Growth mindset mediates the effect of core self-evaluation on professional self-efficacy for nursing interns: A cross-sectional study

IF 4.2 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Nurse Education Today Pub Date : 2025-04-01 Epub Date: 2025-01-28 DOI:10.1016/j.nedt.2025.106591
Meijuan Cao , Na Zhou , Haizhen Duan , Hailu Wu , Fang Li , Tianle Xiang
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Abstract

Background

Professional self-efficacy is a key factor in nurses' career development and is associated with individual mindset and self-perception. However, research on the potential influence mechanism of professional self-efficacy in clinical nursing interns from the perspective of individual mindset and self-perception in China, or internationally, is limited.

Objectives

This study aimed to explore the relationship between core self-evaluation, growth mindset, and professional self-efficacy among nursing interns, and the mediating effect of growth mindset on the relationship between core self-evaluation and professional self-efficacy.

Design

A cross-sectional survey design was used.

Settings and participants

Considering the ready accessibility for collecting samples and meeting with the purpose of this study, this study was conducted using a convenience sample of 266 clinical nursing interns from three general hospitals in Hangzhou, China, from March to July 2023.

Methods

Convenience sampling was used to recruit 266 nursing students [236 female, 30 male] from three comprehensive tertiary hospitals in the provincial capital city of Zhejiang, China. The data were collected using the Core Self-Evaluation Scale, Growth Mindset Scale, and Professional Self-Efficacy Questionnaire from March to July 2023. Data were analyzed using IBM SPSS Statistics (version 26.0; IBM, Armonk, NY, USA). Descriptive analyses of the demographic characteristics, correlation analyses and multivariate linear regressions of the three variables were performed. The PROCESS macro for SPSS (Model 4) was used to examine the relationship between core self-evaluation, professional self-efficacy, and the mediating effect of growth mindset.

Results

The average professional self-efficacy score was (87.95 ± 17.84). Core self-evaluation and a growth mindset were found to have a statistically significant relationship to professional self-efficacy. Growth mindset mediated the relationship between core self-evaluation and professional self-efficacy (β = 0.491, P < 0.001). The results of the nonparametric bootstrapping method confirmed the significance of the indirect effect of core self-evaluation through growth mindset (95 % bootstrap CI = 0.093, 0.241). The indirect effect of growth mindset accounted for 32.6 % of the total variance in professional self-efficacy.

Conclusion

The professional self-efficacy of Chinese nursing interns was at a low to medium level and demand extensive attention. On the one hand, clinical nursing managers and teachers should focus on cultivating the core self-evaluation of nursing interns to improve their professional self-efficacy. On the other hand, growth mindset offers a mediating variable between the core self-evaluation and professional self-efficacy of nursing interns. Therefore, it is recommended that growth mindset be developed by incorporating growth mindset training into the curriculum and using school and clinical co-education to enhance students' professional self-efficacy.
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成长心态中介核心自我评价对护理实习生专业自我效能的影响:一项横断面研究。
背景:职业自我效能感是影响护士职业发展的关键因素,与个体心态和自我认知有关。然而,国内外从个体心态和自我感知角度对临床护理实习生职业自我效能感的潜在影响机制的研究还很有限。目的:探讨护理实习生核心自我评价、成长心态与专业自我效能的关系,以及成长心态在核心自我评价与专业自我效能之间的中介作用。设计:采用横断面调查设计。环境与参与者:考虑到样本采集的可及性和本研究的目的,本研究采用便利样本,于2023年3月至7月在中国杭州三家综合医院的266名临床护理实习生进行。方法:采用方便抽样的方法,从浙江省省会三所综合性三级医院招募266名护生,其中女236名,男30名。数据采集于2023年3月至7月,采用核心自我评价量表、成长心态量表和职业自我效能感问卷。数据分析采用IBM SPSS Statistics (version 26.0;IBM,阿蒙克,纽约州,美国)。对人口统计学特征进行描述性分析、相关分析和多元线性回归分析。采用SPSS的PROCESS宏(模型4)检验核心自我评价、职业自我效能和成长心态的中介作用之间的关系。结果:职业自我效能感平均得分为(87.95±17.84)分。核心自我评价和成长心态对职业自我效能感有显著的影响。成长心态在核心自我评价与专业自我效能之间起中介作用(β = 0.491, P)。结论:我国护理实习生的专业自我效能处于中低水平,需要广泛关注。一方面,临床护理管理者和教师应注重培养护理实习生的核心自我评价,提高其专业自我效能感。另一方面,成长心态在护理实习生核心自我评价与专业自我效能之间起中介作用。因此,我们建议通过将成长心态训练纳入课程,并采用学校与临床合作的方式来培养成长心态,以提高学生的专业自我效能感。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nurse Education Today
Nurse Education Today 医学-护理
CiteScore
6.90
自引率
12.80%
发文量
349
审稿时长
58 days
期刊介绍: Nurse Education Today is the leading international journal providing a forum for the publication of high quality original research, review and debate in the discussion of nursing, midwifery and interprofessional health care education, publishing papers which contribute to the advancement of educational theory and pedagogy that support the evidence-based practice for educationalists worldwide. The journal stimulates and values critical scholarly debate on issues that have strategic relevance for leaders of health care education. The journal publishes the highest quality scholarly contributions reflecting the diversity of people, health and education systems worldwide, by publishing research that employs rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of education and systems globally. The journal will publish papers that show depth, rigour, originality and high standards of presentation, in particular, work that is original, analytical and constructively critical of both previous work and current initiatives. Authors are invited to submit original research, systematic and scholarly reviews, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing and related health care education, and which will meet and develop the journal''s high academic and ethical standards.
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