Sun, Yuyan
(School of Nursing, Xinxiang Medical University)
,
Wang, Dongyang
(School of Health Science, Mae Fah Luang University)
,
Han, Ziting
(School of Nursing, Xinxiang Medical University)
,
Gao, Jie
(School of Nursing, Xinxiang Medical University)
,
Zhu, Shanshan
(School of Nursing, Xinxiang Medical University)
,
Zhang, Huimin
(School of Nursing, Xinxiang Medical University)
Purpose: This study aimed to evaluate nursing students' understanding of the prevention of COVID-19, as well as their anxiety towards the disease and their perception of their professional identity in the wake of the pandemic, in Zhengzhou, China. Methods: A cross-sectional study was designed to inv...
Purpose: This study aimed to evaluate nursing students' understanding of the prevention of COVID-19, as well as their anxiety towards the disease and their perception of their professional identity in the wake of the pandemic, in Zhengzhou, China. Methods: A cross-sectional study was designed to investigate 474 nursing students by cluster sampling using a stratified questionnaire from February 15 to March 31, 2020. Multiple linear regression was used to identify the factors affecting professional identity. Binary and multiple logistic regression were used to identify the factors affecting anxiety. Results: Responders with a high level of understanding of COVID-19 and frequent use of behavioral strategies for its prevention comprised 93.2% and 30.0% of the cohort, respectively. Professional identity was significantly associated with gender and anxiety (p < .050). The prevalence of anxiety among nursing students was 12.4%. Male (odds ratio [OR] = 2.39; 95% confidence interval [CI] = 1.26~4.52), sophomores (OR = 5.30; 95% CI = 1.61~7.45), and infrequent use of prevention measures (OR = 3.49; 95% CI = 1.16~5.19) had a significant effect on anxiety. Conclusion: Anxiety during the COVID-19 epidemic gives an adverse effect on the professional identity of nursing in students. Nursing education institutions need to provide psychological counseling services for nursing students, in addition to improving their teaching of COVID-19 prevention strategies.
Purpose: This study aimed to evaluate nursing students' understanding of the prevention of COVID-19, as well as their anxiety towards the disease and their perception of their professional identity in the wake of the pandemic, in Zhengzhou, China. Methods: A cross-sectional study was designed to investigate 474 nursing students by cluster sampling using a stratified questionnaire from February 15 to March 31, 2020. Multiple linear regression was used to identify the factors affecting professional identity. Binary and multiple logistic regression were used to identify the factors affecting anxiety. Results: Responders with a high level of understanding of COVID-19 and frequent use of behavioral strategies for its prevention comprised 93.2% and 30.0% of the cohort, respectively. Professional identity was significantly associated with gender and anxiety (p < .050). The prevalence of anxiety among nursing students was 12.4%. Male (odds ratio [OR] = 2.39; 95% confidence interval [CI] = 1.26~4.52), sophomores (OR = 5.30; 95% CI = 1.61~7.45), and infrequent use of prevention measures (OR = 3.49; 95% CI = 1.16~5.19) had a significant effect on anxiety. Conclusion: Anxiety during the COVID-19 epidemic gives an adverse effect on the professional identity of nursing in students. Nursing education institutions need to provide psychological counseling services for nursing students, in addition to improving their teaching of COVID-19 prevention strategies.
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문제 정의
This study is the first report to evaluate the knowledge, anxiety levels, and professional identity of nursing students concerning the current COVID-19 pandemic. Nevertheless, this study has several limitations.
제안 방법
Nevertheless, this study has several limitations. First, this study used a cross-sectional study design, which precluded the evaluation of the temporality and causality of the observed relationships. Second, the data were collected from participants’ self-reports; thus, recall bias was unavoidable.
) were not included in our questionnaire. Further research may use qualitative methods to gain a deeper understanding of the relationship between COVID-19 prevention knowledge and behavior, anxiety, and professional identity among nursing students. Besides, future research can formulate related psychological interventions based on the results of this study to improve the anxiety and professional identity of nursing students.
[29] also mentioned that compared with women, men are underutilizing mental health services and expect more self-identity, self-esteem, and self-worth to be the reasons for men’s increased risk of psychological problems. In this study, the possible reason may males have also been found to be more easily influenced by setbacks and contradictions, such as those experienced during the COVID-19 outbreak, requiring the male nursing students to consider more factors in their professional identity, including career development, economic development, and policy orientation.
Professional identity was measured by using the Brown Professional Identification Scale [15]. The scale was composed of 10 items in three dimensions of cognition, evaluation, and impact: 3 items in the cognitive dimension (items 1, 4, and 8), 3 items in the evaluation dimension (items 2, 6, and 7), and 4 items in the impact dimension (items 3, 5, 9, and 10). A 5-point Likert scale was used, with “never” given 1 point and “often” given 5 points.
Therefore, this study aims to evaluate nursing students’ understanding of the prevention of COVID-19, as well as their anxiety towards the disease and their perception of their professional identity in the wake of the pandemic, in Zhengzhou, China, to provide fundamental data for the psychological state of nursing students and reference for improving the preventive behavior guidelines for nursing students.
대상 데이터
The Self-rating Anxiety Scale (SAS) was used in evaluating the anxiety [13]. The scale was composed of a total of 20 items, including 15 negatively worded statements and 5 positively worded statements. The frequency of symptom occurrence was evaluated on a 4-point Likert scale.
데이터처리
The higher the score, the better the behavior of the participants. The questionnaires were pilot-tested and the reliability of the measurement was tested with the alpha reliability coefficient. The knowledge level and behavior scales were of acceptable reliability with an alpha coefficient of .
이론/모형
, Armonk, NY, USA). Descriptive statistics was used to summarize the sociodemographic characteristics and the scores and percentages of knowledge, attitudes, and behaviors about prevention COVID-19 were calculated. Multiple linear regression was used to analyze the factors affecting professional identity.
Professional identity was measured by using the Brown Professional Identification Scale [15]. The scale was composed of 10 items in three dimensions of cognition, evaluation, and impact: 3 items in the cognitive dimension (items 1, 4, and 8), 3 items in the evaluation dimension (items 2, 6, and 7), and 4 items in the impact dimension (items 3, 5, 9, and 10).
The Self-rating Anxiety Scale (SAS) was used in evaluating the anxiety [13]. The scale was composed of a total of 20 items, including 15 negatively worded statements and 5 positively worded statements.
The scale was composed of a total of 20 items, including 15 negatively worded statements and 5 positively worded statements. The frequency of symptom occurrence was evaluated on a 4-point Likert scale. The responses were as follows: “1” for a symptom that never occurs or very little; “2” for a symptom that occurs some of the time; “3” for a symptom that occurs often; “4” for a symptom that occurs most or all of the time.
성능/효과
Under normal circumstances, as nurses become more knowledgeable and skilled in practice, the retention rate increases, and professional identity is strengthened [19,20]. However, in this study, the results of our data analysis showed that during the COVID-19 pandemic, Chinese nursing students have a better understanding of COVID-19. Still, they have poor compliance with protective guidelines and protective tools.
4%. The results of the binary logistic regression analysis showed that male students were more likely to suffer from anxiety disorders than female students (OR: 2.39; 95% CI: 1.26~4.52; p =.008). Similarly, nursing students in their sophomore year were more likely to suffer from anxiety than in junior or senior year (OR:5.
후속연구
Further research may use qualitative methods to gain a deeper understanding of the relationship between COVID-19 prevention knowledge and behavior, anxiety, and professional identity among nursing students. Besides, future research can formulate related psychological interventions based on the results of this study to improve the anxiety and professional identity of nursing students.
World Health Organization (WHO). Coronavirus disease (COVID-19) situation report-155 [Internet]. Geneva: WHO; c2020 [cited 2020 May 1]. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200623-covid-19-sitrep-155.pdf.
Fegert JM, Vitiello B, Plener PL, Clemens V. Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: A narrative review to highlight clinical and research needs in the acute phase and the long return to normality. Child and Adolescent Psychiatry and Mental Health. 2020;14:20. https://doi.org/10.1186/s13034-020-00329-3
Swift A, Banks L, Baleswaran A, Cooke N, Little C, McGrath L, et al. COVID-19 and student nurses: A view from England. Journal of Clinical Nursing. 2019;29(17-18):3111-3114. https://doi.org/10.1111/jocn.15298
Cervera-Gasch A, Gonzalez-Chorda VM, Mena-Tudela D. COVID-19: Are Spanish medicine and nursing students prepared? Nurse Education Today. 2020;92:104473. https://doi.org/10.1016/j.nedt.2020.104473
Stetson GV, Kryzhanovskaya IV, Lomen-Hoerth C, Hauer KE. Professional identity formation in disorienting times. Medical Education. 2020;54(8):765-766. https://doi.org/10.1111/medu.14202
Dunn M, Sheehan M, Hordern J, Turnham HL, Wilkinson D. 'Your country needs you': The ethics of allocating staff to high-risk clinical roles in the management of patients with COVID-19. Journal of Medical Ethics. 2020;46(7):436-440. https://doi.org/10.1136/medethics-2020-106284
Henan Provincial Bureau of Statistics. Health Statistics Yearbook of Henan Province 2019 [Internet]. Beijing: China Statistics Press; c2019 [cited 2020 May 3]. Available from: http://oss.henan.gov.cn/sbgt-wztipt/attachment/hntjj/hntj/lib/tjnj/2019/zk/indexeh.htm.
World Health Organization (WHO). Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected [Internet]. Geneva: WHO; c2020 [cited 2020 May 3]. Available from: https://www.who.int/publications/i/item/10665-331495
Chinese Center for Disease Control and Prevention (China CDC). Personal protection guidelines for specific groups [Internet]. Beijing: China CDC; c2020 [cited 2020 May 3]. Available from: http://www.chinacdc.cn/jkzt/crb/zl/szkb_11803/jszl_11815/202003/W020200309540843093613.pdf.
Adams NE. Bloom's taxonomy of cognitive learning objectives. Journal of the Medical Library Association. 2015;103(3):152-153. https://doi.org/10.3163/1536-5050.103.3.010
Dunstan DA, Scott N, Todd AK. Screening for anxiety and depression: Reassessing the utility of the Zung scales. BMC Psychiatry. 2017;17(1):329. https://doi.org/10.1186/s12888-017-1489-6
Visser CLF, Wilschut JA, Isik U, van der Burgt SME, Croiset G, Kusurkar RA. The Association of Readiness for Interprofessional Learning with empathy, motivation and professional identity development in medical students. BMC Medical Education. 2018;18(1):125. https://doi.org/10.1186/s12909-018-1248-5
Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: Address mental health care to empower society. Lancet. 2020;395(10224):e37-e38. https://doi.org/10.1016/S0140-6736(20)30309-3
Zhao S, Zhuang Z, Ran J, Lin J, Yang G, Yang L, et al. The association between domestic train transportation and novel coronavirus (2019-nCoV) outbreak in China from 2019 to 2020: A data-driven correlational report. Travel Medicine and Infectious Disease. 2020;33:101568. https://doi.org/10.1016/j.tmaid.2020.101568
Bloom DE, Cadarette D. Infectious disease threats in the twenty-first century: Strengthening the global response. Frontiers in Immunology. 2019;10:549. https://doi.org/10.3389/fimmu.2019.00549
Chesbrough H. To recover faster from Covid-19, open up: Managerial implications from an open innovation perspective. Industrial Marketing Management. 2020;88:410-413. https://doi.org/10.1016/j.indmarman.2020.04.010
Utunen H, Ndiaye N, Piroux C, George R, Attias M, Gamhewage G. Global reach of an online COVID-19 course in multiple languages on OpenWHO in the first quarter of 2020: Analysis of platform use data. Journal of Medical Internet Research. 2020;22(4):e19076. https://doi.org/10.2196/19076
Clements JM. Knowledge and behaviors toward COVID-19 among US residents during the early days of the pandemic: Cross-sectional online questionnaire. JMIR Public Health and Surveillance. 2020;6(2):e19161. https://doi.org/10.2196/19161
Taghrir MH, Borazjani R, Shiraly R. COVID-19 and Iranian medical students; a survey on their related-knowledge, preventive behaviors and risk perception. Archives of Iranian Medicine. 2020;23(4):249-254. https://doi.org/10.34172/aim.2020.06
Monrouxe LV, Bullock A, Tseng HM, Wells SE. Association of professional identity, gender, team understanding, anxiety and workplace learning alignment with burnout in junior doctors: A longitudinal cohort study. BMJ Open. 2017;7(12):e017942. https://doi.org/10.1136/bmjopen-2017-017942
Worthington M, Salamonson Y, Weaver R, Cleary M. Predictive validity of the Macleod Clark Professional Identity Scale for undergraduate nursing students. Nurse Education Today. 2013;33(3):187-191. https://doi.org/10.1016/j.nedt.2012.01.012
Villeneuve P, Heale R, Rietze L, Carter L. Exploring self-perceptions of anxiety among nursing students in the clinical setting and select demographics. International Journal of Nursing Education Scholarship. 2018;15(1):20170042. https://doi.org/10.1515/ijnes-20170042
Hill MR, Goicochea S, Merlo LJ. In their own words: Stressors facing medical students in the millennial generation. Medical Education Online. 2018;23(1):1530558. https://doi.org/10.1080/10872981.2018.1530558
Jiang CX, Li ZZ, Chen P, Chen LZ. Prevalence of depression among college-goers in mainland China: A methodical evaluation and meta-analysis. Medicine. 2015;94(50):e2071. https://doi.org/10.1097/MD.0000000000002071
Affleck W, Carmichael V, Whitley R. Men's mental health: Social determinants and implications for services. The Canadian Journal of Psychiatry. 2018;63(9):581-589. https://doi.org/10.1177/0706743718762388
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