Self-Efficacy and Psychological Well-Being among First Year Nursing Students: A Cross-Sectional Study
DOI:
https://doi.org/10.35816/jiksh.v15i1.245Keywords:
Nursing Students, Psychological Well-Being, Self-EfficacyAbstract
Introduction: The transition to higher education increases first-year nursing students' risk of psychological vulnerability. Self-efficacy has been identified as a potential protective factor; however, evidence focusing on early-stage nursing students remains limited. This study aimed to examine the association and predictive role of general self-efficacy on psychological well-being among first-year nursing students.
Research Methodology: An analytical cross-sectional study was conducted among 119 first-year nursing students at a public university in Indonesia using convenience sampling. Data were collected through an online survey using the General Self-Efficacy Scale (GSES) and the WHO-5 Well-Being Index. Descriptive statistics, independent-samples t-tests, Pearson correlation, and linear regression analyses were performed using SPSS with α = 0.05.
Results: Self-efficacy demonstrated a moderate positive correlation with psychological well-being (r = 0.42; 95% CI: 0.26–0.56; p < 0.001). Linear regression analysis showed that self-efficacy significantly predicted psychological well-being (β = 0.42; p < 0.001), explaining 18% of the variance (R² = 0.18). No significant gender differences were identified.
Conclusion: Self-efficacy is a significant psychological determinant of well-being among first-year nursing students. Early educational interventions aimed at strengthening self-efficacy may enhance students’ mental well-being and academic adjustment
References
Alharbi, A., Alkubati, S. A., Albaqawi, H., Ali, A. Z., Hamed, L. A., Mohammed, S., Cornejo, L. T. O., & Almazan, J. U. (2026). Mediating roles of psychological empowerment and self-efficacy in the relationship between leadership and clinical decision-making among nursing students: A path-analysis approach. Nurse Education Today, 161, 107022. https://doi.org/10.1016/j.nedt.2026.107022
Azza, A., Sasarari, Z. A., Nurafriani, N., S, I., & Yunus, M. (2025). Effect of implementing childbirth preparation classes on women’s self-efficacy and pregnancy outcomes. Jurnal Ilmiah Kesehatan Sandi Husada, 14(1), 36–44. https://doi.org/10.35816/jiskh.v14i1.1245
Bahari, G., Alenazi, L., & Alkathiri, A. M. (2025). The implementation of artificial intelligence in nursing education and its psychological impact on nursing students: A cross-sectional study. Nurse Education Today, 153, 106816. https://doi.org/10.1016/j.nedt.2025.106816
Barrington-Moss, G., McKendrick-Calder, L., & von Stein, D. (2026). Self-compassion in nursing students: An integrated review. Nurse Education in Practice, 91, 104684. https://doi.org/10.1016/j.nepr.2025.104684
Bayageldi, N. K., & Kaloğlu Binici, D. (2024). Are nursing students ready to respond to disasters? A study on self-efficacy of nursing students to apply psychological first aid. Nurse Education Today, 143, 106367. https://doi.org/10.1016/j.nedt.2024.106367
Ben Natan, M., Muntyan, A., & Shonn, E. (2025). Low Back Pain, Pain Beliefs, Fear-Avoidance, and Self-Activation in Nursing Students. Pain Management Nursing. https://doi.org/10.1016/j.pmn.2025.11.005
Berdida, D. J. E., Grande, R. A. N., Serag, R. M., & Abd Elmaksoud, D. M. F. (2026). Nursing students’ artificial intelligence (AI) literacy, AI self-efficacy and AI self-competency: A cross-sectional design and structural equation model analysis. Nurse Education in Practice, 90, 104673. https://doi.org/10.1016/j.nepr.2025.104673
Bong, S., Park, S., Lee, A., Lee, H., Lee, H., Jung, H., & Choi, H.-G. (2026). The mediating role of self-efficacy between social acuity and clinical competence among nursing students: A cross-sectional study. Nurse Education Today, 161, 107010. https://doi.org/10.1016/j.nedt.2026.107010
Collins, C. R., Gurley, D., & Carver, N. (2025). A mixed methods study using reflective journaling as a classroom intervention to teach the knowledge, value, and skill of professional self-care to third-year nursing students. Teaching and Learning in Nursing. https://doi.org/10.1016/j.teln.2025.10.032
Culha, I. (2025). The mediating role of emotional empathy in the relationship between nursing students’ emotional intelligence levels and their self-efficacy in pain management. Nurse Education Today, 150, 106682. https://doi.org/10.1016/j.nedt.2025.106682
El-Sayed, B. K. M., El-Sayed, A. A. I., Alsenany, S. A., & Asal, M. G. R. (2025). The role of artificial intelligence literacy and innovation mindset in shaping nursing students’ career and talent self-efficacy. Nurse Education in Practice, 82, 104208. https://doi.org/10.1016/j.nepr.2024.104208
Elhadidy, A. M., Osman, O. A. B., & Mahmoud, S. (2025). Effect of an educational program to enhance psychological capital on academic burnout among nursing students. Teaching and Learning in Nursing, 20(4), e1084–e1089. https://doi.org/10.1016/j.teln.2025.05.019
Erbay Dalli, Ö., & Pehli̇van, S. (2025). The effectiveness of laughter-based interventions on psychological, physiological and educational outcomes in nursing students: A systematic review and meta-analysis. Nurse Education in Practice, 87, 104509. https://doi.org/10.1016/j.nepr.2025.104509
Galan-Lominchar, M., Roque, I. M.-S., del Campo Cazallas, C., Mcalpin, R., Fernández-Ayuso, D., & Zerolo, B. E. (2024). Internationalization at home program significantly increases the self-efficacy of nursing students: A pre-post study. Nurse Education Today, 143, 106361. https://doi.org/10.1016/j.nedt.2024.106361
Güvener, Y. Ö. (2024). The effect of laughter therapy on self-efficacy and psychological well-being in nursing students. Archives of Psychiatric Nursing, 52, 121–127. https://doi.org/10.1016/j.apnu.2024.07.021
Ho, Q. B., Tran, H. T. L., Nguyen, D. T. T., Tran, T. T., & Tran, L. T. K. (2026). The mediating role of self-esteem in the link between attachment relationships and stress among Vietnamese nursing students: a cross-sectional survey. International Journal of Nursing Studies Advances, 10, 100500. https://doi.org/10.1016/j.ijnsa.2026.100500
Inuwa, A., & Esmaeilzadeh, S. (2025). Self-compassion interventions for nursing students: A scoping review. Nurse Education in Practice, 88, 104556. https://doi.org/10.1016/j.nepr.2025.104556
Morsy, A. A. I., Atta, M. H. R., Elsheikh, M. A., & Shehata, Y. M. M. (2025). Spotlighting the Atychiphobia among nursing Students: the role of online self-efficacy and self-regulated learning. Nurse Education Today, 152, 106781. https://doi.org/10.1016/j.nedt.2025.106781
Pierce, B., Allen, J., & van de Mortel, T. (2026). The influence of near-peer teaching on final year nursing students’ self-efficacy in clinical teaching: A mixed methods quasi-experimental study. Nurse Education Today, 156, 106907. https://doi.org/10.1016/j.nedt.2025.106907
Schulenberg, S. L., Goldberg, D., Kreps, G., & Oh, K. M. (2024). Communication self-efficacy and communication apprehension in a national sample of undergraduate nursing students: A cross-sectional study. Nurse Education in Practice, 77, 103977. https://doi.org/10.1016/j.nepr.2024.103977
Shaygan, M., Yazdani, N., & Haghshenas, H. (2026). Emotional quotient, communication skills, and social support predict psychological capital in nursing students: a cross-sectional study. International Journal of Africa Nursing Sciences, 24, 100974. https://doi.org/10.1016/j.ijans.2026.100974
Smith, G. D., Watson, R., Poon, S., Cross, W. M., Hutchison, M. L., Jacob, E., Jacob, M. A., Rahman, M. A., Penny, K., & Lam, L. (2025). A study of academic resilience, psychological resilience and psychological distress in undergraduate nursing students in Hong Kong and Australia during COVID-19 restrictions. Nurse Education in Practice, 84, 104331. https://doi.org/10.1016/j.nepr.2025.104331
Suprapto, Kamaruddin, M. I., Herlianty, & Nurhanifah, D. (2024). Building Nurse Competency Strategy at Public Health Center in Indonesia: A Descriptive Qualitative Approach. The Malaysian Journal of Nursing, 15(03), 62–70. https://doi.org/10.31674/mjn.2024.v15i03.008
Turan, M., & Cengiz, Z. (2025). The mediating role of self-efficacy in nursing students’ initial clinical practice experience. Teaching and Learning in Nursing, 20(3), e676–e683. https://doi.org/10.1016/j.teln.2025.01.027
Yue, W., Chen, Y., & Ma, X. (2025). A structural equation model of psychological capital, self-directed learning, and learned helplessness: Implications for postgraduate nursing education. Nurse Education Today, 151, 106748. https://doi.org/10.1016/j.nedt.2025.106748
Yue, W., Lin, Y., & Ma, X. (2025). From creative self-efficacy to clinical decision-making confidence: A dimensional structural equation modeling analysis through self-directed learning among nursing graduate students. Nurse Education Today, 155, 106871. https://doi.org/10.1016/j.nedt.2025.106871
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Copyright (c) 2026 Wulida Litaqia, Ainun Najib Febrya Rahman, Fadma Aji Pramudita, Sri Yulian Hunowu, Ryan Nuari Pratama
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