Clinical internship environment and caring behaviours among nursing students: A moderated mediation model
Background Caring behaviour is critical for nursing quality, and the clinical internship environment is a crucial setting for preparing nursing students for caring behaviours. Evidence about how to develop nursing students’ caring behaviour in the clinical environment is still emerging. However, the...
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| Veröffentlicht in: | Nursing ethics 2024-12, Vol.31 (8), p.1481-1498 |
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| creator | Huang, Zhuo-er Qiu, Xing Fu, Ya-qian Zhang, Ai-di Huang, Hui Liu, Jia Yan, Jin Yi, Qi-Feng |
| description | Background
Caring behaviour is critical for nursing quality, and the clinical internship environment is a crucial setting for preparing nursing students for caring behaviours. Evidence about how to develop nursing students’ caring behaviour in the clinical environment is still emerging. However, the mechanism between the clinical internship environment and caring behaviour remains unclear, especially the mediating role of moral sensitivity and the moderating effect of self-efficacy.
Research objective
This study aimed to examine the mediating effect of moral sensitivity and the moderating function of self-efficacy on the association between the clinical internship environment and caring behaviours.
Research design
A cross-sectional design used acceptable validity scales. The hypothesised moderated mediation model was tested in the SPSS PROCESS macro.
Participants and research context
This survey collected data from 504 nursing students in an internship at a teaching hospital in Changsha, China.
Ethical considerations
This study was pre-approved by the ethics committee of the medical school (No. E2022210). Informed consent was obtained from all students.
Results
The clinical internship environment (B = 0.450, 95% CI = [0.371, 0.530]) and moral sensitivity (B = 1.352, 95% CI = [1.090, 1.615]) had positive direct effects on nursing students' caring behaviours. Clinical internship environment also indirectly influenced students’ caring behaviours via moral sensitivity (B = 0.161, 95% CI = [0.115, 0.206]). In addition, self-efficacy played a moderating role between the clinical internship environment and caring behaviours (B = 0.019, 95% CI = [0.007, 0.031]), as well as the relationship between the clinical internship environment and moral sensitivity (B = 0.006, 95% CI = [0.003, 0.010]).
Conclusion
Moral sensitivity mediates the effect of the clinical internship environment on caring behaviour, and self-efficacy strengthens both direct and indirect effects. This study emphasises the importance of self-efficacy in developing moral sensitivity and caring behaviours in nursing students. |
| doi_str_mv | 10.1177/09697330231225393 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2932937913</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_09697330231225393</sage_id><sourcerecordid>2932937913</sourcerecordid><originalsourceid>FETCH-LOGICAL-c320t-9b15222cb1d983aeb7666d912da47264e4bc6d33aa5d7dc00a2ed771622c3d753</originalsourceid><addsrcrecordid>eNp1kd9LwzAQx4Mobk7_AF8k4IsvnUmubRrfZPgLBr7oc0mbbMtok5m0A_97UzcVFCFw4e7z_SZ3h9A5JVNKOb8mIhccgDCgjGUg4ACNacp5QkQhDtF4qCcDMEInIawJIZwV_BiNoEhpyqgYIzNrjDW1bLCxnfY2rMwGa7s13tlW2w5Lq3AtvbFLXOmV3BrX-4Bl62LCxutQCF2vIhtu8C1undJedlrhVisjO-PsZ645RUcL2QR9to8T9Hp_9zJ7TObPD0-z23lSAyNdIiqaMcbqiipRgNQVz_NcCcqUTDnLU51Wda4ApMwUVzUhkmnFOc2jBhTPYIKudr4b7956HbqyNaHWTSOtdn0omYB4uKAQ0ctf6Dp2Z-PvSqBAs5QUUESK7qjauxC8XpQbb1rp30tKymEP5Z89RM3F3rmv4hy-FV-Dj8B0BwS51D_P_u_4AYmDkGc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3131540838</pqid></control><display><type>article</type><title>Clinical internship environment and caring behaviours among nursing students: A moderated mediation model</title><source>MEDLINE</source><source>SAGE Complete</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Huang, Zhuo-er ; Qiu, Xing ; Fu, Ya-qian ; Zhang, Ai-di ; Huang, Hui ; Liu, Jia ; Yan, Jin ; Yi, Qi-Feng</creator><creatorcontrib>Huang, Zhuo-er ; Qiu, Xing ; Fu, Ya-qian ; Zhang, Ai-di ; Huang, Hui ; Liu, Jia ; Yan, Jin ; Yi, Qi-Feng</creatorcontrib><description>Background
Caring behaviour is critical for nursing quality, and the clinical internship environment is a crucial setting for preparing nursing students for caring behaviours. Evidence about how to develop nursing students’ caring behaviour in the clinical environment is still emerging. However, the mechanism between the clinical internship environment and caring behaviour remains unclear, especially the mediating role of moral sensitivity and the moderating effect of self-efficacy.
Research objective
This study aimed to examine the mediating effect of moral sensitivity and the moderating function of self-efficacy on the association between the clinical internship environment and caring behaviours.
Research design
A cross-sectional design used acceptable validity scales. The hypothesised moderated mediation model was tested in the SPSS PROCESS macro.
Participants and research context
This survey collected data from 504 nursing students in an internship at a teaching hospital in Changsha, China.
Ethical considerations
This study was pre-approved by the ethics committee of the medical school (No. E2022210). Informed consent was obtained from all students.
Results
The clinical internship environment (B = 0.450, 95% CI = [0.371, 0.530]) and moral sensitivity (B = 1.352, 95% CI = [1.090, 1.615]) had positive direct effects on nursing students' caring behaviours. Clinical internship environment also indirectly influenced students’ caring behaviours via moral sensitivity (B = 0.161, 95% CI = [0.115, 0.206]). In addition, self-efficacy played a moderating role between the clinical internship environment and caring behaviours (B = 0.019, 95% CI = [0.007, 0.031]), as well as the relationship between the clinical internship environment and moral sensitivity (B = 0.006, 95% CI = [0.003, 0.010]).
Conclusion
Moral sensitivity mediates the effect of the clinical internship environment on caring behaviour, and self-efficacy strengthens both direct and indirect effects. This study emphasises the importance of self-efficacy in developing moral sensitivity and caring behaviours in nursing students.</description><identifier>ISSN: 0969-7330</identifier><identifier>ISSN: 1477-0989</identifier><identifier>EISSN: 1477-0989</identifier><identifier>DOI: 10.1177/09697330231225393</identifier><identifier>PMID: 38414219</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Behavior ; Caregiving ; China ; Clinical nursing ; Cross-Sectional Studies ; Education, Nursing, Baccalaureate - methods ; Education, Nursing, Baccalaureate - standards ; Education, Nursing, Baccalaureate - statistics & numerical data ; Empathy ; Ethics ; Female ; Humans ; Indirect effects ; Informed consent ; Internship and Residency - methods ; Internship and Residency - standards ; Internship and Residency - statistics & numerical data ; Internships ; Male ; Medical schools ; Morality ; Nursing care ; Nursing education ; Self Efficacy ; Students ; Students, Nursing - psychology ; Students, Nursing - statistics & numerical data ; Surveys and Questionnaires ; Teaching ; Young Adult</subject><ispartof>Nursing ethics, 2024-12, Vol.31 (8), p.1481-1498</ispartof><rights>The Author(s) 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c320t-9b15222cb1d983aeb7666d912da47264e4bc6d33aa5d7dc00a2ed771622c3d753</cites><orcidid>0000-0002-7542-4452</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/09697330231225393$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/09697330231225393$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,30978,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38414219$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Zhuo-er</creatorcontrib><creatorcontrib>Qiu, Xing</creatorcontrib><creatorcontrib>Fu, Ya-qian</creatorcontrib><creatorcontrib>Zhang, Ai-di</creatorcontrib><creatorcontrib>Huang, Hui</creatorcontrib><creatorcontrib>Liu, Jia</creatorcontrib><creatorcontrib>Yan, Jin</creatorcontrib><creatorcontrib>Yi, Qi-Feng</creatorcontrib><title>Clinical internship environment and caring behaviours among nursing students: A moderated mediation model</title><title>Nursing ethics</title><addtitle>Nurs Ethics</addtitle><description>Background
Caring behaviour is critical for nursing quality, and the clinical internship environment is a crucial setting for preparing nursing students for caring behaviours. Evidence about how to develop nursing students’ caring behaviour in the clinical environment is still emerging. However, the mechanism between the clinical internship environment and caring behaviour remains unclear, especially the mediating role of moral sensitivity and the moderating effect of self-efficacy.
Research objective
This study aimed to examine the mediating effect of moral sensitivity and the moderating function of self-efficacy on the association between the clinical internship environment and caring behaviours.
Research design
A cross-sectional design used acceptable validity scales. The hypothesised moderated mediation model was tested in the SPSS PROCESS macro.
Participants and research context
This survey collected data from 504 nursing students in an internship at a teaching hospital in Changsha, China.
Ethical considerations
This study was pre-approved by the ethics committee of the medical school (No. E2022210). Informed consent was obtained from all students.
Results
The clinical internship environment (B = 0.450, 95% CI = [0.371, 0.530]) and moral sensitivity (B = 1.352, 95% CI = [1.090, 1.615]) had positive direct effects on nursing students' caring behaviours. Clinical internship environment also indirectly influenced students’ caring behaviours via moral sensitivity (B = 0.161, 95% CI = [0.115, 0.206]). In addition, self-efficacy played a moderating role between the clinical internship environment and caring behaviours (B = 0.019, 95% CI = [0.007, 0.031]), as well as the relationship between the clinical internship environment and moral sensitivity (B = 0.006, 95% CI = [0.003, 0.010]).
Conclusion
Moral sensitivity mediates the effect of the clinical internship environment on caring behaviour, and self-efficacy strengthens both direct and indirect effects. This study emphasises the importance of self-efficacy in developing moral sensitivity and caring behaviours in nursing students.</description><subject>Adult</subject><subject>Behavior</subject><subject>Caregiving</subject><subject>China</subject><subject>Clinical nursing</subject><subject>Cross-Sectional Studies</subject><subject>Education, Nursing, Baccalaureate - methods</subject><subject>Education, Nursing, Baccalaureate - standards</subject><subject>Education, Nursing, Baccalaureate - statistics & numerical data</subject><subject>Empathy</subject><subject>Ethics</subject><subject>Female</subject><subject>Humans</subject><subject>Indirect effects</subject><subject>Informed consent</subject><subject>Internship and Residency - methods</subject><subject>Internship and Residency - standards</subject><subject>Internship and Residency - statistics & numerical data</subject><subject>Internships</subject><subject>Male</subject><subject>Medical schools</subject><subject>Morality</subject><subject>Nursing care</subject><subject>Nursing education</subject><subject>Self Efficacy</subject><subject>Students</subject><subject>Students, Nursing - psychology</subject><subject>Students, Nursing - statistics & numerical data</subject><subject>Surveys and Questionnaires</subject><subject>Teaching</subject><subject>Young Adult</subject><issn>0969-7330</issn><issn>1477-0989</issn><issn>1477-0989</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kd9LwzAQx4Mobk7_AF8k4IsvnUmubRrfZPgLBr7oc0mbbMtok5m0A_97UzcVFCFw4e7z_SZ3h9A5JVNKOb8mIhccgDCgjGUg4ACNacp5QkQhDtF4qCcDMEInIawJIZwV_BiNoEhpyqgYIzNrjDW1bLCxnfY2rMwGa7s13tlW2w5Lq3AtvbFLXOmV3BrX-4Bl62LCxutQCF2vIhtu8C1undJedlrhVisjO-PsZ645RUcL2QR9to8T9Hp_9zJ7TObPD0-z23lSAyNdIiqaMcbqiipRgNQVz_NcCcqUTDnLU51Wda4ApMwUVzUhkmnFOc2jBhTPYIKudr4b7956HbqyNaHWTSOtdn0omYB4uKAQ0ctf6Dp2Z-PvSqBAs5QUUESK7qjauxC8XpQbb1rp30tKymEP5Z89RM3F3rmv4hy-FV-Dj8B0BwS51D_P_u_4AYmDkGc</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Huang, Zhuo-er</creator><creator>Qiu, Xing</creator><creator>Fu, Ya-qian</creator><creator>Zhang, Ai-di</creator><creator>Huang, Hui</creator><creator>Liu, Jia</creator><creator>Yan, Jin</creator><creator>Yi, Qi-Feng</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7542-4452</orcidid></search><sort><creationdate>20241201</creationdate><title>Clinical internship environment and caring behaviours among nursing students: A moderated mediation model</title><author>Huang, Zhuo-er ; Qiu, Xing ; Fu, Ya-qian ; Zhang, Ai-di ; Huang, Hui ; Liu, Jia ; Yan, Jin ; Yi, Qi-Feng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c320t-9b15222cb1d983aeb7666d912da47264e4bc6d33aa5d7dc00a2ed771622c3d753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Behavior</topic><topic>Caregiving</topic><topic>China</topic><topic>Clinical nursing</topic><topic>Cross-Sectional Studies</topic><topic>Education, Nursing, Baccalaureate - methods</topic><topic>Education, Nursing, Baccalaureate - standards</topic><topic>Education, Nursing, Baccalaureate - statistics & numerical data</topic><topic>Empathy</topic><topic>Ethics</topic><topic>Female</topic><topic>Humans</topic><topic>Indirect effects</topic><topic>Informed consent</topic><topic>Internship and Residency - methods</topic><topic>Internship and Residency - standards</topic><topic>Internship and Residency - statistics & numerical data</topic><topic>Internships</topic><topic>Male</topic><topic>Medical schools</topic><topic>Morality</topic><topic>Nursing care</topic><topic>Nursing education</topic><topic>Self Efficacy</topic><topic>Students</topic><topic>Students, Nursing - psychology</topic><topic>Students, Nursing - statistics & numerical data</topic><topic>Surveys and Questionnaires</topic><topic>Teaching</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huang, Zhuo-er</creatorcontrib><creatorcontrib>Qiu, Xing</creatorcontrib><creatorcontrib>Fu, Ya-qian</creatorcontrib><creatorcontrib>Zhang, Ai-di</creatorcontrib><creatorcontrib>Huang, Hui</creatorcontrib><creatorcontrib>Liu, Jia</creatorcontrib><creatorcontrib>Yan, Jin</creatorcontrib><creatorcontrib>Yi, Qi-Feng</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Nursing ethics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Zhuo-er</au><au>Qiu, Xing</au><au>Fu, Ya-qian</au><au>Zhang, Ai-di</au><au>Huang, Hui</au><au>Liu, Jia</au><au>Yan, Jin</au><au>Yi, Qi-Feng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical internship environment and caring behaviours among nursing students: A moderated mediation model</atitle><jtitle>Nursing ethics</jtitle><addtitle>Nurs Ethics</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>31</volume><issue>8</issue><spage>1481</spage><epage>1498</epage><pages>1481-1498</pages><issn>0969-7330</issn><issn>1477-0989</issn><eissn>1477-0989</eissn><abstract>Background
Caring behaviour is critical for nursing quality, and the clinical internship environment is a crucial setting for preparing nursing students for caring behaviours. Evidence about how to develop nursing students’ caring behaviour in the clinical environment is still emerging. However, the mechanism between the clinical internship environment and caring behaviour remains unclear, especially the mediating role of moral sensitivity and the moderating effect of self-efficacy.
Research objective
This study aimed to examine the mediating effect of moral sensitivity and the moderating function of self-efficacy on the association between the clinical internship environment and caring behaviours.
Research design
A cross-sectional design used acceptable validity scales. The hypothesised moderated mediation model was tested in the SPSS PROCESS macro.
Participants and research context
This survey collected data from 504 nursing students in an internship at a teaching hospital in Changsha, China.
Ethical considerations
This study was pre-approved by the ethics committee of the medical school (No. E2022210). Informed consent was obtained from all students.
Results
The clinical internship environment (B = 0.450, 95% CI = [0.371, 0.530]) and moral sensitivity (B = 1.352, 95% CI = [1.090, 1.615]) had positive direct effects on nursing students' caring behaviours. Clinical internship environment also indirectly influenced students’ caring behaviours via moral sensitivity (B = 0.161, 95% CI = [0.115, 0.206]). In addition, self-efficacy played a moderating role between the clinical internship environment and caring behaviours (B = 0.019, 95% CI = [0.007, 0.031]), as well as the relationship between the clinical internship environment and moral sensitivity (B = 0.006, 95% CI = [0.003, 0.010]).
Conclusion
Moral sensitivity mediates the effect of the clinical internship environment on caring behaviour, and self-efficacy strengthens both direct and indirect effects. This study emphasises the importance of self-efficacy in developing moral sensitivity and caring behaviours in nursing students.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>38414219</pmid><doi>10.1177/09697330231225393</doi><tpages>18</tpages><orcidid>https://orcid.org/0000-0002-7542-4452</orcidid></addata></record> |
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| ispartof | Nursing ethics, 2024-12, Vol.31 (8), p.1481-1498 |
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| subjects | Adult Behavior Caregiving China Clinical nursing Cross-Sectional Studies Education, Nursing, Baccalaureate - methods Education, Nursing, Baccalaureate - standards Education, Nursing, Baccalaureate - statistics & numerical data Empathy Ethics Female Humans Indirect effects Informed consent Internship and Residency - methods Internship and Residency - standards Internship and Residency - statistics & numerical data Internships Male Medical schools Morality Nursing care Nursing education Self Efficacy Students Students, Nursing - psychology Students, Nursing - statistics & numerical data Surveys and Questionnaires Teaching Young Adult |
| title | Clinical internship environment and caring behaviours among nursing students: A moderated mediation model |
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