Observational studyInternational journal of mental health nursing2026
Auditory Hallucination Simulation and Mental Health Stigma Among Nursing Students: How Clinical Practicum Experience Differentiates the Predictive Contributions of Knowledge, Attitudes, and Behaviours.
Observational study in International journal of mental health nursing, 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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Abstract
Stigmatising beliefs towards people with mental health disorders impede treatment-seeking and recovery. This study examined how the predictive contributions of knowledge, attitudes, and behaviours to stigmatising beliefs towards people with mental health disorders differed by clinical practicum experience among nursing students exposed to auditory hallucination simulation. A non-randomised comparative cross-sectional design was employed (Strengthening the Reporting of Observational Studies in Epidemiology guidelines). Nursing students (n = 363) from four Korean universities were allocated to groups with (n = 175) and without (n = 188) clinical practicum experience based on academic progression. All participants completed an auditory hallucination simulation programme followed by questionnaires measuring knowledge, attitudes, behaviours, and stigma. Stepwise multiple regression analyses revealed that among students without clinical experience, knowledge (β = -0.435, p < 0.001), attitudes (β = -0.259, p < 0.001), and behaviours (β = -0.144, p = 0.020) predicted stigma (Adjusted R
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