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Wang K, Yang X, Han Z, Li K, Yu Y, Mao Z, Li R, Yu Y, Zhang Z, Huang Y, Ding J, Chen H, Chen F. Professional identity among forensic medicine students: a cross-sectional study in Jiangsu Province, East China. BMC MEDICAL EDUCATION 2025; 25:786. [PMID: 40426126 PMCID: PMC12117931 DOI: 10.1186/s12909-025-07387-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/28/2024] [Accepted: 05/21/2025] [Indexed: 05/29/2025]
Abstract
BACKGROUND Exploring the impact of professional identity on the academic performance of students is crucial for improving teaching effectiveness and educational outcomes in this field. Forensic medicine is a niche interdisciplinary discipline in the medical system. However, current educational literature on professional identity development does not adequately address forensic medicine students. AIM This study aimed to assess the professional identity among forensic medicine students, explore factors associated with professional identity, and determine the role of professional identity in shaping students' learning engagement and their subsequent academic achievements. METHODS A cross-sectional study was executed for forensic medicine students from a medical university in Jiangsu Province, East China between November and December 2023. Using the method of cluster sampling, 159 undergraduates majoring in forensic medicine were investigated. Data were collected using the demographic questionnaire, and the scales of professional identity, learning engagement, and academic achievement. Linear regression was used to explore professional identity-associated factors. Pearson correlation and mediation analysis were used to analyze the relationship between professional identity, learning engagement, and academic achievement. RESULTS The mean score of professional identity was 3.85. Grade (senior: β = 0.353, P = 0.004; fifth-year: β = 0.392, P = 0.001), student leader experience (β = 0.157, P = 0.037), specialty selection (major assignment: β=-0.215, P = 0.014), knowledge of the specialty before enrollment (β = 0.095, P = 0.033), and current knowledge of the specialty (β = 0.245, P = 0.000) were the statistically significant factors influencing professional identity. Professional identity, learning engagement, and academic achievement were positively correlated (P < 0.001). Learning engagement played an intermediate role between professional identity and academic achievement, accounting for 49.445% of the total effect. CONCLUSION These findings highlight the pivotal role of professional identity as a strategic mechanism for improving academic achievement in forensic medicine education, with learning engagement serving as the primary mediating factor. As a multifaceted and evolving construct, professional identity is shaped by an interplay of personal, specialty and perception factors. Generating awareness and taking measures among forensic educators to enhance students' professional identity across stages may be crucial for promoting the quality of forensic talent training.
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Affiliation(s)
- Kang Wang
- Department of Forensic Medicine, Nanjing Medical University, Nanjing, 211166, China
| | - Xiaowen Yang
- Nanjing Medical University Library, Nanjing, 211166, China
| | - Zixin Han
- School of Health Policy & Management, Nanjing Medical University, Nanjing, 211166, China
| | - Kai Li
- Department of Forensic Medicine, Nanjing Medical University, Nanjing, 211166, China
| | - Youjia Yu
- Department of Forensic Medicine, Nanjing Medical University, Nanjing, 211166, China
| | - Zhengsheng Mao
- Department of Forensic Medicine, Nanjing Medical University, Nanjing, 211166, China
| | - Rong Li
- Department of Forensic Medicine, Nanjing Medical University, Nanjing, 211166, China
| | - Yanfang Yu
- Department of Forensic Medicine, Nanjing Medical University, Nanjing, 211166, China
| | - Zhiwei Zhang
- Department of Forensic Medicine, Nanjing Medical University, Nanjing, 211166, China
| | - Yining Huang
- College of Journalism and Communication, Central China Normal University, Wuhan, 430079, China
| | - Jingjing Ding
- Institution of Medical Education Research, Nanjing Medical University, Nanjing, 211166, Jiangsu, China.
| | - Haihong Chen
- School of Health Policy & Management, Nanjing Medical University, Nanjing, 211166, China.
| | - Feng Chen
- Department of Forensic Medicine, Nanjing Medical University, Nanjing, 211166, China.
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Shi X, Wu Y, Cao F, Wang X, Du K, Zang S. The effect of loneliness on interpersonal sensitivity among nursing undergraduates: a chain mediation role of problematic internet use and bedtime procrastination. BMC Nurs 2024; 23:642. [PMID: 39256718 PMCID: PMC11389479 DOI: 10.1186/s12912-024-02321-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Accepted: 09/03/2024] [Indexed: 09/12/2024] Open
Abstract
BACKGROUND Loneliness was associated with interpersonal sensitivity, but the factors contributing to this relationship in nursing students remain unclear. This study investigated the relationship between loneliness and interpersonal sensitivity among nursing undergraduates, with a specific focus on the mediating roles played by problematic internet use and bedtime procrastination. METHOD This study was conducted as a cross-sectional survey at a university in China between November and December 2022. Data were collected using a self-administered online questionnaire that included demographic characteristics, the Three-Item Loneliness Scale (T-ILS), the Chinese Version of Short Form of Interpersonal Sensitivity Measure (IPSM-CS), the 6-item short form of the Problematic Internet Use Questionnaire (PIUQ-SF-6), and the Bedtime Procrastination Scale (BPS). Pearson correlation analysis was employed to explore the relationships among loneliness, interpersonal sensitivity, problematic internet use, and bedtime procrastination. Structural equation modeling (SEM) was conducted using AMOS software to examine the mediating role of problematic internet use and bedtime procrastination between loneliness and interpersonal sensitivity. RESULTS Loneliness was positively related to interpersonal sensitivity among nursing undergraduates (β = 0.44, P < 0.001). There was a significant chain mediation role of problematic internet use and bedtime procrastination in the relationship between loneliness and interpersonal sensitivity. CONCLUSIONS The study contributed to deepening the understanding of the relationship between loneliness and interpersonal sensitivity and provided valuable insights into the improvement of interpersonal sensitivity in nursing undergraduates.
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Affiliation(s)
- Xinji Shi
- Department of Community Nursing, School of Nursing, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning Province, China
| | - Yibo Wu
- School of Public Health, Peking University, No.38 Xueyuan Road, Haidian District, Beijing, 100191, China
| | - Fukai Cao
- Jitang College of North China University of Science and Technology, No.21 Bohai Avenue, Caofeidian District, Tangshan City, 063210, Hebei Province, China
| | - Xue Wang
- Department of Community Nursing, School of Nursing, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning Province, China
| | - Kunshuo Du
- Department of Community Nursing, School of Nursing, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning Province, China
| | - Shuang Zang
- Department of Community Nursing, School of Nursing, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning Province, China.
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Alshammari TK, Rogowska AM, Basharahil RF, Alomar SF, Alseraye SS, Al Juffali LA, Alrasheed NM, Alshammari MA. Examining bedtime procrastination, study engagement, and studyholism in undergraduate students, and their association with insomnia. Front Psychol 2023; 13:1111038. [PMID: 36733877 PMCID: PMC9886684 DOI: 10.3389/fpsyg.2022.1111038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 12/29/2022] [Indexed: 01/18/2023] Open
Abstract
Introduction Compulsive overstudying, known as studyholism, is an emerging behavioral addiction. In this study, we examine the prevalence of, and the relationships between, insomnia, study engagement, studyholism, bedtime procrastination among undergraduate students. Methods The Studyholism (SI-10), Athens Insomnia (AIS), and bedtime procrastination scales were administered to a convenience sample of 495 university students. Results Our findings indicate that the prevalence of insomnia was 75.31%, high studyholism was found in 15.31% of the sample, and increased study engagement was detected in 16.94%. Gender differences analysis revealed that females reported higher studyholism and bedtime procrastination than males. Fifth-year students had higher levels of studyholism than internship (p < 0.001), first-year (p < 0.01), and sixth-year students (p < 0.05). Insomnia was positively related to studyholism and bedtime procrastination. Furthermore, insomnia can be positively predicted by studyholism and bedtime procrastination. Participants with a medium level of studyholism were twice as likely to experience insomnia as those with a low level. Studyholics were six times more susceptible to insomnia than students with low studyholism levels. Compared to individuals with low bedtime procrastination levels, those with medium and high bedtime procrastination were twice as likely to report insomnia. Conclusion Our study highlights the interplay between insomnia, studyholism, and bedtime procrastination. Further, the findings indicate the need to increase awareness of insomnia.
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Affiliation(s)
- Tahani K. Alshammari
- Department of Pharmacology and Toxicology, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia,*Correspondence: Tahani K. Alshammari,
| | | | | | | | - Sarah S. Alseraye
- Department of Clinical Pharmacy, King Fahad Medical City, Ministry of Health, Riyadh, Saudi Arabia
| | - Lobna A. Al Juffali
- Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia
| | - Nouf M. Alrasheed
- Department of Pharmacology and Toxicology, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia
| | - Musaad A. Alshammari
- Department of Pharmacology and Toxicology, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia
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Yuhuan Z, Pengyue Z, Dong C, Qichao N, Dong P, Anqi S, Hongbo J, Zhixin D. The association between academic stress, social support, and self-regulatory fatigue among nursing students: a cross-sectional study based on a structural equation modelling approach. BMC MEDICAL EDUCATION 2022; 22:789. [PMID: 36376814 PMCID: PMC9664672 DOI: 10.1186/s12909-022-03829-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/26/2022] [Accepted: 10/21/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND Emphasizes the state of academic stress, social support, and self-regulatory fatigue on the physical and mental development of Chinese nursing students, the purpose of this study was to investigate the relationship between these variables and the mediating role of social support in academic stress and self-regulatory fatigue among a group of undergraduate nursing students in Heilongjiang Province, China, in order to provide a theoretical basis for working to reduce nursing students' self-regulatory fatigue. METHODS In this cross-sectional study, 1703 nursing students from various academic years completed the scales of social support, academic stress, and self-regulatory fatigue. In the end, there were 797 valid questionnaires, for a recovery rate of 46.80%. For statistical analysis, the independent t-test, Kruskal Wallis test, and Pearson correlation coefficient were used. In addition, we undertake analyses using structural equation modeling. RESULTS The bulk of nursing students, or 81.4%, are between the ages of 19 and 21. Eighty percent were females. The bulk (93.0%) was comprised of freshmen. Academic stress, social support, and self-regulatory fatigue had total scores of 111.28 ± 29.38, 37.87 ± 6.70, and 45.53 ± 5.55,respectively. Academic stress was correlated with social support and self-regulatory fatigue (all p < 0.001). Social support was an intermediate variable (p < 0.001), with an intermediate effect value of 0.122, representing 32.35% of the total effect. CONCLUSION Academic pressure is associated with an increase in self-regulatory fatigue, mediated by social support. Educational administrators should pay attention to the social support and resource supplement of nursing students, the adjustment and compensatory development of nursing students' physical and mental resources, the advancement of nursing students' internal resource adjustment, and the reduction of their self-regulatory fatigue.
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Affiliation(s)
- Zhang Yuhuan
- The Second Affiliated Hospital of Harbin Medical University, Student Department, Internship Researcher, 246 Xuefu Road, Heilongjiang Province Harbin, 150086 China
| | - Zheng Pengyue
- Heilongjiang University of Chinese Medicine, 24 Heping Road, Harbin, Heilongjiang Province 150040 China
| | - Chen Dong
- Heilongjiang Nursing College, Advanced Practice Nurse, Comprehensive Department of Nursing Education and Research, 209 Xuefu Road, Harbin, Heilongjiang Province 150086 China
| | - Niu Qichao
- Student Department, the Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, Harbin, Heilongjiang Province 150086 China
| | - Pang Dong
- Department of Neurology, The Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, Harbin, Heilongjiang Province 150086 China
| | - Song Anqi
- Student Department, the Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, Harbin, Heilongjiang Province 150086 China
| | - Jiang Hongbo
- Student Department, the Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, Harbin, Heilongjiang Province 150086 China
| | - Di Zhixin
- Department of Ultrasound Medicine, The Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, Harbin, Heilongjiang Province 150086 China
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