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Many studies have been done on the impact of school climate on teachers' efficacy in Malaysian primary and secondary schools but no study was found in this area in Malaysian nursing schools. In this sense, this is a unique study that has brought an insight understanding about the school climate such as institutional vulnerability, collegial leadership; professional teacher behavior and achievement press and its relationship with the efficacy of nurse educator in Malaysian nursing schools. Result shows that some of the elements of school climate are strongly related with some of the dimensions of teachers' self efficacy whereas some are found with no impact. The findings of this study provide important information for the policy makers, educational managers and especially for the nursing teachers concerned with the improvement of well-being of the nursing schools/colleges in Malaysia.