Paper Presentation III
Addressing the Affective Outcomes in Nursing Higher Education: The Association between Resilience, Perceived Stress and Career Awareness
Authors: Sam S S LAU & Kelvin WAN
School of Continuing Education,Hong Kong Baptist University
Purpose of the study
Evidence from previous studies demonstrated the effects of affective outcomes such as resilience, and professional identity are beneficial to improve job burnout rate and reduce the likelihood of medical malpractice among healthcare professionals. While the institutions nowadays keep refining their clinical training for students, there are also strong wishes to offer psychological supervision for professional-in-training before they enter the labor market particularly during the pandemic of COVID-19. This study aims to investigate the early relationship between perceived stress, career anxiety, resilience, and occupational identity among freshmen in nursing education field.
Method
This study adopted a cross-sectional observational design. A total of 131 nursing freshmen from the intakes of 2019/20 and 2020/21 was invited to complete a questionnaire to report their Perceived Stress, Resilience, Career Anxiety, and Occupational Identity at the orientation days at a university in Hong Kong. A path model was built for examining the associations.
Results
The path model revealed an excellent fit (χ2 = 10.503, df = 10, p = .398, GFI = .979, AGFI = .941, CFI = .998, IFI = .998, RMSEA = 0.020, SRMR = 0.041). The effects of Resilience (γ = -.291, t = -3.119, p < .01), and the effects of Perceived Stress (γ = .267, t = 2.865, p < .01) significantly predicted Career Anxiety. Career Anxiety contributed significant direct effects on Identity Achievement (β = -.447, t = -5.413, p < .0001), Identity Moratorium (β = .479, t = 6.619, p < .0001) and Identity Diffusion (β = .304, t = 3.822, p < .0001). Resilience and Perceived Stress also contributed to small indirect effects on Identity Achievement and Identity Moratorium.
Conclusions & Implications
The findings revealed that Career anxiety, Perceived Stress, and Resilience are the influences to articulate students’ occupational identities. Apart from educating students with the necessary clinical skills, practitioners should consider enhancing students’ resilience, as well as reducing their career anxiety for fostering a positive professional identity. It is expected that a nurse equipping with professional identity could therefore build up a positive work-engagement and intrapersonal development for maintaining high-quality care to patients with positive values and life goals. Future study investigating how early education on resilience, stress management, and professional identity formation affect students’ burnout rate and performance during clinical practicum is warranted.
Keywords
Occupational identity, perceived stress, resilience, career anxiety, nursing education