Evidence map›Paper›PMID 41709245›Full record

ArticleBMC medical education2026

The relationship between cognitive flexibility and decision-making styles of midwifery and nursing students.

Didem Simsek Kucukkelepce, İlknur Marasli, Sati Koldas Mir

Abstract read
In one paragraph

Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Didem Simsek KucukkelepceFaculty of Health Sciences, Department of Midwifery, Lokman Hekim University, Ankara, Turkey.ORCID http://orcid.org/0000-0003-0001-2581
İlknur MarasliFaculty of Nursing, Lokman Hekim University, Ankara, Turkey.ORCID http://orcid.org/0000-0002-5804-2532
Sati Koldas MirFaculty of Health Sciences, Department of Midwifery, Lokman Hekim University, Ankara, Turkey. satikoldasmir@gmail.com.ORCID http://orcid.org/0009-0003-8493-9030

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study was conducted to examine the relationship between midwifery and nursing students' cognitive flexibility levels and their decision-making styles.

methodThis descriptive study included 320 students enrolled in the midwifery and nursing departments at Lokman Hekim University in Ankara between February and June 2025. The study was completed with 302 students who were present at school on the day the data was collected and agreed to participate in the study. Data were collected using the “Personal Information Form,” “Cognitive Flexibility Inventory,” and “Melbourne Decision Making Scale I-II.” In addition to descriptive statistics, Pearson correlation and linear regression analyses were used in the analysis of the data.

resultstudents' levels of cognitive flexibility were found to be high; careful decision-making was determined to be the most frequently used decision-making style. A positive and significant relationship was found between cognitive flexibility and self-esteem in decision-making (r = 0.540) and careful decision-making (r = 0.559), while negative and significant relationships were determined with avoidant, procrastinating, and panicked decision-making styles (p < 0.01). Regression analyses revealed that cognitive flexibility showed significant relationships with self-esteem in decision-making (R2 = 0.289) and careful decision-making styles (R2 = 0.311).

conclusionStudents with high cognitive flexibility were found to prefer more careful and self-esteem-based decision-making styles and to avoid negative decision strategies. The findings indicate the importance of supporting cognitive flexibility in developing decision-making skills among students studying in the health field.

Indexed as

CognitionCognitive FlexibilityDecision MakingMidwiferyStudents, NursingAdultFemaleHumansMaleSelf ConceptTurkeyYoung AdultCognitive flexibilityDecision-making styleMidwiferyNursing studentsSelf-esteem

Identifiers

PMID41709245
PMCPMC12980939

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.