Bektas İlknur, Kudubes Aslı Akdeniz, Ayar Dijle, Bektas Murat
İzmir Bakırçay University, Faculty of Health Sciences, İzmir, Turkey.
Bilecik Şeyh Edebali University, Faculty of Health Sciences, Bilecik, Turkey.
Nurse Educ Today. 2025 May;148:106629. doi: 10.1016/j.nedt.2025.106629. Epub 2025 Feb 11.
This study examined the extent to which nursing students' self-regulated learning and academic locus of control predict self-confidence and anxiety in clinical decision-making.
This study was a cross-sectional, descriptive, and correlational study.
The study sample was 627 undergraduate nursing students. Data were collected with the Student Introductory Information Form, Self-Regulated Learning Scale for Clinical Nursing Practice, Academic Locus of Control Scale, and Nursing Anxiety and Self-Confidence with Clinical Decision-Making Scale (NASC-CDM). Multiple linear regression analysis evaluated the predictive level of the variables on the self-confidence and anxiety scale subscale scores in clinical decision-making.
The external locus of control and learning strategies significantly explain all sub-dimensions of the self-confidence scale in clinical decision-making. The internal locus of control and learning strategies meaningfully explain the sub-dimensions of the anxiety scale in clinical decision-making using resources to obtain information, fully listening, and knowing and taking action.
Self-regulated learning levels of nursing students affect clinical decision-making. It was determined that students with an internal locus of control had higher self-confidence in clinical decision-making and lower anxiety levels.
本研究探讨了护理专业学生的自我调节学习和学业控制点在多大程度上能够预测临床决策中的自信心和焦虑情绪。
本研究为横断面、描述性和相关性研究。
研究样本为627名本科护理专业学生。通过学生基本信息表、临床护理实践自我调节学习量表、学业控制点量表以及临床决策护理焦虑与自信心量表（NASC-CDM）收集数据。多元线性回归分析评估了这些变量对临床决策中自信心和焦虑量表子量表得分的预测水平。
外部控制点和学习策略显著解释了临床决策中自信心量表的所有子维度。内部控制点和学习策略在临床决策中使用资源获取信息、充分倾听以及知晓并采取行动方面，有意义地解释了焦虑量表的子维度。
护理专业学生的自我调节学习水平影响临床决策。研究确定，具有内部控制点的学生在临床决策中具有更高的自信心和更低的焦虑水平。
