Evidence map›Paper›PMID 41540508›Full record

ArticleBMC psychology2026

Structural equation modeling of caring behaviors and anxiety in nursing students during internship: the mediating role of ethical climate.

Roya Dokoohaki, Masoume Rambod, Nilofar Pasyar, Ali Mohammad Parviniannasab, Maryam Shaygan

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Article in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Roya DokoohakiCommunity Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Zand St., Nemazee Sq, Shiraz, 7193613119, Iran.
Masoume RambodCommunity Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Zand St., Nemazee Sq, Shiraz, 7193613119, Iran. rambodma@gmail.com.ORCID http://orcid.org/0000-0002-7334-9364
Nilofar PasyarCommunity Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Zand St., Nemazee Sq, Shiraz, 7193613119, Iran.
Ali Mohammad ParviniannasabDepartment of Nursing, School of Nursing, Larestan University of Medical Sciences, Larestan, Iran.
Maryam ShayganCommunity Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Zand St., Nemazee Sq, Shiraz, 7193613119, Iran.

Funding

Shiraz University of Medical Sciences 28249
6 · The paper itself

Abstract

backgroundInternship in nursing education strengthens competence, confidence, and professional skills. It is essential to identify the clinical factors affecting anxiety and the ethical climate among nursing students in this era. This study aimed to (1) identify caring behaviors and ethical climate as predictors of nursing students' anxiety using hierarchical regression analysis, and (2) examine the mediating roles of students' age and ethical climate in the relationship between caring behaviors and anxiety during internship.

methodsThis is a cross-sectional study. 225 nursing students in Shiraz and Larestan Universities of Medical Sciences were selected to participate in this study using convenience sampling. Spielberger State-Trait Anxiety Inventory, Caring Behaviors Inventory, and Hospital Ethical Climate Survey were used for data collection. SPSS macro-PROCESS was used for data analysis.

resultsNursing students reported moderate levels of state anxiety and mild levels of trait anxiety. The nursing students' caring behaviors and the hospital's ethical climate were the predictors of anxiety during the internship. Moreover, age, caring behaviors, and perception of hospital ethical climate accounted for an additional 23% of the anxiety variance. Furthermore, hospital ethical climate was a mediator in the correlation between caring behaviors and anxiety in nursing students (β=-0.06, CI=-0.11- -0.02).

conclusionThese findings suggest that enhancing caring behaviors and fostering a positive hospital ethical climate might help reduce nursing students' anxiety during internships. The mediating role of the ethical climate highlights its importance in the relationship between caring behaviors and anxiety, underscoring the need for supportive clinical environments.

Indexed as

AnxietyEmpathyInternship, NonmedicalStudents, NursingAdultCross-Sectional StudiesFemaleHumansIranMaleYoung AdultAnxietyClinical; studentsEthicsInternship and residencyNursing; care

Identifiers

PMID41540508
PMCPMC12892733

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.