-related declines in core competencies and improve pediatric nursing care. CLINICAL TRIAL NUMBER: Not applicable.
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