{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T06:15:14Z","timestamp":1783318514769,"version":"3.54.6"},"reference-count":63,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"\n Background<\/jats:title>\n Dementia care requires not only clinical competence but also a high level of empathy from nursing professionals. Resilience has increasingly been recognized as a critical factor in enhancing both competence and compassionate care in demanding healthcare settings.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to examine the mediating role of resilience in the relationship between nurses\u2019 competence in dementia care and their empathetic practices.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This cross-sectional descriptive study was conducted among 200 registered nurses from ten hospitals in Sohag and Mansoura, Egypt. Participants met specific inclusion criteria, including at least one year of dementia care experience. Data were collected using the following instruments; the Connor\u2013Davidson Resilience Scale, the Empathetic Care Scale, and the Sense of Competence in Dementia Care Staff Scale were administered. Data were analysed using descriptive statistics, Pearson correlation, and mediation analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Significant positive correlations were found between nurses\u2019 competence in dementia care and resilience (r\u202f=\u202f0.350,\n p<\/jats:italic>\n &lt;\u202f0.001), and between competence and empathetic practices (r\u202f=\u202f0.249,\n p<\/jats:italic>\n &lt;\u202f0.001). Resilience was also significantly correlated with empathetic practices (r\u202f=\u202f0.378,\n p<\/jats:italic>\n &lt;\u202f0.001). Mediation analysis revealed that resilience partially mediated the relationship between competence and empathetic practices (indirect effect:\n \u03b2<\/jats:italic>\n =\u202f0.116, BootSE\u202f=\u202f0.036, 95% CI [0.053, 0.193]). The total effect of competence on empathetic practices was statistically significant (\u03b2\u202f=\u202f0.249, B\u202f=\u202f0.301, SE\u202f=\u202f0.083, t\u202f=\u202f3.625,\n p<\/jats:italic>\n &lt;\u202f0.001), explaining 6.2% of the variance.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Resilience serves as a key psychological mechanism through which nurses\u2019 competence in dementia care translates into higher levels of empathetic practice. These findings underscore the importance of incorporating resilience-building interventions into nursing education and practice to enhance the quality of dementia care.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1714350","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T05:37:38Z","timestamp":1783316258000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The mediating effect of resilience on the relationship between competence in dementia care and empathetic practices among nurses: a cross-sectional study"],"prefix":"10.3389","volume":"17","author":[{"given":"Shaimaa Mohamed","family":"Amin","sequence":"first","affiliation":[{"name":"Department of Community, Psychiatric, and Mental Health Nursing, College of Nursing, Qassim University","place":["Buraydah, Saudi Arabia"]},{"name":"Community Health Nursing Department, Faculty of Nursing, Damanhour University","place":["Damanhour, Egypt"]},{"name":"Nursing Services Department, Qassim University Medical City","place":["Buraydah, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed H. R.","family":"Atta","sequence":"additional","affiliation":[{"name":"Nursing Department, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University","place":["Wadi Addawasir, Saudi Arabia"]},{"name":"Faculty of Nursing, Alexandria University","place":["Alexandria, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameer A.","family":"Alkubati","sequence":"additional","affiliation":[{"name":"Department of Medical-Surgical Nursing, College of Nursing, University of Ha\u2019il","place":["Ha\u2019il, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heba Ahmed Mohammed","family":"El-Fadawy","sequence":"additional","affiliation":[{"name":"Department of Gerontological Nursing, Faculty of Nursing, Mansoura University","place":["Mansoura, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soher Ahmed Awad","family":"Abdelaziz","sequence":"additional","affiliation":[{"name":"Department of Gerontological Nursing, Faculty of Nursing, Assiut University","place":["Assiut, Egypt"]},{"name":"Faculty of Nursing, Zarqa University","place":["Zarqa, Jordan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Abdelwahab Ibrahim","family":"El-Sayed","sequence":"additional","affiliation":[{"name":"Department of Nursing Administration, Faculty of Nursing, Alexandria University","place":["Alexandria, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haitham Mokhtar Mohamed","family":"Abdallah","sequence":"additional","affiliation":[{"name":"Department of Medical-Surgical Nursing, College of Nursing, Jouf University","place":["Sakaka, Saudi Arabia"]},{"name":"Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University","place":["Alexandria, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nesreen AbdelMonaem AbdelSataar","family":"AbouZeid","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Nursing, College of Nursing, Princess Nourah bint Abdulrahman University","place":["Riyadh, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally Mohammed","family":"Farghaly Abdelaliem","sequence":"additional","affiliation":[{"name":"Department of Nursing Administration, Faculty of Nursing, Alexandria University","place":["Alexandria, Egypt"]},{"name":"Department of Nursing, Faculty of Allied Health Sciences, Kuwait University","place":["Kuwait City, Kuwait"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suebsarn","family":"Ruksakulpiwat","sequence":"additional","affiliation":[{"name":"Department of Medical Nursing, Faculty of Nursing, Mahidol University","place":["Bangkok, Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.17662","article-title":"Enhancing communication and empathy skills in geriatric care: nurses' reflections on simulation-based training for patient interaction and education","author":"Abdel Kader","year":"2025","journal-title":"J. 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