title: 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.
  
  
  OBJECTIVE
  The present paper attempts to identify threats to self-efficacy as an important aspect of the concept of pediatric nurses' caring self-efficacy.
  
  
  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.
authors.affiliation: Faculty of Nursing and Midwifery, Shahrekord Branch, Islamic Azad University, Shahrekord, IR Iran.
authors.forename: Azam
authors.initials: A
authors.lastname: Alavi
authors.affiliation: Faculty of Nursing and Midwifery, Shahrekord Branch, Islamic Azad University, Shahrekord, IR Iran; Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IR Iran.
authors.forename: Masoud
authors.initials: M
authors.lastname: Bahrami
authors.affiliation: Faculty of Nursing and Midwifery, Shahrekord Branch, Islamic Azad University, Shahrekord, IR Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Zargham-Boroujeni
authors.affiliation: Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, IR Iran.
authors.forename: Alireza
authors.initials: A
authors.lastname: Yousefy
keywords: Pediatric Nursing; Qualitative Research; Self-Efficacy