Patricia Perry, MSN, RN, CNS, CNE, is a Doctoral Student at the University of Hawaii at Manoa, School of Nursing and Dental Hygiene, Honolulu, Hawaii, and an Assistant Professor at the Azusa Pacific University, School of Nursing, Azusa, California, USA.

Patricia Perry, MSN, RN, CNS, CNE, is a Doctoral Student at the University of Hawaii at Manoa, School of Nursing and
Dental Hygiene, Honolulu, Hawaii, and an Assistant Professor at the Azusa Pacific University, School of Nursing, Azusa,
California, USA.

Keywords
Concept analysis, confidence,
self-confidence, self-efficacy, nurse
Correspondence
Patricia Perry, MSN, RN, CNS,
Azusa Pacific University, School of
Nursing, P.O. Box 7000, Azusa, CA
91702, USA.
E-mail: perrypat@hawaii.edu
BACKGROUND.
Confidence and self-confidence are crucial practice ele-
ments in nursing education and practice. Nurse educators should have
an understanding of the concept of confidence in order to assist in the
accomplishment of nursing students and their learning of technical and
nontechnical skills. With the aim of facilitating trusted care of patients in
the healthcare setting, nursing professionals must exhibit confidence,
and, as such, clarification and analysis of its meaning is necessary.
PURPOSE.
The purpose of this analysis is to provide clarity to the
meaning of the concept confidence/self-confidence, while gaining a
more comprehensive understanding of its attributes, antecedents, and
consequences.
METHOD.
Walker and Avant’s eight-step method of concept analysis was
utilized for the framework of the analysis process with model, contrary,
borderline, and related cases presented along with attributes, antecedents,
consequences, and empirical referents identified.
CONCLUSION.
Understanding both the individualized development of
confidence among prelicensure nursing students and the role of the
nurse educator in the development of confident nursing practice, nurse
educators can assist students in the development of confidence and
competency. Future research surrounding the nature and development of
confidence/self-confidence in the prelicensure nursing student experi-
encing human patient simulation sessions would assist to help educators
further promote the development of confidence.
Introduction

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