ArticleBMC nursing2024
The relationship between reflective ability and professional identity: the mediating effect of self-directed learning and self-efficacy for junior clinical nurses.
Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- The effect of ARCS motivational model-based education on nursing students' communication skills, learning motivation, and self-efficacy: a mixed-methods randomized controlled intervention study.BMC medical education · 2026Trial
- Professional identity formation of family medicine residents in Singapore: a qualitative study to identify influencing factors.Annals of medicine · 2026Article
- A tiered training program for emergency nurses' core competencies based on Kolb's Experiential Learning Cycle: A Delphi study.BMC nursing · 2026Article
- Not all reflection is equal: Reflective practice, not self-reflection, correlates with Indonesian medical students' professional identity formation.Medical education · 2026Article
- Designing a Web-Based Case Repository for Values Education in Early Clinical Exposure: A Conceptual Framework and Development Blueprint.Paediatric anaesthesia · 2026Article
- Learning journeys and identity transformation of foreign undergraduate nursing students in China: a journey mapping study.BMC medical education · 2026Article
- Self-transcendence and professional identity among undergraduate nursing students: a moderated mediation model of learning engagement and career self-efficacy.BMC psychology · 2026Article
- Mediating role of job insecurity and professional identity in the relationship between internet self-efficacy and job satisfaction among young employees in new employment forms.Scientific reports · 2026Article
- Longitudinal study on professional identity and future self-continuity of undergraduate nursing students.BMC psychology · 2026Article
- Perceived Managerial Care, Feedback-Seeking Behavior, and Reflective Ability in New Nurses: A Three-Wave Longitudinal Mediation Study.Journal of nursing management · 2026Article
- Workplace violence, psychological capital, and professional identity among Chinese nursing interns: a latent profile and mediation analysis.Frontiers in public health · 2026Article
- Latent profile analysis of self-efficacy in information security and positive coping level among nursing students: a multicenter cross-sectional study in China.Frontiers in psychology · 2026Article
- The relationship between workplace bullying and adaptive performance in junior nurses: the mediating role of emotion regulation and work engagement.Frontiers in public health · 2026Article
- Organizational Climate, Evidence-Based Nursing Competence, and Professional Identity Among Clinical Nurses: A Multicenter Cross-Sectional Study Using Mediation and Latent Profile Analyses.Journal of multidisciplinary healthcare · 2026Article
- Burnout in Transition: A Qualitative Study of Nursing Interns' Experiences and Implications for Clinical Management.Journal of nursing management · 2026Article
- Professional self-efficacy and identity as predictors of spiritual care competence in nursing and midwifery students.BMC nursing · 2025Article
- Mediating role of emotional intelligence in the relationship between dual work stress and reflective ability among junior nurses.BMC nursing · 2025Article
- The role of reflective capacity in clinical self-efficacy of nursing students: a cross-sectional study.BMC medical education · 2025Article
- Job shadowing adults' non-formal education programme through social-emotional learning.Frontiers in sociology · 2025Article
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Authors and funding
9 authors.
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Abstract
backgroundNursing is crucial for delivering healthcare services; however, nursing shortages pose a significant global challenge, which the high turnover rate of junior nurses is expected to exacerbate. Enhancing nurses' professional identities is likely to be an effective strategy for reducing turnover rates.
methodsWe recruited 865 junior clinical nurses from three tertiary hospitals in Henan Province, China. The participants completed a demographic questionnaire along with the Reflective Ability Scale for Clinical Nurses, the Nursing Profession Self-efficacy Scale, the Nursing Staff Self-learning Ability Evaluation Scale, and the Professional Identity Scale for Nurses. The relationships between reflective ability, self-directed learning, self-efficacy, and professional identity were evaluated using SPSS26.0, with PROCESS version 3.5 used to construct a chain-mediation model.
resultsPositive correlations were found between reflective ability, self-directed learning, self-efficacy, and professional identity. Chain mediation model analysis showed that reflective ability, self-directed learning, and self-efficacy directly and positively affected professional identity (β = 0.22, β = 0.30, β = 0.66, all p < 0.001). Self-directed learning and self-efficacy exerted a significant chain mediating effect between reflective ability and professional identity (95% confidence interval [CI]: 0.06-0.13). The total effect of reflective ability on the professional identity of clinical nurses was 0.51 (p < 0.001, 95%CI: 0.42-0.59), the direct effect was 0.22 (p < 0 0.001, 95%CI: 0.14-0.29), and the indirect effect was 0.29 (p < 0.001, 95%CI: 0.22-0.37).
conclusionSelf-directed learning and self-efficacy partially mediated the relationship between reflective ability and professional identity. Multifaceted strategies targeted at enhancing reflective ability, self-directed learning, and self-efficacy are recommended to improve junior clinical nurses' professional identities.
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