La relación entre el malestar psicológico y la identidad profesional en estudiantes de posgrado de enfermería durante el COVID-19: un análisis longitudinal cruzado
Resumen
CCada vez hay más evidencia de que la pandemia de COVID-19 ha tenido un impacto en la salud mental y la identidad profesional de los estudiantes de enfermería. Este estudio tuvo como objetivo explorar las trayectorias de la angustia psicológica y la identidad profesional y examinar su relación causal entre los estudiantes de posgrado en enfermería. Se realizó un estudio longitudinal prospectivo con 556 estudiantes graduados de enfermería en China a quienes se les pidió que completaran los Cuestionarios para Eventos Emergentes de Salud Pública y el Cuestionario de Identidad Profesional para Estudiantes de Enfermería en tres momentos durante la pandemia (T1= inicio del brote, T2= aislamiento en todo el estado, T3= reapertura de la escuela). Los resultados mostraron que la angustia psicológica y la identidad psicológica cambiaron con el tiempo, con la angustia psicológica más baja y la identidad profesional más alta en T3. El análisis cruzado mostró que la identidad profesional en T1 y T2 predijo negativamente la angustia psicológica en T2 y T3. Llegamos a la conclusión de que los educadores de enfermería deben desarrollar programas y estrategias para cultivar la identidad profesional en la educación de posgrado en enfermería para mejorar la salud mental durante las crisis de salud pública.
Descargas
Citas
Chen, J. (2020). Pathogenicity and transmissibility of 2019-nCoV-A quick overview and comparison with other emerging viruses. Microbes Infect, 22(2), 69-71. https://doi.org/10.1016/j.micinf.2020.01.004
Chen, K., Wang, L., & Zhang, L. (2021). Changes in professional commitment of nursing undergraduates during the COVID-19 epidemic. Chinese Journal of Medical Education Research, 20(4), 485-488. https://doi.org/10.3760/cma.j.cn116021-20201016-00471
Cheng, L., Chen, Q., & Zhang, F. (2021). Mediating effects of meaning in life on the relationship between general self-efficacy and nursing professional commitment in nursing students: A structural equation modeling approach. Medicine, 100(29), e26754-e26754. https://doi.org/10.1097/MD.0000000000026754
Cowin, L. S., Johnson, M., Wilson, I., & Borgese, K. (2013). The psychometric properties of five Professional Identity measures in a sample of nursing students. Nurse Educ Today, 33(6), 608-613. https://doi.org/10.1016/j.nedt.2012.07.008
Cullum, R. J., Shaughnessy, A., Mayat, N. Y., & Brown, M. E. (2020). Identity in lockdown: supporting primary care professional identity development in the COVID-19 generation. Education for Primary Care, 31(4), 200-204. https://doi.org/10.1080/14739879.2020.1779616
Deng, Z., Liu, H., & Yao, Y. (2020). Investigation and Research on the Present Situation and Related Factors of Professional Identity of Nursing Master Graduates. Open Journal of Social Sciences, 8, 209-214. https://doi.org/10.4236/jss.2020.88018
Dos Santos, L. M. (2020). How Does COVID-19 Pandemic Influence the Sense of Belonging and Decision-Making Process of Nursing Students: The Study of Nursing Students’ Experiences. International Journal of Environmental Research and Public Health, 17(15). https://doi.org/10.3390/ijerph17155603
Gao, Y., Yang, Y., Ma, Y., & Yao, K. (2004). Research on the status of emotion response in college students during the epidemic period of SARS. Chin J Behav Med Sci, 13, 658-660.
Hao, C., Zhu, L., Zhang, S., Rong, S., Zhang, Y., Ye, J., & Yang, F. (2020). Serial Multiple Mediation of Professional Identity, and Psychological Capital in the Relationship Between Work-Related Stress and Work-Related Well-Being of ICU Nurses in China: A Cross-Sectional Questionnaire Survey. Frontiers in psychology, 11, 535634-535634. https://doi.org/10.3389/fpsyg.2020.535634
Hao, Y. (2011). Study of the model of self-education in enhancing the level of professional identity and professional self-efficacy in nurse students The Second Military Medical University].
Hu, L. t., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1-55. https://doi.org/10.1080/10705519909540118
Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., Zhang, L., Fan, G., Xu, J., Gu, X., Cheng, Z., Yu, T., Xia, J., Wei, Y., Wu, W., Xie, X., Yin, W., Li, H., Liu, M., Xiao, Y., Gao, H., Guo, L., Xie, J., Wang, G., Jiang, R., Gao, Z., Jin, Q., Wang, J., & Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet, 395(10223), 497-506. https://doi.org/https://doi.org/10.1016/S0140-6736(20)30183-5
Kotera, S., & Matsuda, N. (2015). The role performance of public health nurses as clinical instructors in Japan. Int Nurs Rev, 62(1), 21-27. https://doi.org/10.1111/inr.12133
Li, H. Y., Cao, H., Leung, D. Y. P., & Mak, Y. W. (2020). The Psychological Impacts of a COVID-19 Outbreak on College Students in China: A Longitudinal Study. International Journal of Environmental Research and Public Health, 17(11). https://doi.org/10.3390/ijerph17113933
Mohammed, S., Peter, E., Killackey, T., & Maciver, J. (2021). The “nurse as hero” discourse in the COVID-19 pandemic: A poststructural discourse analysis. International Journal of Nursing Studies, 117, 103887. https://doi.org/https://doi.org/10.1016/j.ijnurstu.2021.103887
Mustafa, R. M., Alrabadi, N. N., Alshali, R. Z., Khader, Y. S., & Ahmad, D. M. (2020). Knowledge, Attitude, Behavior, and Stress Related to COVID-19 among Undergraduate Health Care Students in Jordan. European journal of dentistry, 14(S 01), S50-S55. https://doi.org/10.1055/s-0040-1719212
Nie, S., Sun, C., Wang, L., & Wang, X. (2021). The Professional Identity of Nursing Students and Their Intention to Leave the Nursing Profession During the Coronavirus Disease (COVID-19) Pandemic. Journal of Nursing Research, 29(2). https://journals.lww.com/jnr-twna/Fulltext/2021/04000/The_Professional_Identity_of_Nursing_Students_and.2.aspx
Pang, L., Liu, S., Zhang, X., Tian, T., & Zhao, Z. (2020). Transmission dynamics and control startegies of COVID-19 in Wuhan, China. Journal of Biological Systems, 28(03), 543-560. https://doi.org/10.1142/s0218339020500096
Philippa, R., Ann, H., Jacqueline, M., & Nicola, A. (2021). Professional identity in nursing: A mixed method research study. Nurse Educ Pract, 52, 103039. https://doi.org/10.1016/j.nepr.2021.103039
Rosenthal, L., Lee, S., Jenkins, P., Arbet, J., Carrington, S., Hoon, S., Purcell, S. K., & Nodine, P. (2021). A Survey of Mental Health in Graduate Nursing Students during the COVID-19 Pandemic. Nurse Educator, 46(4). https://journals.lww.com/nurseeducatoronline/Fulltext/2021/07000/A_Survey_of_Mental_Health_in_Graduate_Nursing.13.aspx
Rossi, S., Cosentino, C., Bettinaglio, G. C., Giovanelli, F., Prandi, C., Pedrotti, P., Preda, D., D'Ercole, A., Sarli, L., & Artioli, G. (2021). Nurse's identity role during Covid-19. Acta Biomed, 92(S2), e2021036. https://doi.org/10.23750/abm.v92iS2.11959
Sabanciogullari, S., & Dogan, S. (2015). Relationship between job satisfaction, professional identity and intention to leave the profession among nurses in Turkey. J Nurs Manag, 23(8), 1076-1085. https://doi.org/10.1111/jonm.12256
State Council Information Office. (2020). Fighting COVID-19: China in Action. http://www.scio.gov.cn/zfbps/32832/Document/1681809/1681809.htm
Sun, L., Gao, Y., Yang, J., Zang, X. Y., & Wang, Y. G. (2016). The impact of professional identity on role stress in nursing students: A cross-sectional study. Int J Nurs Stud, 63, 1-8. https://doi.org/10.1016/j.ijnurstu.2016.08.010
Sun, Q. H., & Su, Y. (2020). Psychological crisis intervention for college students during novel coronavirus infection epidemic. Psychiatry Res, 289, 113043. https://doi.org/10.1016/j.psychres.2020.113043
Sun, Y., Wang, D., Han, Z., Gao, J., Zhu, S., & Zhang, H. (2020). Disease Prevention Knowledge, Anxiety, and Professional Identity during COVID-19 Pandemic in Nursing Students in Zhengzhou, China. J Korean Acad Nurs, 50(4), 533-540. https://doi.org/10.4040/jkan.20125
Swift, A., Banks, L., Baleswaran, A., Cooke, N., Little, C., McGrath, L., Meechan-Rogers, R., Neve, A., Rees, H., Tomlinson, A., & Williams, G. (2020). COVID-19 and student nurses: A view from England. J Clin Nurs, 29(17-18), 3111-3114. https://doi.org/10.1111/jocn.15298
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., McIntyre, R. S., Choo, F. N., Tran, B., Ho, R., Sharma, V. K., & Ho, C. (2020). A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain, Behavior, and Immunity, 87, 40-48. https://doi.org/10.1016/j.bbi.2020.04.028
Wang, L., Yang, Y., Zhu, J., Xie, H., Jiang, C., Zhang, C., Li, J., & Huang, F. (2019). Professional identity and mental health of rural-oriented tuition-waived medical students in Anhui Province, China. BMC medical education, 19(1), 199-199. https://doi.org/10.1186/s12909-019-1603-1
Wang, X., Hegde, S., Son, C., Keller, B., Smith, A., & Sasangohar, F. (2020). Investigating Mental Health of US College Students During the COVID-19 Pandemic: Cross-Sectional Survey Study. Journal of Medical Internet Research, 22, e22817. https://doi.org/10.2196/22817
Wang, Y., & Zhang, B. (2017). IMPACT OF PERSONALITY TRAIT AND PROFESSIONAL IDENTITY ON WORK-RELATED DEPRESSION, ANXIETY AND IRRITATION AMONG CHINESE NURSES. Southeast Asian J Trop Med Public Health, 48(2), 447-454.
Xu, T., & Sattar, U. (2020). Conceptualizing COVID-19 and Public Panic with the Moderating Role of Media Use and Uncertainty in China: An Empirical Framework. Healthcare (Basel), 8(3). https://doi.org/10.3390/healthcare8030249
Zhang, Y. D., Gao, Y. Q., Tang, Y., & Li, Y. H. (2021). The role of workplace social capital on the relationship between perceived stress and professional identity among clinical nurses during the COVID-19 outbreak. Jpn J Nurs Sci, 18(1), e12376. https://doi.org/10.1111/jjns.12376
Zhi, X., Lu, L., Pu, Y., Meng, A., Zhao, Y., Cheng, F., Jiang, J., Xu, J. L., & Zeng, Y. (2020). Investigation and analysis of psychological stress and professional identity of nursing students during COVID-19 pandemic. Indian Journal of Experimental Biology, 58(6).
Derechos de autor 2022 Servicio de Publicaciones, Universidad de Murcia (España)
Esta obra está bajo una licencia internacional Creative Commons Atribución-CompartirIgual 4.0.
Las obras que se publican en esta revista están sujetas a los siguientes términos:
1. El Servicio de Publicaciones de la Universidad de Murcia (la editorial) conserva los derechos patrimoniales (copyright) de las obras publicadas, y favorece y permite la reutilización de las mismas bajo la licencia de uso indicada en el punto 2.
© Servicio de Publicaciones, Universidad de Murcia, 2024
2. Las obras se publican en la edición electrónica de la revista bajo una licencia Creative Commons Reconocimiento-CompartirIgual 4.0 Internacional (texto legal). Se pueden copiar, usar, difundir, transmitir y exponer públicamente, siempre que: i) se cite la autoría y la fuente original de su publicación (revista, editorial y URL de la obra); ii) no se usen para fines comerciales; iii) se mencione la existencia y especificaciones de esta licencia de uso.
3. Condiciones de auto-archivo. Se permite y se anima a los autores a difundir electrónicamente las versiones pre-print (versión antes de ser evaluada y enviada a la revista) y/o post-print (versión evaluada y aceptada para su publicación) de sus obras antes de su publicación, ya que favorece su circulación y difusión más temprana y con ello un posible aumento en su citación y alcance entre la comunidad académica. Color RoMEO: verde.