The Relationship Between Mindful Self-Care and Psychological Flexibility in Nursing Students

Öz

Introduction: It is stated that psychological flexibility and mindful self-care have an important effect on protecting mental health among university students. However, there are no studies in the literature that address the concepts of mindful self-care and psychological flexibility in nursing students. Aim: This study was conducted to examine the relationship between mindful self-care and psychological flexibility levels of nursing students. Method: This study was conducted in a cross-sectional and correlational design. The research was conducted with 291 nursing students studying at a state university. Data were collected with the Personal Information Form, “Mindful Self-Care Scale” and “Psychological Flexibility Scale”. Results: A statistically significant and positive moderate relationship was found between the total mean scores of the Psychological Flexibility Scale and the Mindful Self-Care Scale (r = 0.565, p< 0.01). In addition, a moderate statistically significant and positive relationship was found between the total score of the Psychological Flexibility Scale and the sub-dimensions of supportive relationships (r = 0.456, p < 0.01), mindful relaxation (r = 0.579, p < 0.01), self-compassion and purpose (r = 0.413, p < 0.01) and supportive structure (r = 0.449, p < 0.01). According to the regression results conducted to determine the effect of mindful self-care on psychological flexibility, statistically positive and significant results were found (F = 48.078, p < 0.05). Conclusion: It has been found that mindful self-care affects psychological flexibility in nursing students. Accordingly, it is recommended to use mindful self-care practices in intervention studies aimed at increasing psychological flexibility in student nurses.

Anahtar Kelimeler

• Self-care
• Flexibility
• Nursing students

Hemşirelik Öğrencilerinde Bilinçli Öz Bakım ve Psikolojik Esneklik Arasındaki İlişki

Öz

Giriş: Üniversite öğrencileri arasında psikolojik esneklik ve bilinçli öz bakımın ruh sağlığını korumada önemli etkisinin olduğu belirtilmektedir. Ancak literatürde hemşirelik öğrencilerinde psikolojik esneklik ve bilinçli öz bakım kavramlarının ilişkilerinin irdelendiği araştırma bulunmamaktadır. Amaç: Bu araştırma hemşirelik öğrencilerinde bilinçli öz bakım ve psikolojik esneklik düzeyleri arasındaki ilişkiyi incelemek amacıyla yapılmıştır. Yöntem: Bu araştırma, kesitsel ve ilişki arayıcı tasarımda yürütülmüştür. Araştırma bir devlet üniversitesinde öğrenim gören 291 hemşirelik öğrencisi ile yapılmıştır. Veriler; Katılımcı Bilgi Formu, “Bilinçli Öz bakım Ölçeği” ve “Psikolojik Esneklik Ölçeği” ile toplanmıştır. Bulgular: Psikolojik Esneklik Ölçeği ile Bilinçli Öz Bakım Ölçeği toplam puan ortalamaları arasında istatiksel olarak anlamlı ve pozitif yönde orta düzeyde bir ilişki olduğu saptanmıştır (r = 0.565, p< 0.01). Ayrıca Psikolojik Esneklik Ölçeği toplam puanı ile destekleyici ilişkiler (r = 0.456, p < 0.01), bilinçli rahatlama (r = 0.579, p < 0.01), öz-duyarlık ve amaç (r = 0.413, p < 0.01) ve destekleyici yapı (r = 0.449, p < 0.01) alt boyutları ile orta düzeyde istatiksel olarak anlamlı ve pozitif yönde bir ilişki olduğu bulunmuştur. Bilinçli öz bakımın psikolojik esneklik üzerindeki etkisini saptamaya yönelik yapılan regresyon sonuçlarına göre istatiksel olarak pozitif anlamlı sonuçlar tespit edilmiştir (F=48.078, p<0.05). Sonuç: Hemşirelik öğrencilerinde bilinçli öz bakımın psikolojik esnekliği orta düzeyde etkilediği bulunmuştur. Bu doğrultuda öğrenci hemşirelerde psikolojik esnekliği arttırmaya yönelik müdahale çalışmalarında bilinçli öz bakım uygulamalarının kullanılması önerilmektedir.

Anahtar Kelimeler

• Öz bakım
• Psikolojik esneklik
• Hemşirelik öğrencileri

Kaynakça

1. 1. Stephen JS. Mindfulness, self-care, and stress management. In: Stephen JS, editors. Academic success in online programs: a resource for college students. Switzerland: Springer Nature; 2024. p. 173-184.
2. 2. Altıok HÖ, Üstün B. Hemşirelik öğrencilerinin stres kaynakları. Kuram ve Uygulamada Eğitim Bilimleri 2013;13(2):747-766.
3. 3. Shubayr N, Dailah H. Assessment of emotional intelligence, self-efficacy, and perceived stress among nursing students in clinical practice: a cross-sectional study. BMC Nurs 2025;24(1):1-10.
4. 4. McGuinness C, Nordstokke D. Mindful self-care and resilience in first-year undergraduate students. J Am Coll Health 2023;71(8):2569-2577.
5. 5. Salvarani V, et al. Predictors of psychological distress amongst nursing students: A multicenter cross-sectional study. Nurse Educ Pract 2020;44:102758. doi:10.1016/j.nepr.2020.102758
6. 6. Özdemir Ö, Kaya Y, Adagide S. Nursing students' attitudes toward seeking psychological help associated to self-stigma and perceived social stigma. J Caring Sci. 2023;12(4):221-227.
7. 7. Taha SM, Abd Elhay ES. Psychological flexibility, mindfulness and perceived social support as predictors of psychological symptoms among nursing faculty students at Mansoura University. Assiut Scientific Nursing Journal 2022;10(28):47-59.
8. 8. Garcia ACM, et al. Mindful self-care, self-compassion, and resilience among palliative care providers during the COVID-19 pandemic. J Pain Symptom Manage 2022;64(1):49-57.

9. 9. Cook-Cottone CP, Guyker WM. The development and validation of the Mindful Self-Care Scale (MSCS): an assessment of practices that support positive embodiment. Mindfulness 2018;9:161-175.
10. 10. Sünbül ZA, et al. Mindful Self-Care Scale (MSCS): adaptation and validation in a normative Turkish sample. Eur J Educ Stud 2018;7(4):887-892.
11. 11. Black Dog Institute. Self-care planning for healthcare workers COVID-19 mental health and wellbeing resources. [Internet]. 2022 [cited 2025 Jan 24]; Available from: https://www.blackdoginstitute.org.au/wp-content/uploads/2022/08/Self-care-planning-for- healthcare-workers-fact-sheet.pdf
12. 12. McCracken LM, et al. The role of psychological flexibility in the context of COVID-19: associations with depression, anxiety, and insomnia. J Contextual Behav Sci 2021;19:28-35.
13. 13. Öğütlü B, Karaaziz M. Psikolojik esneklik ile ilgili bir gözden geçirme. ISPEC International Journal of Social Sciences & Humanities 2024;8(3):1-6.
14. 14. Kabasakal Z, Yıldız F. Üniversite Öğrencilerinin Psikolojik Sağlamlıklarının Pozitif ve Negatif Duygu ile Psikolojik Esneklik Açısından İncelenmesi. Dokuz Eylül Üniversitesi Buca Eğitim Fakültesi Dergisi 2024;62:2714-2729.
15. 15. Zhao Y, et al. Burnout among junior nurses: the roles of demographic and workplace relationship factors, psychological flexibility, and perceived stress. J Nurs Manag 2023;2023(1):9475220. doi:10.1155/2023/9475220
16. 16. Yıldız E. Posttraumatic growth and positive determinants in nursing students after COVID‐19 alarm status: A descriptivecross‐sectional study. Perspect Psychiatr Care 2021;57(4):1876-1887.
17. 17. Loi NM, Pryce N. The role of mindful self-care in the relationship between emotional intelligence and burnout in university students. J Psychol 2022;156(4):295-309.
18. 18. McGuinness C, Nordstokke D. Mindful self-care and resilience in first-year undergraduate students. J Am Coll Health 2023;71(8):2569-2577.
19. 19. Feng X., et al. Impact of mindful self-care and perceived stress on the health related quality of life among young-adult students in West Virginia. J Hum Behav Soc Environ 2019;29(1):26-36.
20. 20. Chatterjee S, Jethwani J. A study of the relationship between mindful self-care and subjective well-being among college students and working professionals. International Journal of Innovative Research In Technology 2020;7(2):417-425.
21. 21. Sünbül ZA, et al. Mindful self-care dimensions as agents of well-being for students in mental health fields. Eur J Educ Stud 2018;5(5):33-41.
22. 22. Linton M, Koonmen J. Self-care as an ethical obligation for nurses. Nurs Ethics 2020; 27(8):1694-1702.
23. 23. Francis AW, Dawson DL, Golijani-Moghaddam N. The development and validation of the comprehensive assessment of Acceptance and Commitment Therapy processes (CompACT). J Contextual Behav Sci 2016;5(3):134-145.
24. 24. Karakuş S, Akbay SE. Psikolojik esneklik ölçeği: uyarlama, geçerlik ve güvenirlik çalışması. Mersin Üniversitesi Eğitim FakültesiDergisi 2020;16(1):32-43.
25. 25. Büyüköztürk Ş, Ömay Çokluk Ö, Köklü N. Sosyal bilimler için istatistik. 28. baskı. Ankara: Pegem Akademi Yayınları; 2024. ss:75-106.
26. 26. Zeb H, Arif I, Younas A. Mindful self-care practice of nurses in acute care: A multisite cross-sectional survey. West J Nurs Res 2022;44(6):540-547.
27. 27. Teze S, Ayhan F, Burhan HŞ. Psikiyatri hemşireliği dersinin öğrencilerin psikolojik esneklik ve öz-anlayış düzeyine etkisi. Bingöl Üniversitesi Sağlık Dergisi 2025;6(1):114-126.
28. 28. Acar S. Üniversite öğrencilerinde baş etme yetkinliğinin yordayıcısı olarak psikolojik esneklik, Uluslararası Eğitim Araştırmaları Dergisi 2022;13(3):31-45.
29. 29. Ronkainen, et al. Psychological flexibility skills and mental wellbeing in athletes: An exploration of associations and gender differences. Psychol Behav Sci 2024;13(2):43-55.
30. 30. Hughes V, et al. Strengthening internal resources to promote resilience among prelicensure nursing students. J Prof Nurs 2021;37(4):777-783. 31. Brouwer KR, et al. Examining the associations between self-care practices and psychological distress among nursing students during the COVID-19 pandemic. Nurse Educ Today 2021;100:104864. doi:10.1016/j.nedt.2021.104864
31. 32. Green C. Teaching accelerated nursing students’ self‐care: a pilot project. Nurs Open 2020;7(1):225-234.
32. 33. Brommelsiek M, Peterson JA. Self-care for advanced practice nursing students in rural primary care. J Nurs Educ 2022;61(4):187-191.
33. 34. Butler, L. D, et al. Six domains of self-care: attending to the whole person. J Hum Behav Soc Environ 2019;29(1):107-124.
34. 35. Kwon J. Self-care for nurses who care for others: the effectiveness of meditation as a self-care strategy. Religions 2023;14(1):90. doi:10.3390/rel14010090
35. 36. Gomes DMC, et al. Mindfulness in nursing students: enhancing well-being through breath practices. CONTRIBUCIONES A LAS CIENCIAS SOCIALES 2024;17(6):1-19.
36. 37. Carey MC, Kent B, Latour JM. Experiences of undergraduate nursing students in peer assisted learning in clinical practice: a qualitative systematic review. JBI Evid Synth 2018;16(5):1190-1219. 38. Neff KD, Dahm KA. Self-compassion: what it is, what it does, and how it relates to mindfulness. In: Ostafin BD, Robinson MD,Meier BP, editors. Handbook of mindfulness and selfregulation. New York, NY: Springer, Inc; 2015. pp:121-137.
37. 39. Kotera Y, et al. Predicting self-compassion in UK nursing students: Relationships with resilience, engagement, motivation, and mental wellbeing. Nurse Educ Pract 2021;51:102989. doi:10.1016/j.nepr.2021.102989
38. 40. Marshall EJ, Brockman RN. The relationships between psychological flexibility, self-compassion, and emotional well-being. JCogn Psychother 2016;30(1):60-72.