Risk Trajectories and Prediction Model of Occupational Disidentification Among Undergraduate Nursing Interns: A Prospective Cohort Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 500
- 试验地点
- 1
- 主要终点
- Change in Occupational Disidentification
研究概览
简要总结
This prospective observational cohort study aims to examine changes in occupational disidentification among undergraduate nursing interns during clinical internship and to identify factors associated with high-risk trajectories. Undergraduate nursing students will be followed using online questionnaires from the end of the first internship week and approximately every three months until the end of internship. The study will assess occupational disidentification, personal psychological resources, clinical learning environment, occupational stigma, negative clinical experiences, transition shock, emotional exhaustion, occupational fatigue, sleep, and musculoskeletal symptoms.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 25 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Full-time undergraduate students majoring in nursing.
- •Students who are about to enter clinical internship or are in the early stage of clinical internship.
- •Students who are able to use the WeChat mini-program to complete questionnaires.
- •Students with normal reading comprehension ability.
- •Students who voluntarily agree to participate in the study and provide informed consent.
排除标准
- •Students who are unable to complete the internship during the study period due to suspension of schooling, withdrawal from school, military service, long-term sick leave, or other reasons.
- •Students who have participated in similar interventional studies that may affect the assessment of the primary outcome.
- •Students with severe physical or mental illness, or other conditions that make them unable to complete the questionnaires independently.
- •Exclusion From Analysis Criteria:
- •Questionnaires with an obviously too short completion time, below the minimum reasonable response time set by the research team.
- •Questionnaires with patterned responses or obvious logical inconsistencies.
- •Questionnaires with missing key variables that cannot be used for the main statistical analysis.
- •Repeated submissions at the same time point where the valid version cannot be confirmed.
结局指标
主要结局
Change in Occupational Disidentification
时间窗: From the end of the first internship week to the end of internship, up to 12 months
Occupational disidentification refers to the tendency of undergraduate nursing interns to psychologically distance themselves from the nursing profession or separate the nursing professional identity from their self-concept. It will be assessed using an occupational disidentification scale. Higher scores indicate a higher level of occupational disidentification.
次要结局
- Change in Transition Shock(End of the first internship week and approximately every three months until the end of internship, up to 12 months)
- Change in Emotional Exhaustion(End of the first internship week and approximately every three months until the end of internship, up to 12 months)
研究者
JUN YAO
Professor
Nanjing Medical University