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Background Nursing students encounter various stressors during their clinical practicum; however, the stressors are not the same during different periods. At present, studies on the stressors and coping styles of nursing students in the middle period of their clinical practicum are rare. Aims The current study aimed to explore the stressors and coping styles of nursing students in the middle period of their clinical practicum. Methods A qualitative study with a descriptive phenomenological method was conducted to collect data from 10 nursing students undergoing the middle period of their clinical practicum from December 2020 to February 2021. The data were collected by semistructured interviews using interview outlines prepared in advance. The data were analyzed by Colaizzi’s analysis method. Results The stressors experienced by nursing students in the middle period of their clinical practicum mainly included personal reasons, teaching arrangements, interpersonal relationships, occupational particularity and career planning. Additionally, nursing students coped with the stressors that they face in the clinical practicum by eliminating stressors and regulating emotions. Conclusions Nursing students experienced various stressors and used a variety of coping styles in the middle period of their clinical practicum, which was different from what occurred in the early and late periods. Targeted interventions should be formulated and implemented to relieve nursing students’ stress and guide them to adopt effective coping styles.

Background Undergraduate nursing students suffer from considerable psychological distress, which affects their academic and clinical practice performance. Current research on the psychological distress of undergraduate nursing students has focused mainly on its overall level and ignored its heterogeneity. This study aimed to identify the heterogeneity in psychological distress among undergraduate nursing students and further explore the influencing factors (demographic variables, core self-evaluation, emotional intelligence and its dimensions) of different psychological distress profiles. Method This study adopted a cross-sectional design. A total of 397 undergraduate nursing students from a medical university located in southeast China were recruited in December 2023. Data were collected using a demographic information questionnaire, the 10-item Kessler psychological distress scale, the core self-evaluation scale, and the emotional intelligence scale. A latent profile analysis was used to identify the heterogeneity in psychological distress among undergraduate nursing students. In addition, multinomial logistic regression analysis was used to explore the influencing factors of different psychological distress profiles of undergraduate nursing students. Results Four psychological distress profiles of undergraduate nursing students were identified: the low psychological distress group, the medium psychological distress group, the medium psychological distress-low anxiety group, and the high psychological distress group. The educational level of the mother, core self-evaluation, use of emotion, and regulation of emotion were significant influencing factors of different psychological distress profiles. Conclusion Nearly half of the undergraduate nursing students were classified into the medium psychological distress group and the medium psychological distress-low anxiety group. Special attention should be given to undergraduate nursing students whose mothers have higher educational levels, as these students may suffer from higher levels of psychological distress due to greater family expectations. In addition, strengthening undergraduate nursing students’ core self-evaluation and improving their ability to use and regulate emotion may be effective strategies to improve these students’ psychological distress. Clinical trial number Not applicable.

Background Post-stroke depression (PSD) constitutes an important complication of stroke, affecting approximately one-third of stroke patients. PSD decreases rehabilitation motivation, delays function recovery, and increases the family and social burden of stroke patients. Motivational interviewing (MI) may be an effective and practical intervention strategy, but its effectiveness in improving PSD remains uncertain. Methods A parallel two-group quasi-experimental study was conducted. Patients with early PSD were recruited from the neurology department of a hospital in southeast China and were allocated to the control group and intervention group by wards. Patients in the intervention group received one session of face-to-face motivational interviewing and three sessions of telephone motivational interviewing, while patients in the control group received routine nursing and follow-up of the neurology department. Outcomes including depression, sleep quality, and quality of life were evaluated at baseline (T0), after intervention immediately (T1) and three months after intervention (T2). Descriptive statistics, t-test, Mann-Whitney U test, Wilcoxon signed rank sum test and generalized estimating equation were used to analyze data. Results There were no significant differences in patients’ sociodemographic and clinical information between the intervention and control groups at baseline. The scores for depression were statistically different between the two groups (Z=-5.757, p  < 0.001) at T1 and T2 (t=-7.964, p  < 0.001). The scores for sleep quality were statistically different between the two groups at T1 (Z=-2.840, p  = 0.005). The result of the generalized estimating equation modeling analyses indicated that interaction effects were statistically significant in depression and sleep quality scores. The intervention group showed a significantly higher rate of decrease in the depression score from T0 to T1 (95% CI: -11.227 to -7.748, p  < 0.001) and T0 to T2 (95% CI: -11.683, -6.170, p  < 0.001), compared with the control group; the intervention group had a greater reduction in the sleep score from T0 to T1 (95% CI: -2.502 to -0.962, p  < 0.001), compared with the control group. Conclusions MI could effectively improve depression and sleep quality in patients with early PSD. However, MI failed to improve quality of life in patients with early PSD. These findings provide a foundation for future large-scale randomized controlled trials to further evaluate the efficacy of MI in patients with early PSD. Trial registration Retrospectively Registered, Chinese Clinical Trial Registry ( http://www.chictr.org.cn || ChiCTR2200064386|| Registration Date: 2022/10/06).

Background Nursing is a stressful profession that can impact the physical and mental health of nurses as well as the safety of patients. Furthermore, various factors may affect the job stress of nurses. However, recent studies mainly focused on the overall level of job stress and its related factors, ignoring the population heterogeneity of nurses’ job stress. Methods A total of 440 nurses participated in the questionnaire survey between March 2023 and April 2023. Data were collected using the Demographic Characteristics Questionnaire, the Nursing Job Stressor Inventory, the Generalized Anxiety Disorder 7-item Scale, and the Nurse Job Performance Scale. A latent profile analysis was used to identify the latent profiles of job stress. Kruskal-Wallis H test and ordinal logistic regression were used to explore the predictors of different profiles. Results The job stress of nurses could be classified into four profiles: relatively low job stress, relatively high job stress, high job stress, and the highest job stress. Generalized anxiety disorder, job performance, health status, and dislike of nursing as a career were predictors of different profiles. Conclusions The majority of nurses were classified into profile 2, and their job stress was relatively high. Lowering anxiety levels, enhancing job performance, improving nurses’ health status, and changing professional attitudes toward nursing may be effective ways to reduce nurses’ job stress.

AimThis study aimed to identify the latent profiles of professional identity among nursing students and explore the factors associated with different profiles.BackgroundNursing students’ professional identity is easily influenced by various factors. However, current studies mainly focused on the overall level of professional identity and its related factors, ignoring the population heterogeneity of nursing students’ professional identity.DesignA cross-sectional study.MethodsA convenient sampling was used to collect data from 384 nursing students who were undergoing their clinical practicum in the affiliated hospitals of a medical university in China between January and April 2021. Data were collected using the demographic questionnaire, the nursing student internship stress scale, the simplified coping style questionnaire, and the professional identity scale for nursing students. A latent profile analysis was used to identify the latent profiles of professional identity. Kruskal-Wallis H test, analysis of variance and ordinal logistic regression were used to determine factors that were associated with different profiles of professional identity.ResultNursing students’ professional identity could be classified into four profiles: low professional identity, relatively low professional identity, relatively high professional identity and high professional identity. These four profiles showed unique relationships with choosing nursing voluntarily, willing to be a clinical nursing staff, stress in conflict between study and work, and positive coping styles.ConclusionThe majority of the nursing students were classified into profile 1 (low professional identity) and 2 ( relatively low professional identity). Nursing students’ lower professional identity need to be further enhanced by improving social recognition of nurses to increase the willingness of high school graduates to choose nursing voluntarily, allocating nursing workforce rationally to increase the willingness of nursing student to be a clinical nursing staff, reducing nursing students’ stress in conflict between study and work and encouraging them to adopt positive coping styles.