HYBRID EVENT: You can participate in person at Orlando, USA or Virtually from your home or work.

6th Edition of Nursing World Conference

October 27-29, 2022 | Orlando, USA

October 27 -29, 2022 | Orlando, Florida, USA
NWC 2022

Sumina Shrestha

Speaker at  Nursing World Conference 2022 - Sumina Shrestha
La Trobe University, Austria
Title : Caring self-efficacy of English and non English-speaking nursing assistants working in residential aged care settings


Background: Residential aged care plays a crucial role in the spectrum of long-term care services for older adults in most developed nations. While organisational leadership is responsible for ensuring residents’ care quality and safety in residential aged care facilities, direct care workers, such as nurses and nursing assistants/aides, provide the most assistance and care to residents. In recent years, residential aged care settings have become more culturally and linguistically diverse. In Australia in 2020, 36% of nursing assistants were from culturally and linguistically diverse backgrounds. Studies have found that care workers who can communicate well are more confident, fostering interpersonal relationships with care recipients and coping with a broad range of stressors in their workplace.

In this study, we aimed to

  • compare the caring self-efficacy of nursing assistants born in English and non-English speaking countries.
  • explore factors influencing caring self-efficacy from nursing assistants’ perspective, including the impact of the COVID-19 pandemic.

Methodology: A cross-sectional comparative study was carried out in residential aged care facilities across Australia to compare the caring self-efficacy of English and non-English speaking nursing assistants. Psychometric properties of the Caring Efficacy Scale were tested before using in our study population. Qualitative data were collected to explore factors that nursing assistants perceived influenced their caring self-efficacy.

Results: An independent samples t-test showed significantly lower caring self-efficacy among nursing assistants born in non-English-speaking countries than those born in English-speaking countries. However, the multivariate modelling with socio-demographic and work-related characteristics of study participants showed that their caring self-efficacy was more likely to be influenced by whether their primary language spoken at home was English rather than where they were born. Nursing assistants explained that their caring self-efficacy was negatively affected by organisational barriers, residents’ challenging behaviours, and bullying and discrimination at the workplace and in their everyday lives. The COVID-19 pandemic made the workplace more challenging due to their declining mental health and inadequate organisational resources and support.

Conclusion: Despite nursing assistants born in non-English-speaking countries representing more than one-third of staff working in residential aged care settings in Australia, this study is the first to recognise and explore their caring self-efficacy. This study highlights the need to increase organisational resources and training opportunities to help these staff members build confidence in caring for older residents and deal appropriately in challenging care situations. It also demonstrated the decrease in the wellbeing of these workers due to the pandemic and recommended mental health support services to cope with the work stress they experience.


Sumina Shrestha is currently finishing her PhD from the Australian Institute for Primary Care and Ageing at La Trobe University, Australia. Her dissertation focuses on caring self-efficacy and behaviours of residential aged care workers from culturally and linguistically diverse backgrounds. Her research interests include access to quality service to care recipients in culturally and linguistically diverse health care settings. Sumina is a public health professional by training and has extensive research expertise on qualitative and quantitative methods. She also has significant experience in the program implementation sector to improve access to quality service in hard-to-reach areas of developing countries.