To determine the relationship between attitude towards nursing diagnosis, critical thinking motivation, and problem-solving skills of nursing students during distance learning. Method:The descriptive and correlational study was conducted with 450 first-year nursing students from four universities. The "Positions on Nursing Diagnosis Scale," "Critical Thinking Motivational Scale," and "Problem Solving Inventory" were used for data collection in June-July 2021. Findings:The students' mean score of nursing diagnosis perception was 114.90 ± 18.47, the score for expectancy main subdimension of critical thinking motivation was 4.17 ± 1.16 and the score for value main subdimension was 4.81 ± 1.12, and score for problemsolving skills was 90.65 ± 19.03. A statistically significant positive correlation was found between nursing diagnosis perception and subdimension of critical thinking motivation scores (p < 0.001) and problem-solving skills score (p < 0.001). The linear regression model established to examine the effect of other scales on nursing diagnosis perception was found to be statistically significant (F = 17.516, p < 0.001). As the expectancy score increases by one unit, the perception of nursing diagnosis score increases 3.452 times (p = 0.001), the cost score increases by one unit, the perception of nursing diagnosis score increases by 3.894 (p = 0.001), and the problemsolving skills score increases by one unit, the perception of nursing diagnosis score decreases by 0.246 (p < 0.001). Conclusions:To conclude that nursing diagnosis perception, critical thinking motivation, and problem-solving skills of nursing students were high and have a relationship with each other during distance education. As nursing diagnosis perception scores of students increase, their critical thinking motivation and problem-solving skills also increase. Implications for Nursing Practice:The high skills of critical thinking and problem solving have an important place effectively to identify the nursing diagnosis more quickly and easily in the nursing care process.
BACKGROUND: Multiple sclerosis (MS) is an inflammatory and demyelinating disorder of the central nervous system. The patients with MS have some difficulties in physical, social, and psychological functions. This study was carried out to determine the relationship between the adaptation levels of patients with MS to the disease and their self-care agency levels. METHODS: This study used a descriptive design and was carried out in a university hospital's neurology clinic and outpatient clinic between July 2019 and March 2020. The sample size was determined as 258 using the known universe sampling method. Data were collected using the "Adaptation to Chronic Illness Scale," the "Self-Care Agency Scale," and a "Patient Identification Form." Spearmen correlation analysis was used to evaluate the data. RESULTS: The mean age of the patients participating in the study was 41.36 (0.74) years, 74% of them had MS for more than 3 years, 58% had their last attack more than a year ago, and 27% had balance problems. The adaptation levels of patients to the disease (76.79 [0.57]) and their self-care agency (88.42 [1.34]) were slightly higher than the moderate level. A moderate-level, significant, and positive correlation was found between the adaptation level of the patients to the chronic illness and their self-care agency levels (r = 0.310, P = .000). CONCLUSION: It was concluded that there was a moderate-level, significant, and positive correlation between the patients' level of adaptation to MS disease and the level of their self-care agency. We recommend the provision of supportive professional training to patients with MS on their disease.
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