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Jami Ur Rahman
Javed Iqbal
Dr Maliha B. Thapur
Amir sultan
Nazia shuaib
Nasir Ali
Sheraz khan
Hussain Ahmed


Quality of life, health competency, self-efficacy, nursing students, correlational study


Background: A high-quality education gives students a broad range of talents and the chance to excel in their future achievements within society. The purpose of the study was to evaluate self-efficacy and quality of life quality among nursing students.

Methodology: Using a cross-sectional descriptive methodology, the study was carried out in the nursing institutes of Khyber Pukhtankhwa between August to October 2023. With a basic random sampling procedure, 471 students made up the sample size. Data were gathered using a self-efficacy and quality of life questionnaire, and analysis was done using SPSS 20.0.

Results: Of the 471 participants in the survey, male made up the majority (65%) as opposed to female students (35%). The vast majority of students had a high level of self-efficacy (73%), which was followed by an average level (17%), and a very small percentage (10%) had a low level.  The high self-efficacy level of Male students (48.4%), and female was (24.6%). The behavior domain mean score was high (4.3 ± 1.2) then outcome domain (3.4 ± 0.99), while the overall self-efficacy score was 3.9 ± 1.0. Quality of life of the participants was good having mean score of (3.6 ± 0.57), while school environment mean score in domains was high (3.9 ± 0.95), and psychological domain was lower (3.2 ± 0.52).


The study concluded that Self-efficacy is strongly associated with age and college status, while not associated with gender and nursing education program. The quality of life was significantly no difference between the groups in gender, age, program and college status. Furthermore Self-efficacy is negative weakly correlated with quality of life.

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1. Bibi A, Ahmed F, Iqbal N, Sultan A. Factors That Affect the Performance of Undergraduate Nursing Students of Khyber Pukhtankhwa, Pakistan: Performance of Undergraduate Nursing Students. Pakistan Journal of Health Sciences. 2022 Aug 31:33-7.
2. Sivakumar, M., & Sarvalingam, A. (2010). Human deprivation index: A measure of multidimensional poverty. [Google Scholar]
3. Khan S, Ahmed F, Khan I, Sultan A. Perception of nursing students towards educational quality in Khyber Pukhtankhwa Pakistan: Perception of Nursing Students towards Educational Quality. Pakistan Journal of Health Sciences. 2022 Sep 30:188-92.
4. Igbinakhase I and Naidoo V. Higher Education Quality Improvement Strategies Through Enriched Teaching and Learning. InQuality Management Principles and Policies in Higher Education 2020 (pp. 246-262). IGI Global.
5. Abun D. Employees’ self-efficacy and work performance of employees as mediated by work environment. Available at SSRN 3958247. 2021 Nov 7.
6. Bandura A. Self-efficacy toward a unifying theory of behavioral change. Psycholo Rev. 1977, 84 (3) :191-215.
7. Shorey S, Lopez V. Self-Efficacy in a nursing context. Health promotion in health care–Vital theories and research. 2021:145-58.
8. Aljohani W, Banakhar M, Sharif L, Alsaggaf F, Felemban O, Wright R. Sources of stress among Saudi Arabian nursing students: A cross-sectional study. International journal of environmental research and public health. 2021 Nov 14;18(22):11958.
9. Schwarzer R, Aristi B. Optimistic self belief s: Assessment of general perceived self efficacy in Thirteen cultures.Word Psychology. 1997,3 (1):177
10. Aboshaiqah AE, Cruz JP. Quality of life and its predictors among nursing students in Saudi Arabia. J Holist Nurs. 2019;37:200–8.
11. Mahdi R. Quality of university students' life (Case study: Tehran State Universities) Iran Higher Educ. 2016;7:1–26.
12. Xie X, Du J, He J, Liu Y, Li Z. Perceived health competence and health education experience predict health promotion behaviors among rural older adults: A cross-sectional study. BMC Public Health. 2022 Sep 5;22(1):1679.
13. Andersen JR, Natvig GK, Haraldstad K, Skrede T, Aadland E, Resaland GK. Psychometric properties of the Norwegian version of the Kidscreen-27 questionnaire. Health and Quality of Life Outcomes. 2016 Dec;14(1):1-6.
14. Naeem FS, Jasim AH. Self-efficacy for Critical Care Nurses in Al-Muthanna Governorate. Pakistan Journal of Medical & Health Sciences. 2022 Jul 2;16(05):812-.
15. Mei XX, Wang HY, Wu XN, Wu JY, Lu YZ, Ye ZJ. Self-efficacy and professional identity among freshmen nursing students: a latent profile and moderated mediation analysis. Frontiers in Psychology. 2022 Mar 3;13:779986.
16. Dadipoor S, Alavi A, Ghaffari M, Safari-Moradabadi A. Association between self-efficacy and general health: a cross-sectional study of the nursing population. BMC nursing. 2021 Dec;20(1):1-6.
17. Pitre S, Hanson VF, Kumardhas V. Self-efficacy among Nursing students at RAK Medical and Health Sciences University,United Arab Emirates [Internet]. Journal of Positive School Psychology; 2022 July (7) 1983-1988.
18. Iwona Bodys-Cupak , Anna Majda, Anna Kurowska, Ewa Ziarko and Joanna Zalewska-Puchała(2021) Psycho-social components determining the strategies of coping with stress in undergraduate Polish nursing students Bodys-BMC Nursing (2021) 20:129.
19. Soudagar, S., Rambod, M., & Beheshtipour, N. (2015). Factors associated with nurses’ self-efficacy in clinical setting in Iran, 2013. Iranian journal of nursing and midwifery research, 20(2), 226.
20. Dawson AF, Brown WW, Anderson J, Datta B, Donald JN, Hong K, et al. Mindfulness-based interventions for university students: a systematic review and meta‐analysis of randomised controlled trials. AP:HWB. 2020;12(2):384–410.
21. Irie T, Yokomitsu K, Sakano Y. Relationship between cognitive behavioral variables and mental health status among university students: a meta-analysis. PLoS ONE. 2019;14(9):e0223310.
22. Heng P. H. Hutabarat F. & Lathiifah S. (2021 August). Relationship Between Spiritual Well-Being and Quality of Life Among Students in Southeast-Asia Countries. In International Conference on Economics Business Social and Humanities (ICEBSH 2021) (pp. 1097-1102). Atlantis Press.
23. Berman A. H. Liu B. Ullman S. Jadbäck I. & Engström K. (2016). Children’s quality of life based on the KIDSCREEN-27: child self-report parent ratings and child-parent agreement in a Swedish random population sample. PloS one 11(3) e0150545.
24. Moura IH, Nobre RD, Cortez RM, Campelo V, Macêdo SF, Silva AR. Quality of life of undergraduate nursing students. Revista gaucha de enfermagem. 2016 May 31;37.
25. Bampi LNS, Baraldi S, Guilhem D, Pompeu RB, Campos ACO. Percepção sobre qualidade de vida de estudantes de graduação em enfermagem. Rev Gaúcha Enferm. 2013; 4(1):125-32.
26. Sousa TF, Fonseca SA, Mororó José HP, Nanas MV. Validade e reprodutibilidade do questionário Indicadores de Saúde e Qualidade de Vida de Acadêmicos (Isaq-A). Arq Ciênc Esporte. 2013;1(1):21-30.
27. Labrague LJ, McEnroe‐Petitte DM, Papathanasiou IV, Edet OB, Tsaras K, Christos KF, Fradelos EC, Rosales RA, Cruz JP, Leocadio M, Lucas KV. A cross‐country comparative study on stress and quality of life in nursing students. Perspectives in psychiatric care. 2018 Oct;54(4):469-76.
28. Ali J. Marhemat F. Sara J. & Hamid H. (2015). The relationship between spiritual well-being and quality of life among elderly people. Holistic nursing practice 29(3) 128-135. DOI: 10.1097/HNP.0000000000000081.
29. Kyranou M, Nicolaou M. Associations between the spiritual well-being (EORTC QLQ-SWB32) and quality of life (EORTC QLQ-C30) of patients receiving palliative care for cancer in Cyprus. BMC palliative care. 2021 Dec;20(1):1-1.
30. Peters, M., Potter, C.M., Kelly, L. et al. Self-efficacy and health-related quality of life: a cross-sectional study of primary care patients with multi-morbidity. Health Qual Life Outcomes 17, 37 (2019).

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