Abstract: Background: Parental self-efficacy (PSE) refers to the confidence in a parent's own competence to nurture and assist the development of their child. Higher parental self-efficacy is associated with better language and social interactions in their children. Aim of the Study: To assess parental self-efficacy in caring for children with hearing impairment Subjects and Methods: Research design: A descriptive cross-sectional design was applied. Setting: The study was implemented in phoniatrics, audio-vestibular units, and ENT outpatient clinic at Zagazig University Hospitals. Subjects: A purposive sample composed of 110 parents of hearing-impaired children. Tools of data collection: Two tools were relied on to collect the study data: an organized interview questionnaire and the Scale of Parental Involvement and Self-Efficacy Revised (SPISE-R). Results: The study presented that 84.5% of studied parents displayed relatively high self-efficacy with a total mean score of 4.71±0.64. Along with a highly statistically positive association between knowledge, confidence, and actions subdomains (P < 0.001). Conclusion: Parents of hearing-impaired children had high levels of knowledge, confidence, and actions. Recommendation: It is essential to provide parents with adequate education and training on hearing impairment, communication strategies, and the ling Six Sound Test with regular guidance and professional support to enhance parental confidence.