Shixiang Luo, Zhaoxia Cheng

Hainan Vocational University of Science and Technology;The Fourth People’s Hospital of Haikou

Abstract：

Objective To explore the influencing factors of pre-internship anxiety among cross-major college- upgraded nursing students and propose targeted educational countermeasures, so as to provide a basis for improving the mental health status of this group and optimizing nursing education practice. Method A convenient sampling method was used to select 73 cross-major and 157 non-cross-major college-upgraded nursing students of grade 2023 from a university in Hainan Province. A general information questionnaire and Self-Rating Anxiety Scale (SAS) were used for the survey, and SPSS 27.0 was adopted for statistical analysis. Result The incidence of pre-internship anxiety in cross-major group (56.16%) was significantly higher than that in non-cross-major group (42.68%) (P<0.05). Multivariate Logistic regression analysis showed that age ≥25 years (OR=2.89, 95%CI:1.03-8.12), major selection motivation of "voluntary failure" (OR=3.24, 95%CI:1.21-8.68), having clinical internship experience (OR=2.56, 95%CI:1.08-6.07), worrying about identity non-recognition (OR=3.11, 95%CI:1.15-8.43), insufficient confidence in professional skills (OR=2.77, 95% CI:1.01-7.63), and lack of career confidence (OR=2.93, 95%CI:1.09-7.88) were independent risk factors (P<0.05). Conclusion Cross-major college- upgraded nursing students have high levels of pre-internship anxiety, which is comprehensively affected by multiple factors. A systematic educational intervention system is needed to alleviate their anxiety and improve clinical adaptability.

Key Words：

cross-major college-upgrade; nursing students; pre-internship anxiety; influencing factors; nursing education