The Caring Efficacy Scale (CES) assesses belief in one's ability to express a caring orientation and to develop caring relationships with clients or patients. This article describes the development of this Likert-type self-report scale to assess nurses' caring efficacy. It also discusses a preliminary reliability and validity study assessing the caring efficacy of novice and experienced nurses from three nursing programs: baccalaureate, nursing doctorate, and master's. The CES was found to have high internal consistency, and it possessed significant positive relationships with a measure of clinical competence.