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      Associated factors of professional identity among nursing undergraduates during COVID-19: A cross-sectional study

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          Abstract

          Objectives

          Professional identity plays an important role in the long-term development of nurses, and it will change when public health emergency occurs. The objective of this study is to investigate the factors associated with the professional identity of nursing undergraduates in the epidemic of COVID-19.

          Methods

          A cross-sectional survey design with convenience sampling was used. A total of 3875 nursing undergraduates were recruited from seven universities across China from March to April 2020. A general information questionnaire was used to collect students’ information, and the Professional Identity Questionnaire for Nurse Students was used to survey their professional identity during the early and later stages of the first wave of the COVID-19 epidemic.

          Results

          The score of professional identity in the later stage (59.49 ± 12.41) was higher than that in the early stage (56.96 ± 12.61). The stepwise regression indicated that several factors were associated with professional identity, including gender, residential area, major (rehabilitation nursing), impact of the epidemic on intention to work after graduation, reasons for choosing nursing major and students’ scores of professional identity in early stage.

          Conclusions

          Nursing educators can utilize the positive impact of responding to public health emergencies to increase the professional identity of students. Meanwhile, educators should give those students with lower professional identity more targeted education to cultivate their professional identity after the occurrence of public health emergencies.

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          Most cited references33

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          Is Open Access

          Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

          Key Points Question What factors are associated with mental health outcomes among health care workers in China who are treating patients with coronavirus disease 2019 (COVID-19)? Findings In this cross-sectional study of 1257 health care workers in 34 hospitals equipped with fever clinics or wards for patients with COVID-19 in multiple regions of China, a considerable proportion of health care workers reported experiencing symptoms of depression, anxiety, insomnia, and distress, especially women, nurses, those in Wuhan, and front-line health care workers directly engaged in diagnosing, treating, or providing nursing care to patients with suspected or confirmed COVID-19. Meaning These findings suggest that, among Chinese health care workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavorable mental health outcomes and may need psychological support or interventions.
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            Prevalence of and Risk Factors Associated With Mental Health Symptoms Among the General Population in China During the Coronavirus Disease 2019 Pandemic

            Key Points Question What are the patterns of and factors associated with mental health conditions among the general population during the coronavirus disease 2019 (COVID-19) outbreak in China? Findings In this survey study with 56 679 participants across all 34 province-level regions in China, 27.9% of participants had symptoms of depression, 31.6% had symptoms of anxiety, 29.2% had symptoms of insomnia, and 24.4% had symptoms of acute stress during the outbreak. Factors independently associated with negative mental health outcomes included having confirmed or suspected COVID-19, having a relative with confirmed or suspected COVID-19, having occupational exposure risks, living in Hubei province, and experiencing quarantine and delays in returning to work. Meaning The mental health burden associated with COVID-19 is considerable among the general population of China, suggesting that mental health interventions are in urgent demand during the COVID-19 pandemic, especially for some at-risk populations.
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              Professional identity and nursing: contemporary theoretical developments and future research challenges.

              We propose that the conceptual orientation of professional identity is a logical consequence of self-concept development by focusing on career and its meaning and presents a measurable set of concepts that can be manipulated to improve retention of student and registered nurses within health service. Although professional identity is a term that is commonly written of in nursing literature, its theoretical origins remain unclear, and available empirical evidence of its presence or ability to change is omitted from nursing research. SOURCES OF EVIDENCE: We present a professional identity pathway and explore the factors that influence professional identity throughout a career in nursing. Nurses' professional identities develop throughout their lifetimes, from before entering nursing education, throughout their years of study and clinical experience, and continue to evolve during their careers. Education is, however, a key period as it is during this time students gain the knowledge and skills that separate nurses as professional healthcare workers from lay people. Finally, a call for longitudinal studies of students to graduates, using conceptually derived and psychometrically proven instruments capable of detecting the subtle changes in the construct over time, is recommended. Further empirical research into the theoretical concepts that underline professional identity, and the factors that influence changes in this important construct in nursing, is required. Ultimately, the practical relevance of such research will lie in the potential it provides for enhanced nursing career support and improved workforce policies. © 2012 The Authors. International Nursing Review © 2012 International Council of Nurses.
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                Author and article information

                Journal
                Int J Nurs Sci
                Int J Nurs Sci
                International Journal of Nursing Sciences
                The authors. Published by Elsevier B.V. on behalf of the Chinese Nursing Association.
                2096-6296
                2352-0132
                21 September 2021
                21 September 2021
                Affiliations
                [a ]Xuzhou Medical University, School of Nursing, Jiangsu Province, China
                [b ]Peking University, School of Nursing, Beijing, China
                [c ]Tianjin University of Traditional Chinese Medicine, Tianjin, China
                Author notes
                []Corresponding author.
                [∗∗ ]Corresponding author.
                Article
                S2352-0132(21)00094-6
                10.1016/j.ijnss.2021.09.005
                8452454
                34567827
                e43a0f6d-e7f5-434e-b8b0-2892c21a4391
                © 2021 The authors

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 15 July 2021
                : 5 September 2021
                : 14 September 2021
                Categories
                Original Article

                covid-19,epidemics,nursing specialties,nursing students,professional identity,surveys and questionnaires

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