Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Disease Prevention Knowledge, Anxiety, and Professional Identity during COVID-19 Pandemic in Nursing Students in Zhengzhou, China

  • Sun, Yuyan (School of Nursing, Xinxiang Medical University) ;
  • Wang, Dongyang (School of Health Science, Mae Fah Luang University) ;
  • Han, Ziting (School of Nursing, Xinxiang Medical University) ;
  • Gao, Jie (School of Nursing, Xinxiang Medical University) ;
  • Zhu, Shanshan (School of Nursing, Xinxiang Medical University) ;
  • Zhang, Huimin (School of Nursing, Xinxiang Medical University)
  • Received : 2020.05.13
  • Accepted : 2020.07.27
  • Published : 2020.08.31
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Abstract

Purpose: This study aimed to evaluate nursing students' understanding of the prevention of COVID-19, as well as their anxiety towards the disease and their perception of their professional identity in the wake of the pandemic, in Zhengzhou, China. Methods: A cross-sectional study was designed to investigate 474 nursing students by cluster sampling using a stratified questionnaire from February 15 to March 31, 2020. Multiple linear regression was used to identify the factors affecting professional identity. Binary and multiple logistic regression were used to identify the factors affecting anxiety. Results: Responders with a high level of understanding of COVID-19 and frequent use of behavioral strategies for its prevention comprised 93.2% and 30.0% of the cohort, respectively. Professional identity was significantly associated with gender and anxiety (p < .050). The prevalence of anxiety among nursing students was 12.4%. Male (odds ratio [OR] = 2.39; 95% confidence interval [CI] = 1.26~4.52), sophomores (OR = 5.30; 95% CI = 1.61~7.45), and infrequent use of prevention measures (OR = 3.49; 95% CI = 1.16~5.19) had a significant effect on anxiety. Conclusion: Anxiety during the COVID-19 epidemic gives an adverse effect on the professional identity of nursing in students. Nursing education institutions need to provide psychological counseling services for nursing students, in addition to improving their teaching of COVID-19 prevention strategies.

Keywords

References

  1. World Health Organization (WHO). Coronavirus disease (COVID-19) situation report-155 [Internet]. Geneva: WHO; c2020 [cited 2020 May 1]. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200623-covid-19-sitrep-155.pdf.
  2. Fegert JM, Vitiello B, Plener PL, Clemens V. Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: A narrative review to highlight clinical and research needs in the acute phase and the long return to normality. Child and Adolescent Psychiatry and Mental Health. 2020;14:20. https://doi.org/10.1186/s13034-020-00329-3
  3. Beddoe L. Health social work: Professional identity and knowledge. Qualitative Social Work. 2013;12(1):24-40. https://doi.org/10.1177/1473325011415455
  4. Swift A, Banks L, Baleswaran A, Cooke N, Little C, McGrath L, et al. COVID-19 and student nurses: A view from England. Journal of Clinical Nursing. 2019;29(17-18):3111-3114. https://doi.org/10.1111/jocn.15298
  5. Cervera-Gasch A, Gonzalez-Chorda VM, Mena-Tudela D. COVID-19: Are Spanish medicine and nursing students prepared? Nurse Education Today. 2020;92:104473. https://doi.org/10.1016/j.nedt.2020.104473
  6. Dubey S, Biswas P, Ghosh R, Chatterjee S, Dubey MJ, Chatterjee S, et al. Psychosocial impact of COVID-19. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2020;14(5):779-788. https://doi.org/10.1016/j.dsx.2020.05.035
  7. Stetson GV, Kryzhanovskaya IV, Lomen-Hoerth C, Hauer KE. Professional identity formation in disorienting times. Medical Education. 2020;54(8):765-766. https://doi.org/10.1111/medu.14202
  8. Dunn M, Sheehan M, Hordern J, Turnham HL, Wilkinson D. 'Your country needs you': The ethics of allocating staff to high-risk clinical roles in the management of patients with COVID-19. Journal of Medical Ethics. 2020;46(7):436-440. https://doi.org/10.1136/medethics-2020-106284
  9. Henan Provincial Bureau of Statistics. Health Statistics Yearbook of Henan Province 2019 [Internet]. Beijing: China Statistics Press; c2019 [cited 2020 May 3]. Available from: http://oss.henan.gov.cn/sbgt-wztipt/attachment/hntjj/hntj/lib/tjnj/2019/zk/indexeh.htm.
  10. World Health Organization (WHO). Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected [Internet]. Geneva: WHO; c2020 [cited 2020 May 3]. Available from: https://www.who.int/publications/i/item/10665-331495
  11. Chinese Center for Disease Control and Prevention (China CDC). Personal protection guidelines for specific groups [Internet]. Beijing: China CDC; c2020 [cited 2020 May 3]. Available from: http://www.chinacdc.cn/jkzt/crb/zl/szkb_11803/jszl_11815/202003/W020200309540843093613.pdf.
  12. Adams NE. Bloom's taxonomy of cognitive learning objectives. Journal of the Medical Library Association. 2015;103(3):152-153. https://doi.org/10.3163/1536-5050.103.3.010
  13. Dunstan DA, Scott N. Norms for Zung's self-rating anxiety scale. BMC Psychiatry. 2020;20(1):90. https://doi.org/10.1186/s12888-019-2427-6
  14. Dunstan DA, Scott N, Todd AK. Screening for anxiety and depression: Reassessing the utility of the Zung scales. BMC Psychiatry. 2017;17(1):329. https://doi.org/10.1186/s12888-017-1489-6
  15. Visser CLF, Wilschut JA, Isik U, van der Burgt SME, Croiset G, Kusurkar RA. The Association of Readiness for Interprofessional Learning with empathy, motivation and professional identity development in medical students. BMC Medical Education. 2018;18(1):125. https://doi.org/10.1186/s12909-018-1248-5
  16. Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: Address mental health care to empower society. Lancet. 2020;395(10224):e37-e38. https://doi.org/10.1016/S0140-6736(20)30309-3
  17. Zhao S, Zhuang Z, Ran J, Lin J, Yang G, Yang L, et al. The association between domestic train transportation and novel coronavirus (2019-nCoV) outbreak in China from 2019 to 2020: A data-driven correlational report. Travel Medicine and Infectious Disease. 2020;33:101568. https://doi.org/10.1016/j.tmaid.2020.101568
  18. Bloom DE, Cadarette D. Infectious disease threats in the twenty-first century: Strengthening the global response. Frontiers in Immunology. 2019;10:549. https://doi.org/10.3389/fimmu.2019.00549
  19. Chesbrough H. To recover faster from Covid-19, open up: Managerial implications from an open innovation perspective. Industrial Marketing Management. 2020;88:410-413. https://doi.org/10.1016/j.indmarman.2020.04.010
  20. Utunen H, Ndiaye N, Piroux C, George R, Attias M, Gamhewage G. Global reach of an online COVID-19 course in multiple languages on OpenWHO in the first quarter of 2020: Analysis of platform use data. Journal of Medical Internet Research. 2020;22(4):e19076. https://doi.org/10.2196/19076
  21. Clements JM. Knowledge and behaviors toward COVID-19 among US residents during the early days of the pandemic: Cross-sectional online questionnaire. JMIR Public Health and Surveillance. 2020;6(2):e19161. https://doi.org/10.2196/19161
  22. Taghrir MH, Borazjani R, Shiraly R. COVID-19 and Iranian medical students; a survey on their related-knowledge, preventive behaviors and risk perception. Archives of Iranian Medicine. 2020;23(4):249-254. https://doi.org/10.34172/aim.2020.06
  23. Monrouxe LV, Bullock A, Tseng HM, Wells SE. Association of professional identity, gender, team understanding, anxiety and workplace learning alignment with burnout in junior doctors: A longitudinal cohort study. BMJ Open. 2017;7(12):e017942. https://doi.org/10.1136/bmjopen-2017-017942
  24. Worthington M, Salamonson Y, Weaver R, Cleary M. Predictive validity of the Macleod Clark Professional Identity Scale for undergraduate nursing students. Nurse Education Today. 2013;33(3):187-191. https://doi.org/10.1016/j.nedt.2012.01.012
  25. Villeneuve P, Heale R, Rietze L, Carter L. Exploring self-perceptions of anxiety among nursing students in the clinical setting and select demographics. International Journal of Nursing Education Scholarship. 2018;15(1):20170042. https://doi.org/10.1515/ijnes-20170042
  26. Hill MR, Goicochea S, Merlo LJ. In their own words: Stressors facing medical students in the millennial generation. Medical Education Online. 2018;23(1):1530558. https://doi.org/10.1080/10872981.2018.1530558
  27. Albert PR. Why is depression more prevalent in women? Journal of Psychiatry & Neuroscience. 2015;40(4):219-221. https://doi.org/10.1503/jpn.150205
  28. Jiang CX, Li ZZ, Chen P, Chen LZ. Prevalence of depression among college-goers in mainland China: A methodical evaluation and meta-analysis. Medicine. 2015;94(50):e2071. https://doi.org/10.1097/MD.0000000000002071
  29. Affleck W, Carmichael V, Whitley R. Men's mental health: Social determinants and implications for services. The Canadian Journal of Psychiatry. 2018;63(9):581-589. https://doi.org/10.1177/0706743718762388

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