Tóm tắt
Objectives: This study aims to examine the relationship between learning attitude, self-efficacy, and caring behavior among undergraduate nursing students in three selected public universities in Vietnam.
Methods: A descriptive-correlational design was used with 428 nursing students from three public universities in southern Vietnam from December 2024 to February 2025. Standardized instruments were applied, including the R-SPQ-2F for learning attitudes, the Self-Efficacy for Learning and Performance Scale, and the Caring Behaviors Inventory (CBI-24). All tools were translated and culturally adapted for Vietnamese participants. Data analysis employed descriptive statistics, Pearson’s correlation, and regression modeling.
Results: Results showed moderate surface (M = 2.71, SD = 0.831 ) and deep (M = 3.32, SD = 0.7) learning approaches. Self-efficacy was rated as good in both self-learning (M = 2.63, SD = 0.48) and self-performance (M = 2.98, SD = 0.396). Caring behavior was consistently high across all domains, including being with (M = 4.85, SD = 0.746), doing with competence (M = 4.88, SD = 0.81), responding to needs (M = 5.01, SD = 0.81), and providing effective care (M = 4.89, SD = 0.942). Deep learning attitude was positively correlated with self-efficacy (r = 0.195–0.204, p < 0.001) and all caring behavior dimensions (r = 0.183–0.204, p < 0.001). Self-efficacy also correlated positively with caring behavior in both learning (r = 0.135–0.156) and performance domains (r = 0.135–0.165). Regression analysis confirmed a significant direct effect of self-efficacy on caring behavior (β = 0.3152, p < 0.001) and a smaller indirect effect mediated by learning attitude (estimate = 0.0378, p = 0.041), indicating partial mediation.
Conclusion: The findings highlight the importance of strengthening self-efficacy and fostering deep learning approaches to enhance compassionate and competent nursing care. Future research should design interventions that integrate these elements into nursing curricula.
Từ khóa
Tài liệu tham khảo
Iriarte-Roteta, A., Lopez-Dicastillo, O., Mujika, A., Ruiz-Zaldibar, C., Hernantes, N., Bermejo-Martins, E., & Pumar-Méndez, M. J. Nurses’ role in health promotion and prevention: A critical interpretive synthesis. J Clin Nurs, 2020, 29(21-22), 3937-3949. https://doi.org/10.1111/jocn.15441
Zoromba, M. A., & El-Gazar, H. E. Nursing Human Resource Practices and Hospitals’ Performance Excellence: The Mediating Role of Nurses’ Performance. Acta Biomed, 2021, 92(S2), e2021022. https://doi.org/10.23750/abm.v92iS2.11247.
Danielis, M., Destrebecq, A. L. L., Terzoni, S., & Palese, A. Nursing care factors influencing patients’ outcomes in the intensive care unit: Findings from a rapid review. Int J Nurs Pract, 2022, 28(2), e12962. https://doi.org/10.1111/ijn.12962.
General Statistics Office of Vietnam. PX Web – General Statistics Office of Vietnam (gso.gov.vn). 2021.
Huynh, H. T. P., & Windsor, C. The Concepts of Social Space and Social Value: An Interpretation of Clinical Nursing Practice in Vietnam Glob Qual Nurs Res, 2022, 9, 23333936211070267. https://doi.org/10.1177/23333936211070267
Hipona, J. B. Formulation of Learning Strategies Using Bigg’s (RSPQ-2F) Thru Attitudinal Studies of Selected Nursing Students in Higher Education Institution in Metro Manila. International Journal of Scientific and Research Publications, 2018, Volume 8, Issue 1, January 2018 Edition [ISSN 2250-3153].
Jackson, C. R. Validating and Adapting the Motivated Strategies for Learning Questionnaire (MSLQ) for STEM Courses at an HBCU. AERA Open, 2018, 4(4), 2332858418809346. https://doi.org/10.1177/2332858418809346.
Fenizia, E., Marchetti, A., Biagioli, V., Romano, M., Raso, A., Gambera, A., De Marinis, M. G., & Piredda, M. Psychometric testing of the Caring Behaviors Inventory for nursing students. J Clin Nurs. 2019 Oct;28(19-20):3567-3574. doi: 10.1111/jocn.14950.
Phong, N., Lu Tuan, D., Hang, M., & Anh, T. Nursing student attitudes and barriers toward research in the context of education in Ho Chi Minh City: a cross-sectional study in Ho Chi Minh City. Southeast-Asian J. of Sciences, Vol. 11, No. 1 (2024) pp. 23-31.
Chu, L., Pham, P., Tran, A., Lieu, L., Nguyen, H., & Thai, T. The self-efficacy in clinical practice among nursing students in Ho Chi Minh City: a cross-sectional study. MedPharmRes, 2025, 9, 158-166. https://doi.org/10.32895/UMP.MPR.9.2.15 .
İncesu, O. Self-Efficacy in Nursing Students: Traditional Review. CURARE Journal of Nursing, 2024, (4), 47-52. https://doi.org/10.26650/CURARE.2024.1398194.
Wang, J., Zheng, Q., Song, W., & Wei, L. The Effect of Nursing Students’ Self-Efficacy on Patient-Centered Communication During the COVID-19 Pandemic: The Mediating Effect of Learning Burnout [Original Research]. Frontiers in Psychiatry, 2021, Volume 12 - 2021. https://doi.org/10.3389/fpsyt.2021.787819.
Othman, S. O., Taha, E. E. S., & Abd El Halem, G. E. S. Factors Influencing Caring Behaviors from Nursing Students’ perspectives. Alexandria Scientific Nursing Journal, 2023, 25(2), 37-48. https://doi.org/10.21608/asalexu.2023.318215.
Cha ES, Kim KH, Erlen JA. Translation of scales in cross-cultural research: issues and techniques. Journal of advanced nursing. 2007;58(4):386-95. doi: 10.1111/j.1365- 2648.2007.04242.x.
Alsayed, S., Alshammari, F., Pasay-An, E., & Dator, W. L. Investigating the learning approaches of students in nursing education. J Taibah Univ Med Sci, 2021, 16(1), 43-49. https://doi.org/10.1016/j.jtumed.2020.10.008
Rolleston, C., Schendel, R., & Grijalva Espinosa, A. M. Assessing ‘approaches to learning’ in Botswana, Ghana and Kenya. Research in Comparative and International Education, 2019, 14(1), 118-140. https://doi.org/10.1177/1745499919829216
Chitokoto, D. Z., Mbirimtengerenji, N. D., & Kululanga, L. I. Nursing students’ approaches to learning in selected Malawian nursing schools: a cross-sectional study. BMC Med Educ, 2024, 24(1), 757. https://doi.org/10.1186/s12909-024-05746-y
Kim, S., Lee, K., & Kim, S. Knowledge, attitude, confidence, and educational needs of palliative care in nurses caring for non-cancer patients: a cross-sectional, descriptive study. BMC Palliative Care, 2020, 19(1), 105. https://doi.org/10.1186/s12904-020-00581-6
Oanh, T. T. H., Thuy, L. T., & Huyen, N. T. T. The effect of simulation-based training on problem-solving skills, critical thinking skills, and self-efficacy among nursing students in Vietnam: a before-and-after study. J Educ Eval Health Prof, 2024, 21, 24. https://doi.org/10.3352/jeehp.2024.21.24
Salehi, K., Kordlu, A., & Rezapour-Nasrabad, R. Prevalence of type 2 diabetes in population over 30 years old (2017-2018). Ethno Med, 2020, 14(1-2), 24-29. DOI: 10.31901/24566772.2020/14.1-2.602
Romero-Martín, M., Safont-Montes, J. C., Robles-Romero, J. M., Jiménez-Picón, N., da Costa, E. I. M. T., & Gómez-Salgado, J. Caring behaviours demonstrated to nursing students in the interpersonal relation with the faculty: A cross sectional study. Nurse Education Today, 2022, 119, 105612. https://doi.org/https://doi.org/10.1016/j.nedt.2022.105612.
Zhang, J., Shields, L., Ma, B., Yin, Y., Wang, J., Zhang, R., & Hui, X. The clinical learning environment, supervision and future intention to work as a nurse in nursing students: a cross-sectional and descriptive study. BMC Med Educ, 2022, 22(1), 548. https://doi.org/10.1186/s12909-022-03609-y
Ghanbari-Afra, L., Adib-Hajbaghery, M., & Dianati, M. Human caring: a concept analysis. J Caring Sci. 2022 Aug 16;11(4):246–254. doi: 10.34172/jcs.2022.21.
Bidar Farokh, N., Balochifard, F., Pahlevanzadeh, M., & Toghiyan Chaharsoghi, N. The relationship between quality of care and Attitude of Nurses toward quality of end-of-life care for Elderly with Cancer. Iranian Journal of Cancer Care, 2021, 1(4), 30-38.
Ayik, C., & Arslan, G. G. Effectiveness of caring behaviours course on decision-making and caring behaviours in undergraduate nursing students: An experimental study. Scand J Caring Sci, 2024, 38(4), 864-875. https://doi.org/10.1111/scs.13288
Bakhtiari-Dovvombaygi, H., Pourhasan, K., Dehghan, A. H., Rezazadeh, Y., Akbarzade, R., Eghbali, M., Chekeni, A., & Negarandeh, R. The role of professional attitudes in shaping care behaviors: insights from Iranian nursing students. BMC Medical Education, 2025, 25(1), 602. https://doi.org/10.1186/s12909-025-07192-w
Danacı, E., & Erdoğan, T. K. Ethical principles, sensitivity, and caring behaviors among nursing students: a cross-sectional study. BMC Nursing, 2025, 24(1), 970. https://doi.org/10.1186/s12912-025-03644-2
Labrague, L. J., & Obeidat, A. A. Pedagogical approaches to foster caring behaviors among nursing students: A scoping review. Nurse Educ Today, 2025, 146, 106547. https://doi.org/10.1016/j.nedt.2024.106547
Bandura, A. Social Learning Theory. General Learning Corporation. http://www.jku.at/org/content/e54521/e54528/e54529/e178059/Bandura_SocialLearningTheory_ger.pdf. 1971.
Abusubhiah, M., Walshe, N., Creedon, R., Noonan, B., & Hegarty, J. Self-efficacy in the context of nursing education and transition to practice as a registered practitioner: A systematic review. Nurs Open, 2023, 10(10), 6650-6667. https://doi.org/10.1002/nop2.1931
Khorin, Z. S. M., Larijani, T. T., Rahimi, S., & Haghani, S. The Association between Caring Behavior, Self-Efficacy, and Work Engagement among Formal Caregivers Serving Children with Intellectual Disability. Int J Med Invest 2023; Volume 12; Number 3; 169-189
Ye, S., Yue, W., Chen, Y., Gui, K., Li, Y., He, R., & Liu, X. The relationship between psychological capital and self-directed learning ability among undergraduate nursing students-a cross-sectional study. Front Psychol, 2024, 15, 1413151. https://doi.org/10.3389/fpsyg.2024.1413151.
công trình này được cấp phép theo Creative Commons Attribution-phi thương mại 4.0 International Giấy phép . p>
Bản quyền (c) 2026 Tạp chí Khoa học Điều dưỡng