Undergraduate Nursing Intern Cohort Study

Nanjing Medical University500 enrolled

Overview

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.

Study Type

OBSERVATIONAL

Enrollment

500

Conditions

Occupational Disidentification

Eligibility

Sex: ALLMin age: 18 YearsMax age: 25 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Full-time undergraduate students majoring in nursing. 2. Students who are about to enter clinical internship or are in the early stage of clinical internship. 3. Students who are able to use the WeChat mini-program to complete questionnaires. 4. Students with normal reading comprehension ability. 5. Students who voluntarily agree to participate in the study and provide informed consent. Exclusion Criteria: 1. 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. 2. Students who have participated in similar interventional studies that may affect the assessment of the primary outcome. 3. Students with severe physical or mental illness, or other conditions that make them unable to complete the questionnaires independently. Exclusion From Analysis Criteria: 1. Questionnaires with an obviously too short completion time, below the minimum reasonable response time set by the research team. 2. Questionnaires with patterned responses or obvious logical inconsistencies. 3. Questionnaires with missing key variables that cannot be used for the main statistical analysis. 4. Repeated submissions at the same time point where the valid version cannot be confirmed.

Outcomes

Primary Outcomes

Change in Occupational Disidentification

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.

Time frame: From the end of the first internship week to the end of internship, up to 12 months

Secondary Outcomes

Change in Transition Shock

Transition shock refers to the instability, stress, and maladaptation experienced by undergraduate nursing interns during the transition from school-based learning to clinical practice. It will be assessed using a transition shock scale. Higher scores indicate a higher level of transition shock.

Time frame: End of the first internship week and approximately every three months until the end of internship, up to 12 months

Change in Emotional Exhaustion

Emotional exhaustion refers to the depletion of emotional and psychological resources experienced by undergraduate nursing interns during clinical internship. It will be assessed using an emotional exhaustion scale. Higher scores indicate a higher level of emotional exhaustion.