The Power of Self-Efficacy in Fostering Caring Self-Efficacy and Overcoming Job-Related Stress and Perceived Stigma Among Psychiatric Nurses

IF 2.5 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2026-05-28 DOI:10.1111/ijn.70157

Rasha Mohamed Hussein, Eman Abdeen Ali, Ayman Mohamed El-Ashry, Mona Metwally El-Sayed, Mahmoud Abdelwahab Khedr

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引用次数: 0

Abstract

Aim

This randomized controlled trial evaluated the effectiveness of a self-efficacy–based intervention in enhancing caring self-efficacy, reducing job-related stress and decreasing perceived stigma among psychiatric nurses.

Methods

A parallel-arm RCT was conducted between July and November 2023. Seventy psychiatric nurses were randomized 1:1 to an intervention group (n = 35) receiving eight structured self-efficacy sessions or a control group (n = 35) receiving treatment as usual. Outcomes were measured using the Caring Efficacy Scale, Psychiatric Nurses Job Stress Scale and Perceived Devaluation and Discrimination Scale (stigma) at baseline, postintervention, and 3 months later.

Results

The intervention group showed significant improvements in caring self-efficacy, with Caring Efficacy Scale scores increasing from 69.83 ± 23.90 preintervention to 98.20 ± 27.92 postintervention (p < 0.001, effect size = 0.537), and remaining elevated 3 months later (95.06 ± 27.31, p < 0.001), while the control group scores showed no significant change. Job stress scores decreased significantly in the intervention group compared to controls across all Psychiatric Nurses Job Stress Scale subscales (p < 0.001). The proportion of participants reporting high perceived stigma dropped significantly from 71.4% preintervention to 2.9% postintervention (p < 0.001, effect size = 0.760), sustained at 3 months.

Conclusion

Findings support integrating self-efficacy training into psychiatric nursing professional development; such an intervention may enhance nurses' psychological well-being and ultimately improve the quality of patient care in clinical settings.

Trial Registration: The study protocol has been registered at ClinicalTrials.gov (Identifier Code: NCT05952414).

查看原文本刊更多论文

精神科护士自我效能感在培养关怀自我效能感、克服工作压力与污名感中的作用。

目的：本随机对照试验评估自我效能感干预在提高精神科护士护理自我效能感、减少工作相关压力和降低感知污名感方面的效果。方法：于2023年7月至11月进行平行对照随机对照试验。70名精神科护士按1:1的比例随机分为干预组（n = 35）和对照组（n = 35），干预组接受8次结构化的自我效能感治疗，对照组接受常规治疗。结果分别在基线、干预后和3个月后使用护理效能量表、精神科护士工作压力量表和感知贬值和歧视量表（污名）进行测量。结果：干预组护理自我效能感显著提高，护理效能感量表得分由干预前的69.83±23.90分提高至干预后的98.20±27.92分(p)。结论：研究结果支持将自我效能感培训纳入精神科护理专业发展，可提高护士的心理幸福感，最终提高临床护理质量。试验注册：研究方案已在ClinicalTrials.gov注册（识别码：nct005952414）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.