RNSystematic ReviewJournal of advanced nursing2021

Factors associated with parenting self-efficacy: A systematic review.

Yuan Fang, Mirte Boelens, Dafna A Windhorst and 2 others

PMID 33590585

WHAT IT FOUND

Mothers with higher depression or parenting stress, and mothers of children with difficult temperament, reported lower confidence in parenting.

Higher social support and income were linked to greater confidence, but most evidence was cross-sectional and mostly about mothers.

Key findings

01In mothers, depression (4/7) and parenting stress (3/4) were associated with lower parenting self-efficacy, while higher parenting satisfaction (3/3) was associated with higher self-efficacy.

02For fathers, higher parenting stress (2/3) was associated with lower parenting self-efficacy.

03Higher perceived social support (3/5) and household income (2/3) were associated with higher maternal parenting self-efficacy, while a difficult child temperament (2/3) was associated with lower maternal parenting self-efficacy.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Most included studies were cross-sectional, so they cannot show whether a factor causes lower parenting self-efficacy or lower confidence leads to the factor. Many factors were studied by only one or two studies, so the evidence is thin for most of the 89 factors. The review used general parenting self-efficacy, which the authors state is less sensitive to specific parenting tasks than task-specific measures. Most studies were among mothers only, so findings may not apply equally to fathers. Parenting self-efficacy was measured with different self-report tools, and the items varied. Only English peer-reviewed articles were included, so publication bias and missing studies cannot be ruled out. Most samples came from developed countries and children were mostly aged 0-6 years, limiting generalisability.

Declared interests

No conflicts of interest were declared. Funding was from a China Scholarship Council scholarship.

The easy way to misread this

Do not read these associations as proof that reducing depression, stress or child behaviour problems will raise parenting self-efficacy. Most included studies were cross-sectional and self-reported, so they show co-occurrence, not cause or effect.

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