Hemşirelik Öğrencilerinin 21. Yüzyıl Becerileri ile Bakım Davranışları Arasındaki İlişki

Abstract

Hemşirelik öğrencileri, çağdaş sağlık hizmetlerinin zorluklarının üstesinden gelmek için yalnızca klinik yeterliliği değil, aynı zamanda uyum sağlama, eleştirel düşünme ve güçlü bir profesyonel kimlik duygusunu da kapsayan karmaşık bir dizi beceriye ihtiyaç duymaktadır. Modern sağlık hizmetleri, hemşirelerden geleneksel klinik uzmanlığın ötesine geçerek uyum sağlama, eleştirel düşünme ve derin bir profesyonel kimlik duygusunu da kapsayan çok yönlü bir beceri seti talep etmektedir. Özellikle hemşirelik öğrencileri, sürekli gelişen sağlık hizmetleri ortamının karmaşıklıklarında etkin bir şekilde yol alabilmek için bu yetkinlikleri geliştirmelidir. Hemşirelik öğrencilerinin 21. yüzyıl becerilerini edinmeleri ile klinik uygulamalarda özenli davranışlar sergilemeleri arasındaki ilişkiyi araştırmak. Bu çalışma, hemşirelik öğrencileri arasında 21. yüzyıl becerileri ve bakım verme davranışları arasındaki karmaşık ilişkiyi araştıran kesitsel bir tasarımdır. Hemşirelik Öğrencilerinin Bakım Verme Davranışları Envanteri ve 21. Yüzyıl Becerileri ölçekleri ve alt boyut puan ortalamaları Bakım Verme Davranışları 5.01±0.68, alt boyut puan ortalamaları; Güvence (A): 5.06±0.69, Bilgi-beceri (KS): 4,85±0,74, Saygılı (S): 5,10±0,74, Bağlılık (B): 4,98±0,81,21 olarak bulunmuştur. Yüzyıl Becerileri ölçeğinin ortalama puanı 100,17±14,50 olup İletişim (İ), Eleştirel Düşünme (ED), Yaratıcılık (Y) ve İşbirliği (İ) alt boyutlarının ortalama puanları sırasıyla 29,47±4,46, 39,05±6,53, 19,57±3,52 ve 12,13±1,95'tir. Hemşirelik öğrencilerinin özenli davranışları ile 21. yüzyıl becerileri arasında önemli bir korelasyon olduğu ortaya çıkmıştır. Sonuçlar, bakım davranışlarının ve 21. yüzyıl becerilerinin geliştirilmesinin hemşirelik eğitim programlarına dahil edilmesinin ne kadar önemli olduğunu vurgulamaktadır. Eğitimciler, vaka çalışmaları, simülasyonlar ve probleme dayalı öğrenmeyi kullanarak öğrencilere bu becerileri geliştirme fırsatları verebilir.

Keywords

• Bakım davranışları
• Klinik Beceriler
• 21. Yüzyıl Becerileri
• Hemşirelik Öğrencileri
• Mesleki gelişim.

The Relationship Between Nursing Students' 21st Century Skills and Caring Behaviors

Abstract

Nursing students require a complex set of skills to navigate the challenges of contemporary healthcare, encompassing not only clinical proficiency but also adaptability, critical thinking, and a strong sense of professional identity. Modern healthcare demands a multifaceted skill set from nurses, extending beyond traditional clinical expertise to encompass adaptability, critical thinking, and a profound sense of professional identity. Nursing students, in particular, must cultivate these competencies to effectively navigate the complexities of an ever-evolving healthcare landscape. To explore the relationship between nursing students’ acquisition of 21st-century skills and the demonstration of caring behaviors in clinical practice. This study is a cross-sectional design, explores the intricate relationship between 21st-century skills and caring behaviors among nursing students. The mean scores of Nursing Students' Carering Behaviors Inventory and 21st Century Skills scales and sub-dimension scores Caring Behaviors was 5.01±0.68, and the mean scores of sub-dimensions; Assurance (A): 5.06±0.69, Knowledge-skill (KS): 4.85±0.74, Respectful (R): 5.10±0.74, Connectedness (C): 4.98±0.81.21. The mean score of the Century Skills scale was 100.17±14.50 and the mean scores of Communication (C), Critical Thinking (CT), Creativity (C) and Collaboration (CC) sub-dimensions were 29.47±4.46, 39.05±6.53, 19.57±3.52 and 12.13±1.95, respectively. It was discovered that there was a substantial correlation between nursing students' caring behaviors and their 21st-century skills. The results emphasize how crucial it is to include the development of caring behaviors and 21st-century skills into nursing education programs. Educators can give students opportunities to improve these skills by using case studies, simulations, and problem-based learning.

Keywords

• Caring behaviors
• Clinical Skills
• 21st Century Skills
• Nursing Students
• Professional development.

References

1. Afandi, A., Sajidan, S., Akhyar, M., Suryani, N. (2019). Development frameworks of the Indonesian partnership 21st-century skills standards for prospective science teachers: A Delphi study. Jurnal Pendidikan IPA Indonesia, 8(1). https://doi.org10.15294/jpii. v8i1.11647
2. Akyüz, H.E., Gamgam, H. (2017). Interval estimation for nonnormal population variance with kurtosis coefficient based on trimmed mean. Türkiye Klinikleri Journal of Biostatistics, 9(3):213–221. https://doi.org/10.5336/biostatic.2017-57348
3. Alikari, V., Gerogianni, G., Fradelos, Ε.C., Kelesi, Μ., Kaba, E., Zyga, S. (2022). Perceptions of caring behaviors among patients and nurses. International Journal of Environmental Research and Public Health, 20(1):396. https://doi.org/10.3390/ijerph20010396
4. Allari, R., Hamdan, K.M., Zahran, Z., Alabdullah, A.A.S., Salem, S.G., Saifan, A.R., Abu-El-Noor, N., Abu-El-Noor, M.K., Omari, O.A. (2022). Perception of nursing students from the Middle East about caring: A descriptive, comparative, cross-sectional study. Nursing Open, 10(2):1083. https://doi.org/10.1002/nop2.1375
5. Alphrazy, R., Octavia, B. (2023). Effectiveness of Student Teams Achievement Division and Scrambel combined model on collaborative skills and conceptual knowledge mastery of Class X SMAN 1 Semparuk on bacteria. Jurnal Penelitian Pendidikan IPA, 9(6):4783. https://doi.org/10.29303/jppipa.v9i6.3544
6. Ardakani, M.F., Sharifabad, M.A.M., Bahrami, M.A., Salehi-Abargouei, A. (2019). The effect of communication skills training on the self-efficacy of nurses: A systematic review and meta-analysis study. Bali Medical Journal, 8(1):144. https://doi.org/10.15562/ bmj.v8i1.1315
7. Campos, D.C.F. de, Graveto, J. (2009). The role of nurses and patients’ involvement in the clinical decision-making process. Revista Latino-Americana de Enfermagem, 17(6):1065. https://doi.org/10.1590/s0104-11692009000600021
8. Cole, C., Mummery, J., Peck, B. (2022). Professionalising care into compliance: The challenge for personalised care models. Nursing Inquiry, 30(3). https://doi.org/10.1111/nin.12541

9. D’Souza, M.S., Isac, C., Venkatesaperumal, R., Karkada, S.N., Amirtharaj, A. (2013). Exploring nursing student engagement in the learning environment for improved learning outcomes. Clinical Nursing Studies, 2(1). https://doi.org/10.5430/cns.v2n1p1
10. Dedemoğlu, B.Ş., Ceylan, H. (2025). The relationship between perceived self-efficacy and perceived stress in physical examination for undergraduate nursing students: A cross-sectional study. MAKU J. Health Sci. Inst., 13(1). https://doi.org/10.24998-maeusabed.1643599
11. Dedemoğlu, Ş., Koşar Şahin, C., Ceylan, H. (2025). Determination of nursing students’ attitudes towards nurses and clinical practice and influencing factors. OneHealth Plus Journal, 3(2):32-38.
12. Digın, F., Özkan, Z.K. (2021). Determination of nursing students’ perceptions of care behavior. Gevher Nesibe Journal of Medical & Health Sciences, 6(10):16-21. http://dx.doi. org/10.46648/gnj.155
13. Doğan, N. (2023). The evaluation of normality in large sample sizes using skewness and kurtosis statistics. International Journal of Assessment Tools in Education, 10(1):65–75. Available from: https://files.eric.ed.gov/fulltext/EJ1359139.pdf
14. Eka, N.G.A., Rumerung, C.L., Tahulending, P.S. (2023). Role modeling of professional behavior in nursing education during the COVID-19 pandemic: A mixed method study. Journal of Holistic Nursing. https://doi.org/10.1177/08980101231179300
15. Epp, S., Reekie, M., Denison, J., Kemper, N. de B., Willson, M., Marck, P. (2021). Radical transformation: Embracing constructivism and pedagogy for an innovative nursing curriculum. Journal of Professional Nursing, 37(5):804. https://doi.org/10.1016/ j.profnurs.2021.06.007
16. Erenoğlu, R., Can, R., Tambağ, H. (2019). Hemşirelik bakım davranışları ve bakım davranışları ile ilgili faktörler; doğumevi örneği. Sağlık ve Toplum, 1.
17. Fahrenwald, N.L., Bassett, S.D., Tschetter, L., Carson, P.P., White, L., Winterboer, V.J. (2005). Teaching core nursing values. Journal of Professional Nursing, 21(1):46. https://doi.org/ 10.1016/j.profnurs.2004.11.001
18. Fawaz, M., Hamdan-Mansour, A.M., Tassi, A. (2018). Challenges facing nursing education in the advanced healthcare environment. International Journal of Africa Nursing Sciences, 9:105. https://doi.org/10.1016/j.ijans.2018.10.005
19. Fikre, A., Egata, G., Abdisa, L., Yadeta, E., Eyeberu, A., Dheresa, M. (2022). Perception of caring behaviors and associated factors among nurses working in Harar hospitals, Eastern Ethiopia. SAGE Open Nursing, 8. https://doi.org/10.1177/23779608221143909
20. Fry, S.T. (2002). Guest editorial. International Nursing Review, 49(1):1. https://doi.org/ 10.1046/j.1466-7657.2002.00113.x
21. Gulledge, E.D. (2012). Current trends in nursing and care: Status of the profession. Journal of Nursing & Care, 1(4). https://doi.org/10.4172/2167-1168.1000e107
22. Gür, H., Güler, Z., Genç, C.B., Güngör Cabbar, B., Karamete, A. (2023). 21. yy becerileri ölçeğinin Türk kültürüne uyarlanması. Balıkesir Üniversitesi Fen Bilimleri Enstitüsü Dergisi, 25(1):215-232. https://doi.org/10.25092/baunfbed.1189613
23. Hairida, Ulfa, M., Hadi, L., Setyaningrum, V., Arifiyanti, F. (2021). Collaborative problem solving (CPS) based collaboration skills rubric in natural science learning. Journal of Physics Conference Series, 1842(1):012031. https://doi.org/10.1088/1742-6596/1842/ 1/012031
24. Hermann, R., Long, E.C., Trotta, R.L. (2019). Improving patients’ experiences communicating with nurses and providers in the emergency department. Journal of Emergency Nursing, 45(5):523. https://doi.org/10.1016/j.jen.2018.12.001
25. Hunter, S., Pitt, V., Croce, N., Roche, J. (2013). Critical thinking skills of undergraduate nursing students: Description and demographic predictors. Nurse Education Today, 34(5):809. https://doi.org/10.1016/j.nedt.2013.08.005
26. Isidori, V., Diamanti, F., Gios, L., Malfatti, G., Perini, F., Nicolini, A., Longhini, J., Forti, S., Fraschini, F., Bizzarri, G., Brancorsini, S., Gaudino, A. (2022). Digital technologies and the role of health care professionals: Scoping review exploring nurses’ skills in the digital era and in the light of the COVID-19 pandemic. JMIR Nursing, 5(1). https://doi.org/10.2196/37631
27. Jaastad, T.A., Ueland, V., Koskinen, C. (2022). The meaning of reflection for understanding caring and becoming a caring nurse. Scandinavian Journal of Caring Sciences, 36(4):1180. https://doi.org/10.1111/scs.13080
28. Janthon, U., Songkram, N., Koraneekij, P. (2015). Work-based blended learning and technological scaffolding system to enhance communication skills for caregivers under local administrative organization, Ministry of Interior, Thailand (Part I). Procedia - Social and Behavioral Sciences, 174:984. https://doi.org/10.1016/j.sbspro.2015.01.722
29. Jean-Baptiste, A.M., Asongwed, E. (2020). Rethinking the order of the learning process: A new and sustainable path designed for an RN-to-BSN education program. Nursing Education Perspectives, 43(1):57. https://doi.org/10.1097/01.nep.0000000000000657
30. Karimi, S., Haghani, F., Yamani, N., Kalyani, M.N. (2017b). Exploring the perception of nursing students about consequences of reflection in clinical settings. Electronic Physician, 9(9):5191. https://doi.org/10.19082/5191
31. Kelley, T.R., Knowles, J.G., Han, J., Sung, E. (2019). Creating a 21st century skills survey instrument for high school students. American Journal of Educational Research, 7(8):583-590.
32. Kim, A.Y., Sim, I.O. (2020). Communication skills, problem-solving ability, understanding of patients’ conditions, and nurse’s perception of professionalism among clinical nurses: A structural equation model analysis. International Journal of Environmental Research and Public Health, 17(13):4896. https://doi.org/10.3390/ijerph17134896
33. Kourkouta, L., Papathanasiou, I.V. (2014). Communication in nursing practice. Materia Socio Medica, 26(1):65. https://doi.org/10.5455/msm.2014.26.65-67
34. Krel, C., Vrbnjak, D., Bevc, S., Štiglic, G., Pajnkihar, M. (2022). Technological competency as caring in nursing: A description, analysis and evaluation of the theory. Slovenian Journal of Public Health, 61(2):115. https://doi.org/10.2478/sjph-2022-0016
35. Kurşun, Ş., Kanan, N. (2012). Bakım Davranışları Ölçeği-24’ün Türkçe formunun geçerlik ve güvenirlik çalışması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 15(4):229-235.
36. Mbambe, I.O., Maniam, R. (2018). Nurse-patient communication barriers as perceived by adult in-patients and nurses in a private hospital in Malaysia. The Malaysian Journal of Nursing, 10(1):71. https://doi.org/10.31674/mjn.2018.v10i01.010
37. McEnroe–Petitte, D.M. (2011). Impact of faculty caring on student retention and success. Teaching and Learning in Nursing, 6(2):80. https://doi.org/10.1016/j.teln.2010.12.005
38. McKillen, B. (2024). Exploring the role of communication in effective nurse leadership and patient care. Nursing Management, 31(4):16. https://doi.org/10.7748/nm.2024.e2081
39. Nabizadeh‐Gharghozar, Z., Alavi, N.M., Ajorpaz, N.M. (2020). Clinical competence in nursing: A hybrid concept analysis. Nurse Education Today, 97:104728. https://doi.org/10.1016/j.nedt.2020.104728
40. Nadelson, L.S., Zigmond, T., Nadelson, L.S., Scadden, M., Collins, C. (2016). Fostering caring in undergraduate nursing students: An integrative review. Journal of Nursing Education and Practice, 6(11). https://doi.org/10.5430/jnep.v6n11p7
41. Noviyanti, L.W., Ahsan, A., Sudartya, T.S. (2021). Exploring the relationship between nurses’ communication satisfaction and patient safety culture. Deleted Journal, 10(2). https://doi.org/10.4081/jphr.2021.2225
42. O’Hagan, S., Manias, E., Elder, C., Pill, J., Woodward‐Kron, R., McNamara, T., Webb, G., McColl, G. (2013). What counts as effective communication in nursing? Evidence from nurse educators’ and clinicians’ feedback on nurse interactions with simulated patients. Journal of Advanced Nursing, 70(6):1344. https://doi.org/10.1111/jan.12296
43. Öztürk, K., A., Okçin, A., F. (2025). Examining Undergraduate Nursing Students' Oncology Clinic Palliative Care Experiences: A Qualitative Study. Journal of Health Care and Rehabilitation, 4(1): 17-28.
44. Porter‐O’Grady, T., Clark, J.S., Wiggins, M.S. (2010). The case for clinical nurse leaders: Guiding nursing practice into the 21st century. Nurse Leader, 8(1):37. https://doi.org/ 10.1016/j.mnl.2009.11.002
45. Profetto‐McGrath, J., Hesketh, K.L., Lang, S., Estabrooks, C.A. (2003). A study of critical thinking and research utilization among nurses. Western Journal of Nursing Research, 25(3):322. https://doi.org/10.1177/0193945902250421
46. Ross, H.J., Tod, A., Clarke, A. (2014). Understanding and achieving person‐centred care: The nurse perspective. Journal of Clinical Nursing, 24:1223. https://doi.org/10.1111/ jocn.12662
47. Salimi, M., Dardiri, A., Sujarwo, S. (2021). The profile of students’ social skills of Bengawan Solo Elementary Nature School. European Journal of Educational Research, 10(1):211. https://doi.org/10.12973/eu-jer.10.1.211
48. Schmidt, F.L. (2023). Univariate normal distribution. In: Haught, C.A., Streiner, D.L., Everitt, B.S. (Eds.), The Concise Encyclopedia of Statistics (pp. 573–574). Springer. https://doi.org/10.1007/978-3-031-17299-1_3109
49. Schreiber-Gregory, D.N. (2018). Ridge regression and multicollinearity: An in-depth review. Model Assisted Statistics and Applications, 13(4):359–365. https://doi.org/10.3233/ MAS-180446
50. Sela, Y., Nissanholtz‐Gannot, R., Zigdon, A., Grinberg, K. (2021). From substance to skill: Student perspective on caring. Journal of Education and Training Studies, 9(2):24. https://doi.org/10.11114/jets.v9i2.5112
51. Senaviratna, N.A.M.R., Cooray, T.M.J.A. (2019). Diagnosing multicollinearity of logistic regression model. Asian Journal of Probability and Statistics, 5(2):1–9.
52. Shin, S., Lee, I.-Y., Kim, J., Oh, E.-Y., Hong, E. (2023). Effectiveness of a critical reflection competency program for clinical nurse educators: A pilot study. BMC Nursing, 22(1). https://doi.org/10.1186/s12912-023-01236-
53. Siokal, B., Amiruddin, R., Abdullah, T., Thamrin, Y., Palutturi, S., Ibrahim, E., Syam, Y., Pamungkas, R.A., Samsualam, S., Mappanganro, A., Wahyuningsih, W., Mallongi, A. (2023). The influence of effective nurse communication application on patient satisfaction: A literature review. Pharmacognosy Journal, 15(3):479. https://doi.org/ 10.5530/pj.2023.15.105
54. Tseng, T.-J., Ray, M.A., Wu, C. (2025). Examining nursing students’ learning through reflective analysis using Ray’s Transcultural Caring Dynamics in Nursing and Health Care Theory. BMC Medical Education, 25(1). https://doi.org/10.1186/s12909-025-07123-9
55. von Elm, E., Altman, D.G., Egger, M., Pocock, S.J., Gøtzsche, P.C., Vandenbroucke, J.P. (2014). The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. International Journal of Surgery, 12(12):1495–1499. https://doi.org/10.1016/j.ijsu.2014.07.013
56. Wong, F.M.F. (2025). Fostering caring attributes to improve patient care in nursing through small-group work: Perspectives of students and educators. Nursing Reports, 15(1):10. https://doi.org/10.3390/nursrep15010010
57. Wu, Y., Larrabee, J.H., Putman, H.P. (2006). Caring Behaviors Inventory: A reduction of the 42-item instrument. Nursing Research, 55(1):18–25.
58. Zeydani, A., Atashzadeh‐Shoorideh, F., Abdi, F., Hosseini, M., Anboohi, S.Z., Skerrett, V. (2021). Effect of community-based education on undergraduate nursing students’ skills: A systematic review. BMC Nursing, 20(1). https://doi.org/10.1186/s12912-021-00755-4