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Background <p>Atraumatic care is a key approach in pediatric nursing that minimizes physical and psychological distress during hospitalization. Compassion competence and caring self-efficacy are thought to be critical personal resources that may influence nurses’ attitudes toward atraumatic care. However, the mechanism through which compassion impacts these attitudes remains unclear.</p> Aim <p>This study examined the mediating role of caring self-efficacy in the relationship between compassion competence and attitudes toward atraumatic care.</p> Methods <p>This cross-sectional correlational study included 214 pediatric nurses working in two public training and research hospitals in western Türkiye. Data were collected using the Compassion Competence Scale (CCS), Caring Self-Efficacy Scale (PWNCSES) and Pediatric Atraumatic Care Attitude Scale (PACAS) Statistical analyses included Pearson correlation, independent samples t-test, one-way ANOVA, and mediation analysis using the PROCESS macro (Model 4) in SPSS.</p> Results <p>Compassion competence was positively associated with both caring self-efficacy and attitudes toward atraumatic care (<i>p</i> &lt; .001). However, the direct association between compassion competence and atraumatic care attitude became non-significant when caring self-efficacy was included in the model, suggesting that this relationship was statistically explained through caring self-efficacy. Additionally, caring self-efficacy significantly predicted both subdimensions of atraumatic care attitude: knowledge and awareness (β = 0.43, <i>p</i> &lt; .001) and practice and family participation (β = 0.54, <i>p</i> &lt; .001). Sociodemographic variables such as shift type, years of pediatric experience, and postgraduate education were significantly related to both caring self-efficacy and atraumatic care attitudes.</p> Conclusion <p>Caring self-efficacy statistically accounted for the association between compassion competence and positive attitudes toward atraumatic care. Enhancing caring self-efficacy may promote the consistent application of atraumatic care principles among pediatric nurses. The findings support the integration of psychosocial competency-building interventions into pediatric nursing education and professional development.</p>

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From compassion to care: a model based on the mediating role of caring self-efficacy in pediatric nurses’ atraumatic care attitudes

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  • 发表日期：

    2025年11月22日

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  • Özge Karakaya Suzan,
  • Esra Nur Kocaaslan Mutlu

摘要

Background

Atraumatic care is a key approach in pediatric nursing that minimizes physical and psychological distress during hospitalization. Compassion competence and caring self-efficacy are thought to be critical personal resources that may influence nurses’ attitudes toward atraumatic care. However, the mechanism through which compassion impacts these attitudes remains unclear.

Aim

This study examined the mediating role of caring self-efficacy in the relationship between compassion competence and attitudes toward atraumatic care.

Methods

This cross-sectional correlational study included 214 pediatric nurses working in two public training and research hospitals in western Türkiye. Data were collected using the Compassion Competence Scale (CCS), Caring Self-Efficacy Scale (PWNCSES) and Pediatric Atraumatic Care Attitude Scale (PACAS) Statistical analyses included Pearson correlation, independent samples t-test, one-way ANOVA, and mediation analysis using the PROCESS macro (Model 4) in SPSS.

Results

Compassion competence was positively associated with both caring self-efficacy and attitudes toward atraumatic care (p < .001). However, the direct association between compassion competence and atraumatic care attitude became non-significant when caring self-efficacy was included in the model, suggesting that this relationship was statistically explained through caring self-efficacy. Additionally, caring self-efficacy significantly predicted both subdimensions of atraumatic care attitude: knowledge and awareness (β = 0.43, p < .001) and practice and family participation (β = 0.54, p < .001). Sociodemographic variables such as shift type, years of pediatric experience, and postgraduate education were significantly related to both caring self-efficacy and atraumatic care attitudes.

Conclusion

Caring self-efficacy statistically accounted for the association between compassion competence and positive attitudes toward atraumatic care. Enhancing caring self-efficacy may promote the consistent application of atraumatic care principles among pediatric nurses. The findings support the integration of psychosocial competency-building interventions into pediatric nursing education and professional development.