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The Relationship Between Mindful Attention Awareness and Academic Self-Efficacy Among Nursing Students: Sense of Coherence as a Mediator

Sally Mohammed Farghaly Abdelaliem, Haya Saud Alsahli, Aryaf Nasser Alhamed

Journal of Nursing Education November 9, 2026 DOI: 10.3928/01484834-20260923-01 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional study Peer reviewed
Sample size 280
Population Undergraduate nursing students at a university in Saudi Arabia
Key findings Mindfulness, sense of coherence (SOC), and academic self-efficacy (ASE) were positively correlated. SOC partially mediated the relationship between mindfulness and ASE, so mindfulness was associated with ASE both directly and indirectly through SOC. The authors propose that combining mindfulness and SOC-building strategies in nursing curricula is likely to help students' stress coping and academic performance.

Abstract

Background: Mindfulness and academic self-efficacy (ASE) are two essential tools for nursing students to deal with stress. Sense of coherence (SOC) is suggested to be the mediator of the relation between mindfulness and ASE.

Method: This cross-sectional study included 280 undergraduate nursing students studying at a university in Saudi Arabia. They completed the questionnaires for mindfulness, SOC, and ASE, which were found to be valid and reliable. Pearson's correlation coefficient, regression, and structural equation modeling were used to analyze the data.

Results: A positive correlation was found among mindfulness, SOC, and ASE. Mediation analysis showed that SOC has mediated the relationship between mindfulness and ASE partially.

Conclusion: Mindfulness can contribute to enhancing ASE directly and also indirectly through enhancement of SOC. Combining mindfulness and SOC building strategies in nursing curricula is likely to be helpful in improving nursing students' stress coping and academic performance.

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