Structural equation modeling of factors associated with nursing students' professionalism during the COVID-19 pandemic.
clinical competency
coronavirus disease
nursing students
professionalism
structural equation model
Journal
Nursing & health sciences
ISSN: 1442-2018
Titre abrégé: Nurs Health Sci
Pays: Australia
ID NLM: 100891857
Informations de publication
Date de publication:
21 Nov 2023
21 Nov 2023
Historique:
revised:
21
10
2023
received:
17
03
2023
accepted:
08
11
2023
medline:
21
11
2023
pubmed:
21
11
2023
entrez:
21
11
2023
Statut:
aheadofprint
Résumé
This study aimed to determine the factors associated with nursing professionalism among Korean nursing students. This cross-sectional study was carried out using a convenient sample comprising 247 students enrolled in a four-year Bachelor of Science Nursing program from September 6-27, 2021. A self-reported structured questionnaire was employed to explore the relationships among ego-resilience, self-leadership, clinical learning environment, academic satisfaction, clinical competency, and nursing professionalism by utilizing structural equation modeling. The modified model exhibited good fit indices. Learning-related factors, including clinical learning environments, academic satisfaction, and clinical competency, directly affected nursing professionalism. Self-leadership and the clinical learning environment were indirectly associated with nursing professionalism via both academic satisfaction and clinical competency. Regarding ego-resilience, it only indirectly affected nursing professionalism via academic satisfaction. Creating a student-centered learning environment may be vital to improve students' major and clinical performance, thereby boosting nursing professionalism. Furthermore, nurse educators should consider individual psychological aspects of students when designing the nursing curriculum to foster nursing professionalism. Longitudinal studies are needed to determine if our model is available to explain the development of professionalism among nursing students.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023 John Wiley & Sons Australia, Ltd.
Références
Alligood, M. R. (2017). Nursing theorists and their work (9th ed.). Elsevier Health Sciences Division.
An, H., Park, S., & Lee, J. (2022). Clinical field and alternative clinical practice experience in a pandemic situation of nursing students who have experienced clinical practice before COVID-19. International Journal of Environmental Research and Public Health, 19(20), 1-14. https://doi.org/10.3390/ijerph192013372
Antoniou, C., Clifton, R., & Wilson, V. (2022). Professional values in student nurse education: An integrative literature review. Nursing Ethics, 29(6), 1323-1340. https://doi.org/10.1177/09697330221085772
Ayaz-Alkaya, S., & Akca, A. (2022). Professional values and ethical sensitivities of student nurses during the COVID-19 pandemic. International Nursing Review, 69(4), 514-519. https://doi.org/10.1111/inr.12767
Braskamp, L. A., Wise, S. L., & Hengstler, D. D. (1979). Student satisfaction as a measure of departmental quality. Journal of Educational Psychology, 71(4), 494-498. https://doi.org/10.1037/0022-0663.71.4.494
Castro, C., Antunes, R., Fernandes, J. B., Reisinho, J., Rodrigues, R., Sardinha, J., Vaz, C., Miranda, L., & Simões, A. (2022). Perceptions and representations of senior nursing students about the transition to professional life during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 19(8), 1-14. https://doi.org/10.3390/ijerph19084466
Černelič-Bizjak, M., & Dolenc, P. (2022). Relationship between nursing students' attitudes toward nursing profession and online learning satisfaction during COVID-19 lockdown. PLoS One, 17(11), 1-14. https://doi.org/10.1371/journal.pone.0277198
Ciftcioglu, G., Alan, H., & Bekar, E. O. (2019). The effect of satisfaction in implementing professional behaviors in nursing students. International Journal of Caring Sciences, 12(2), 844-851.
Dunkel, C. S., van der Linden, D., Kawamoto, T., & Oshio, A. (2021). The general factor of personality as ego-resiliency. Frontiers in Psychology, 12, 1-12. https://doi.org/10.3389/fpsyg.2021.741462
Dunn, S. V., & Burnett, P. (1995). The development of a clinical learning environment scale. Journal of Advanced Nursing, 22(6), 1166-1173. https://doi.org/10.1111/j.1365-2648.1995.tb03119.x
Dursun Ergezen, F., Akcan, A., & Kol, E. (2022). Nursing students' expectations, satisfaction, and perceptions regarding clinical learning environment: A cross-sectional, profile study from Turkey. Nurse Education in Practice, 61, 1-7. https://doi.org/10.1016/j.nepr.2022.103333
Fitzgerald, A., & Clukey, L. (2022). Factors influencing nursing professional identity development: A qualitative study. Nursing Forum, 57(6), 1346-1353. https://doi.org/10.1111/nuf.12816
Gassas, R., & Salem, O. (2022). Factors affecting nurses' professional values: A comprehensive integrative review. Nurse Education Today, 118, 1-16. https://doi.org/10.1016/j.nedt.2022.105515
Han, J. R. (2018). The effects of metacognition and self-leadership on social responsibility in nursing students. Journal of Digital Convergence, 16(11), 393-400. https://doi.org/10.14400/jdc.2018.16.11.393
Han, J. Y. (2010). Nursing students' perceptions of clinical learning environment (CLE). Journal of the Korean Data Analysis, 12(5), 2595-2607.
Hwang, E., & Kim, J. (2022). Factors affecting academic burnout of nursing students according to clinical practice experience. BMC Medical Education, 22(1), 1-10. https://doi.org/10.1186/s12909-022-03422-7
Jafarianamiri, S. R., Qalehsari, M. Q., & Zabihi, A. (2022). Investigating the professional identity and resilience in nursing students during the COVID-19 pandemic. Journal of Education and Health Promotion, 11, 1-6. https://doi.org/10.4103/jehp.jehp_388_21
Jun, W. H., & Lee, G. (2017). The role of ego-resiliency in the relationship between social anxiety and problem-solving ability among south Korean nursing students. Nurse Education Today, 49, 17-21. https://doi.org/10.1016/j.nedt.2016.11.006
Kim, A. Y., & Sim, I. O. (2020). Mediating factors in nursing competency: A structural model analysis for nurses' communication, self-leadership, self-efficacy, and nursing performance. International Journal of Environmental Research and Public Health, 17(18), 1-14. https://doi.org/10.3390/ijerph17186850
Kim, D. J., & Lee, J. S. (2014). Influence of ego-resilience and self-efficacy on satisfaction in major of nursing student. Journal of Korean Academy Society of Nursing Education, 20(2), 244-254. https://doi.org/10.5977/jkasne.2014.20.2.244
Kim, S. H., & Park, H. O. (2020). Effects of ego-resilience, nursing professionalism and empathyon clinical competency of general hospital nurses. The Journal of Korean Academic Society of Nursing Education, 26(2), 101-110. https://doi.org/10.5977/jkasne.2020.26.2.101
Kim, S. Y., & Shin, S. Y. (2020). Structural model of professional socialization of nursing students with clinical practice experience. Journal of Nursing Education, 59(3), 133-141. https://doi.org/10.3928/01484834-20200220-03
Klohnen, E. C. (1996). Conceptual analysis and measurement of the construct of ego- resiliency. Journal of Personality and Social Psychology, 70(5), 1067-1079. https://doi.org/10.1037//0022-3514.70.5.1067
Lee, J. J., Clarke, C. L., & Carson, M. N. (2018). Nursing students' learning dynamics and influencing factors in clinical contexts. Nurse Education in Practice, 29, 103-109. https://doi.org/10.1016/j.nepr.2017.12.003
Lee, O. S., & Lim, J. H. (2021). Image of nurse and nursing professionalism perceived of nursing students before and after their first clinical practice in the COVID-19 pandemic. Journal of Digital Convergence, 19(5), 479-488. https://doi.org/10.14400/JDC.2021.19.5.479
Li, H., Kong, X., Sun, L., Zhu, Y., & Li, B. (2021). Major educational factors associated with nursing adverse events by nursing students undergoing clinical practice: A descriptive study. Nurse Education Today, 98, 1-8. https://doi.org/10.1016/j.nedt.2020.104738
Luanaigh, P. O. (2015). Becoming a professional: What is the influence of registered nurses on nursing students' learning in the clinical environment? Nurse Education in Practice, 15(6), 450-456. https://doi.org/10.1016/j.nepr.2015.04.005
Luo, W. T., & Mao, A. (2022). Impacts of COVID-19 pandemic on professional identity development of intern nursing students in China: A scoping review. PLoS One, 17(10), 1-14. https://doi.org/10.1371/journal.pone.0275387
Manz, C. C., Adsit, D., Campbell, S., & Mathison-Hance, M. (1991). Managerial thought patterns and performance: A study of perceptual patterns of performance hindrances for higher and lower performing managers. Human Relation, 41(6), 447-465. https://doi.org/10.1177/001872678804100603
Marsh, H. W., Morin, A. J., Parker, P. D., & Kaur, G. (2014). Exploratory structural equation modeling: an integration of the best features of exploratory and confirmatory factor analysis. Annual Review of Clinical Psychology, 10, 85-110. https://doi.org/10.1146/annurev-clinpsy-032813-153700
Meleis, A. I., Sawyer, L. M., Im, E. O., Hilfinger Messias, D. K., & Schumacher, K. (2000). Experiencing transitions: An emerging middle-range theory. Advances in Nursing Science, 23(1), 12-28. https://doi.org/10.1097/00012272-200009000-00006
Ntshingila, N., Downing, C., & Hastings-Tolsma, M. (2021). A concept analysis of self- leadership: The “bleeding edge” in nursing leadership. Nursing Forum, 56(2), 404-412. https://doi.org/10.1111/nuf.12551
Park, H. J., & Kim, S. (2023). Relationship between super-leadership and self-directed learning ability in online nursing education: The mediating effects of self-leadership and self-efficacy perceptions. Heliyon, 9(6), 1-11. https://doi.org/10.1016/j.heliyon.2023.e17416
Park, Y. H., Kim, I. H., & Jeong, Y. W. (2022). Stress, and coping strategy of university students during COVID-19 in Korea: The mediating role of ego-resiliency. Acta Psychologica, 227, 1-6. https://doi.org/10.1016/j.actpsy.2022.103615
Rossini, S., Bulfone, G., Vellone, E., & Alvaro, R. (2021). Nursing students' satisfaction with the curriculum: An integrative review. Journal of Professional Nursing, 37(3), 648-661. https://doi.org/10.1016/j.profnurs.2021.02.003
Roush, K., Opsahl, A., & Ferren, M. (2021). Developing an internship program to support nursing student transition to clinical setting. Journal of Professional Nursing, 37(4), 696-701. https://doi.org/10.1016/j.profnurs.2021.04.001
Russo, S., Dellafiore, F., Vangone, I., Bassola, B., & Arrigoni, C. (2023). The process of learning and professional development according to nursing students' experience during Covid-19: A constructivist grounded theory study. Nurse Education in Practice, 66, 1-6. https://doi.org/10.1016/j.nepr.2022.103502
Shin, E. (2022). An exploratory study on the mediating effect of clinical competence in the relationship between grit and field adaptation in newly graduated nurses. SAGE Open Nursing, 8, 1-9. https://doi.org/10.1177/23779608221127979
Singer, D. L., Sapp, A., & Baker, K. A. (2022). Belongingness in undergraduate/pre-licensure nursing students in the clinical learning environment: A scoping review. Nurse Education in Practice, 64, 1-19. https://doi.org/10.1016/j.nepr.2022.103422
Tang, M., Sun, Y., Zhang, K., Luo, R., Liu, Y., Sun, H., & Zhou, F. (2022). Associated factors of professional identity among nursing undergraduates during COVID-19: A cross- sectional study. International Journal of Nursing Sciences, 9(1), 107-113. https://doi.org/10.1016/j.ijnss.2021.09.005
Vabo, G., Slettebø, Å., & Fossum, M. (2022). Nursing students' professional identity development: An integrative review. Nordic Journal of Nursing Research, 42(2), 62-75. https://doi.org/10.1177/20571585211029857
van Dorssen-Boog, P., de Jong, J., Veld, M., & Van Vuuren, T. (2020). Self-leadership among healthcare workers: A mediator for the effects of job autonomy on work engagement and health. Frontiers in Psychology, 11, 1-13. https://doi.org/10.3389/fpsyg.2020.01420
Whang, E. H., & Shin, S. J. (2017). Factors impacting nursing professionalism among nursing students. Journal of Korean Public Health Nursing, 31(1), 97-108. https://doi.org/10.5932/JKPHN.2017.31.1.97
Wolf, E. J., Harrington, K. M., Clark, S. L., & Miller, M. W. (2013). Sample size requirements for structural equation models: An evaluation of power, bias, and solution propriety. Educational and Psychological Measurement, 76(6), 913-934. https://doi.org/10.1177/0013164413495237
Yang, J. J., & Park, M. Y. (2004). The relational of clinical competency and self-directed learning in nursing students. Journal of Korean Academy Society of Nursing Education, 10(2), 271-277.
Yu, M., Tong, H., Li, S., Wu, X. V., Hong, J., & Wang, W. (2021). Clinical competence and its association with self-efficacy and clinical learning environments among Chinese undergraduate nursing students. Nurse Education in Practice, 53, 1-7. https://doi.org/10.1016/j.nepr.2021.103055
Zeng, L. H., Chen, Q. R., Fan, S. S., Yi, Q. F., An, W. H., Liu, H. A., Hua, W., Huang, R., Huang, H. (2022). Factors influencing the professional identity of nursing interns: A cross-sectional study. BMC Nursing, 21, 1-8. https://doi.org/10.1186/s12912-022-00983-2