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Resilience and academic motivation's mediation effects in nursing students' academic stress and self-directed learning: A multicenter cross-sectional study
Affiliation:1. Out-patient Department, Klinik Kesihatan Lahad Datu, Pejabat Kesihatan Kawasan Lahad Datu, 91120 Lahad Datu, Sabah, Malaysia;2. Department of Basic Sciences, Faculty of Health Sciences, Universiti Teknologi MARA Selangor, Puncak Alam Campus, 42300 Bandar Puncak Alam, Selangor, Malaysia;3. Integrated Nutrition Science and Therapy Research Group (INSPiRE), Faculty of Health Sciences, Universiti Teknologi MARA Selangor, Puncak Alam Campus, 42300 Bandar Puncak Alam, Selangor, Malaysia;1. School of Nursing, Hangzhou Medical College, 481 Binwen, Rd, 310053 Hangzhou, China;2. Department of Nursing, Hangzhou Women''s Hospital, 369 Kunpeng, Rd, 310008 Hangzhou, China;3. Obstetrics Department, Hangzhou Medical College Affiliated Lin An People''s Hospital, 548 Yijin, St, 311300 Hangzhou, China;4. Department and Consultant Obstetrician/Gynaecologist, Saint Francis Private Hospital, N91 FE40 Ballinderry, Ireland;1. School of Medicine, Nantong University, Nantong, Jiangsu, PR China;2. School of Public Health, Nantong University, Nantong, Jiangsu, PR China;1. School of Nursing, Shandong Xiehe University, Jinan, China;2. Xiangya School of Nursing, Central South University, Chang, China;3. Xiangya Center for Evidence-Based Practice & Healthcare Innovation: A Joanna Briggs Institute Affiliated Group, Central South University, Changsha, China;1. School of Nursing, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region of China;2. School of Nursing, Tung Wah College, Hong Kong Special Administrative Region of China;1. Balıkesir University Faculty of Health Sciences, Department Of Nursing, Department of Pediatric Nursing, Balıkesir, Turkey;2. Department of Nursing, Faculty of Health Sciences, Balikesir University, Balıkesir, Turkey
Abstract:AimsTo investigate the mediating role of resilience and academic motivation between academic stress and self-directed learning.BackgroundAcademic stress in nursing students is a well-reported concept that affects resilience, academic motivation and self-directed learning. However, there is a dearth of studies investigating the mediating role of resilience and academic motivation between academic stress and self-directed learning.DesignCross-sectional study and mediation analysis.MethodsNursing students (n = 718) were recruited from five nursing schools via convenience sampling. Four self-report scales (Perception of Academic Stress Scale, Connor and Davidson Resilience Scale, Short Academic Motivation Scale and Self-directed Learning Instrument) were used to collect data from August to December 2022. Pearson’s r, bivariate analysis and multistage regression analyses were employed to analyze the data.ResultsAcademic stress negatively influences nursing students' resilience, academic motivation and self-directed learning. Resilience and academic motivation have a positive impact on self-directed learning. Resilience and academic motivation mediate the relationship between academic stress and self-directed learning, as evidenced by a reduction in the negative impacts of academic stress on nursing students.ConclusionResilience and academic motivation, as mediators, reduce the effects of academic stress on self-directed learning. Nursing educators and administrators should promote programs that strengthen resilience and academic motivation. Thus, improving educational and clinical performance.
Keywords:Academic motivation  Academic stress  Mediation analysis  Nursing students  Resilience  Self-directed learning
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