Mediating effect of self-esteem on the relationship between academic self-efficacy and depression symptoms among nursing students participating in blended learning

被引:3
作者
Achmad, Bayu Fandhi [1 ,4 ]
Fitriawan, Akbar Satria [2 ]
Kurniawan, Dedi [3 ]
Chen, Hsing-Mei [4 ,5 ]
机构
[1] Univ Gadjah Mada, Fac Med Publ Hlth & Nursing, Dept Basic & Emergency Nursing, Yogyakarta, Indonesia
[2] Univ Respati Yogyakarta, Fac Hlth Sci, Dept Nursing, Yogyakarta, Indonesia
[3] Kepanjen Sch Hlth Sci, Dept Nursing, Malang, East Java, Indonesia
[4] Natl Cheng Kung Univ, Coll Med, Dept Nursing, Tainan, Taiwan
[5] 1 Univ Rd East Dist, Tainan 70101, Taiwan
关键词
Academic self-efficacy; Blended learning; Depression symptoms; Self-esteem;
D O I
10.1016/j.heliyon.2023.e22526
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background: Blended learning, which comprises a combination of online and classroom-based activities, in nursing education can cause significant academic stress and depression symptoms among students. However, self-esteem may mediate the relationship between academic self efficacy and depression symptoms. Studies of the relationship between academic self-efficacy, self-esteem, and depression symptoms among nursing students participating in blended learning are limited.Objectives: To examine the determinants of depression symptoms and the mediating effect of selfesteem on the relationship between academic self-efficacy and depression symptoms among nursing students who participate in blended learning.Design: Cross-sectional study using convenience sampling.Settings: Ten universities across five provinces and two major Indonesian islands.Participants: A total of 534 undergraduate nursing students with a mean age of 20.30 years (standard deviation, +/- 1.36 years).Methods: An online survey was conducted between April and August 2022 to collect data from 10 universities applying blended learning. The study instruments included the General Self-Efficacy Scale, Rosenberg Self-Esteem Scale, and a 9-item Patient Health Questionnaire. Data were analysed by hierarchical linear regression using PROCESS macro version 4.1.Results: Of the 534 participants, 213 (39.14 %) experienced moderate-to-severe depression symptoms. Two variables, online learning difficulties (beta = 0.10; p = .012) and self-esteem (beta = -0.40; p < .001), were significant determinants of depression symptoms. Self-esteem mediated the relationship between academic self-efficacy and depression symptoms.Conclusions: It is necessary to understand the online learning difficulties experienced by blended learning students and improve their self-esteem by maximising academic self-efficacy to prevent depression symptoms.
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页数:9
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