Evidence map›Paper›PMID 42338956›Full record

ArticleFrontiers in medicine2026

The impact of nursing interns' intolerance of uncertainty on professional identity: the mediating role of career resilience.

Yaqi Wu, Hejia Wan, Lisha Zhao, Jie Liu, Lulu Zhang, Xin Wang, Jing Mao, Xiaolei Jing

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Article in Frontiers in medicine, 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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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Yaqi Wu *School of Nursing (Nursing School of Smart Healthcare Industry), Henan University of Chinese Medicine, Zhengzhou, Henan, China.
Hejia Wan *School of Nursing (Nursing School of Smart Healthcare Industry), Henan University of Chinese Medicine, Zhengzhou, Henan, China.
Lisha ZhaoDepartment of Nursing, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, Henan, China.
Jie LiuSchool of Nursing (Nursing School of Smart Healthcare Industry), Henan University of Chinese Medicine, Zhengzhou, Henan, China.
Lulu ZhangSchool of Nursing (Nursing School of Smart Healthcare Industry), Henan University of Chinese Medicine, Zhengzhou, Henan, China.
Xin WangDepartment of Nursing, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, Henan, China.
Jing MaoDepartment of Nursing, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, Henan, China.
Xiaolei JingSchool of Nursing (Nursing School of Smart Healthcare Industry), Henan University of Chinese Medicine, Zhengzhou, Henan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: With the rapid development of the nursing industry, the stability and professional competence of nursing personnel have become increasingly important. Professional identity, as a key factor influencing the development of nursing personnel, is crucial to the construction and development of the nursing workforce. Especially during the clinical internship phase, nursing interns face many sources of uncertainty, which may negatively affect their professional identity. However, some interns are able to maintain a high level of professional identity in uncertain environments, which may be closely related to their career resilience. This study aims to explore the mediating role of career resilience between intolerance of uncertainty and nursing interns' professional identity, providing theoretical support and intervention strategies for enhancing interns' professional identity. Methods: A convenience sampling method was used to select 298 nursing students who had completed 8 months of internship at a tertiary hospital in Zhengzhou from February to April 2025 as the study subjects. A general demographic questionnaire, the short version of the Intolerance of Uncertainty Scale (IUS-12), the Career Resilience Scale (CRS), and the Nursing Student Professional Identity Questionnaire (PIQN) were used for the survey. Descriptive statistics of all variables were conducted using SPSS 27.0 software to understand the basic characteristics of the sample. Pearson correlation analysis was used to test the correlations between intolerance of uncertainty (IU), career resilience (CRS), and professional identity (PIQN). The Process macro model 4 (developed by Hayes) was used for mediation effect analysis to test the mediating role of career resilience (CRS) between intolerance of uncertainty (IU) and professional identity (PIQN). Results: The total score for intolerance of uncertainty in nursing interns was (38.57 ± 7.20), for career resilience (19.98 ± 2.71), and for professional identity (61.04 ± 9.30). Intolerance of uncertainty was negatively correlated with professional identity( Conclusion: Intolerance of uncertainty directly negatively affects nursing interns' professional identity, while career resilience plays a partial mediating role in buffering the negative impact of intolerance of uncertainty on professional identity. This suggests that nursing educators should specifically help nursing interns actively cope with uncertain situations and strengthen the development of career resilience, thereby enhancing their professional identity.

Indexed as

career resilienceintolerance of uncertaintymediation effect analysisnursing internsprofessional identity

Identifiers

PMID42338956
PMCPMC13283804

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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.