Araştırma Makalesi

The Relationship Between Mindfulness, Perceptions of Spirituality and Spiritual Care, and Spiritual Care Competence among Senior Nursing Students: A Cross-sectional Study with Mediation Analysis

Cilt: 9 Sayı: 3 23 Haziran 2026
Nur Güven Özdemir *, Gülsün Engin , Sıddık Karagül , Enes Demirsoy
PDF İndir
TR EN

The Relationship Between Mindfulness, Perceptions of Spirituality and Spiritual Care, and Spiritual Care Competence among Senior Nursing Students: A Cross-sectional Study with Mediation Analysis

Öz

Objective: This research aims to examine the relationship between mindfulness and spiritual care competence among senior nursing students and highlight the mediating role of perceptions of spirituality and spiritual care in this relationship. Methods: A cross-sectional and descriptive study was conducted. The data was collected via an online survey from 522 senior nursing students in the five health sciences faculty nursing departments in Türkiye between May 15 and July 15, 2023. The questionnaires consisted of a structured information form, the Mindful Attention Awareness Scale, Spirituality and Spiritual Care Rating Scale, and Spiritual Care Competence Scale. Pearson correlation analyses were used to examine the relationship between variables, and mediation analyses were applied to highlight the mediating role of perception of spirituality and spiritual care in this relationship. Results: There was a positive, statistically significant correlation between mindfulness, perceptions of spirituality and spiritual care, and spiritual care competence (p< 0.001). Meanwhile, the mediation model showed that the direct effect of mindfulness (β=0.235) and perceptions of spirituality and spiritual care (β=0.564) on spiritual care competence was statistically significant (p<0.001). In addition, perceptions of spirituality and spiritual care partially mediated the relationship between mindfulness and spiritual care competence (β=0.238, 95% CI, 0.123 - 0.352). Conclusion: Spiritual care competence among senior nursing students could be enhanced by mindfulness through the mediating role of perceptions of spirituality and spiritual care. Nursing institutions and organizations should focus more on fostering mindfulness and broadening perceptions of spirituality and spiritual care to enhance spiritual care competence among students.

Anahtar Kelimeler

Mindfulness, spirituality, spiritual care, nursing students, nursing

Destekleyen Kurum

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors during the preparation of this manuscript.

Etik Beyan

This study was approved by the ethics committee of Zonguldak Bülent Ecevit University (no: 191, date: April 26, 2023). Permissions from institutions were obtained from the nursing departments of relevant faculties. All research procedures were performed in line with the Principles of the Declaration of Helsinki.

Teşekkür

The authors gratefully acknowledge all the voluntary students participating in this study.

Kaynakça

  1. ANA Center for Ethics and Human Rights (2016). Nurses’ Roles and Responsibilities in Providing Care and Support at the End of Life Retrieved from www.nursingworld.org
  2. Birimoglu Okuyan, C., Akgul, E., & Gurcay, B. (2023). The relationship between religious attitude, compassion and spiritual care in nursing students: The case of Türkiye. Journal of Religion and Health, 1-16. https://doi.org/10.1007/s10943-023-01969-3
  3. Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822-848. https://doi.org/10.1037/0022-3514.84.4.822
  4. Chen, X., Zhang, B., Jin, S.-X., Quan, Y.-X., Zhang, X.-W., & Cui, X.-S. (2021). The effects of mindfulness-based interventions on nursing students: A meta-analysis. Nurse Education Today, 98, 104718. https://doi.org/10.1016/j.nedt.2020.104718
  5. Chiang YC, Lee HC, Chu TL, Han CY, Hsiao YC. (2020). A spiritual education course to enhance nursing students’ spiritual competencies. Nurse Education in Practice, 49, 102907. https://doi.org/10.1016/j.nepr.2020.102907
  6. Committee on Educating Health Professionals to Address the Social, Determinants of Health, Board on Global Health, Institute of Medicine, National Academies of Sciences, Engineering, and Medicine. (2016). A Framework for Educating Health Professionals to Address the Social Determinants of Health. Washington, DC: The National Academies Press.
  7. Connerton CS, Moe CS. (2018). The essence of spiritual care. Creative Nursing, 24(1), 36-41. https://doi.org/10.1891/1078-4535.24.1.36
  8. Daghan S, Kalkim A, Sağkal Midilli T. (2019). Psychometric evaluation of the Turkish form of the Spiritual Care Competence Scale. Journal of Religion and Health, 58, 14-27. https://doi.org/10.1007/ s10943-018-0594-2
  9. Dincer A, Çiftçi B. (2024). The relationship between nursing students’ compassion competencies and perceptions of spirituality and spiritual care. Palliative & Supportive Care, 22(2), 325-330. https://doi.org/10.1017/S1478951523000433
  10. Dubert CJ., Schumacher, A. M., Locker, L., Gutierrez, A. P., & Barnes, V. A. (2016). Mindfulness and emotion regulation among nursing students: Investigating the mediation effect of working memory capacity. Mindfulness, 7, 1061-1070. https://doi.org/10.1007/ s12671-016-0544-6

Kaynak Göster

APA
Güven Özdemir, N., Engin, G., Karagül, S., & Demirsoy, E. (2026). The Relationship Between Mindfulness, Perceptions of Spirituality and Spiritual Care, and Spiritual Care Competence among Senior Nursing Students: A Cross-sectional Study with Mediation Analysis. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 9(3), 513-524. https://doi.org/10.38108/ouhcd.1572754
AMA
1.Güven Özdemir N, Engin G, Karagül S, Demirsoy E. The Relationship Between Mindfulness, Perceptions of Spirituality and Spiritual Care, and Spiritual Care Competence among Senior Nursing Students: A Cross-sectional Study with Mediation Analysis. Ordu University J Nurs Stud. 2026;9(3):513-524. doi:10.38108/ouhcd.1572754
Chicago
Güven Özdemir, Nur, Gülsün Engin, Sıddık Karagül, ve Enes Demirsoy. 2026. “The Relationship Between Mindfulness, Perceptions of Spirituality and Spiritual Care, and Spiritual Care Competence among Senior Nursing Students: A Cross-sectional Study with Mediation Analysis”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 9 (3): 513-24. https://doi.org/10.38108/ouhcd.1572754.
EndNote
Güven Özdemir N, Engin G, Karagül S, Demirsoy E (01 Haziran 2026) The Relationship Between Mindfulness, Perceptions of Spirituality and Spiritual Care, and Spiritual Care Competence among Senior Nursing Students: A Cross-sectional Study with Mediation Analysis. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 9 3 513–524.
IEEE
[1]N. Güven Özdemir, G. Engin, S. Karagül, ve E. Demirsoy, “The Relationship Between Mindfulness, Perceptions of Spirituality and Spiritual Care, and Spiritual Care Competence among Senior Nursing Students: A Cross-sectional Study with Mediation Analysis”, Ordu University J Nurs Stud, c. 9, sy 3, ss. 513–524, Haz. 2026, doi: 10.38108/ouhcd.1572754.
ISNAD
Güven Özdemir, Nur - Engin, Gülsün - Karagül, Sıddık - Demirsoy, Enes. “The Relationship Between Mindfulness, Perceptions of Spirituality and Spiritual Care, and Spiritual Care Competence among Senior Nursing Students: A Cross-sectional Study with Mediation Analysis”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 9/3 (01 Haziran 2026): 513-524. https://doi.org/10.38108/ouhcd.1572754.
JAMA
1.Güven Özdemir N, Engin G, Karagül S, Demirsoy E. The Relationship Between Mindfulness, Perceptions of Spirituality and Spiritual Care, and Spiritual Care Competence among Senior Nursing Students: A Cross-sectional Study with Mediation Analysis. Ordu University J Nurs Stud. 2026;9:513–524.
MLA
Güven Özdemir, Nur, vd. “The Relationship Between Mindfulness, Perceptions of Spirituality and Spiritual Care, and Spiritual Care Competence among Senior Nursing Students: A Cross-sectional Study with Mediation Analysis”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, c. 9, sy 3, Haziran 2026, ss. 513-24, doi:10.38108/ouhcd.1572754.
Vancouver
1.Nur Güven Özdemir, Gülsün Engin, Sıddık Karagül, Enes Demirsoy. The Relationship Between Mindfulness, Perceptions of Spirituality and Spiritual Care, and Spiritual Care Competence among Senior Nursing Students: A Cross-sectional Study with Mediation Analysis. Ordu University J Nurs Stud. 01 Haziran 2026;9(3):513-24. doi:10.38108/ouhcd.1572754