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Evidence of global relevance

The mediating effect of resilience on the relationship between competence in dementia care and empathetic practices among nurses: a cross-sectional study

A survey of 200 nurses across ten Egyptian hospitals associated dementia-care competence with resilience (r=.350) and empathetic practice (r=.249), while resilience correlated with empathy (r=.378). The modeled indirect effect was β=.116 (95% CI .053–.193), but cross-sectional mediation cannot establish a causal mechanism or intervention effect.

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Key findings

  • Competence-resilience r=.350, competence-empathy r=.249 and resilience-empathy r=.378, all p
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Why this matters globally

Dementia care depends on competence, working conditions and relationships. Resilience may inform staff support, but must not become a demand that nurses endure unsafe systems.

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Thai researcher contribution

A Mahidol Faculty of Nursing researcher contributed to a multinational team spanning Egypt, Saudi Arabia, Jordan and Kuwait.

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Limitations to consider

All variables were same-time self-reports, making mediation a causal hypothesis rather than evidence. Social desirability, no patient or observer empathy measure, 6.2% explained variance and Egyptian context limit inference.

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Verify the original sources

Frontiers in PsychologyRead the original article

DOI: 10.3389/fpsyg.2026.1714350

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