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Mediating role of self-efficacy and cognitive flexibility in the relationship between critical thinking and positive mental health in Turkish nursing students: a cross-sectional study

Eyüp Yurt, Ç. Haylı

BMJ Open, 2025

18 citations

Abstract

Objectives Positive mental health is crucial for nursing students, impacting their well-being and professional performance. It facilitates stress management throughout nursing education and career development. Limited research has examined the relationship between critical thinking and perceived positive mental health. This study examines the relationship between critical thinking and positive mental health, exploring the mediating effects of self-efficacy and cognitive flexibility. Design A cross-sectional survey was used. Setting The study was conducted in different public universities in Türkiye. The survey was administered via Google Forms, which included information about the purpose of the study and a consent form where participants declared their voluntary involvement. Participants A random sampling method was used to recruit 464 students from various health sciences faculties at different universities, consisting of 44.4% males and 55.6% females. The participants, aged 18–25, had a mean age of 19.52 (SD=1.24). Primary and secondary outcome measures The questionnaire included the following scales: Critical Thinking Disposition Scale, Positive Mental Health Scale, Cognitive Flexibility Scale and General Self-efficacy Scale. Descriptive analysis, correlation analysis and multiple mediation analysis were used to analyse the data. Results The findings indicate that critical thinking is positively associated with self-efficacy (β=0.58, p<0.001), cognitive flexibility…

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