| 1 BackgroundThe large-scale training of nursing students in higher vocational colleges guarantees the quality of personnel training.It is of great practical significance for the nursing students with professional qualities to provide high-quality nursing services for the society in the future.However,The US survey shows that nearly 50%of medical students have learning burnout.Domestic surveys also found that the current high school nursing students' learning burnout rate is as high as 30.24%,learning burnout is at a medium level,and learning burnout seriously affects the construction of nursing talents.The lack of interest of college students in their majors is the main reason for students' learning burnout.Foreign studies have shown that the more positive the professional attitude is,the more beneficial it is to promote the learning process,and the more willing to acquire professional knowledge.Then,Nursing students have learning burnout,and they are not willing to acquire professional knowledge,whether it is related to the professional attitude of nursing students,and whether professional attitude will affect learning burnout,which needs further confirmation.Academic self-efficacy is the application of self-efficacy in learning.It refers to the individual's confidence in their ability to complete their academic tasks.High academic self-efficacy can effectively improve students' academic performance,enhance their motivation,and increase their interest in the majors they study.However,whether academic self-efficacy may be a mediator between professional attitude and learning burnout,whether academic self-efficacy can buffer or regulate the learning burnout caused by professional attitude needs further confirmation.2 ObjectivesThe purpose of this study is to analyze the professional attitudes,academic self-efficacy and learning burnout of vocational nursing students,and to analyze the factors affecting the professional attitude,academic self-efficacy and learning burnout of vocational nursing students and the relationship between the three.To explore the mediating role of academic self-efficacy in professional attitudes and learning burnout of higher vocational nursing students;combined with the results of semi-structured interviews of high vocational nursing students with low academic self-efficacy,in order to carry out targeted nursing teaching Provide reference for reforming and cultivating high-quality modern nursing talents.3 Methods3.1 Cross-sectional studyIn May-June 2018,nursing students of 2015,2016,and 2017 in a medical college was selected as the research object.Inclusion criteria:Three-year higher vocational students in full-time nursing profession;informed and agreed to participate in this survey.Exclusion criteria:Students who are absent from school or who are on leave during the investigation.Using the census method,a questionnaire survey was conducted on 1482 high-ranking nursing students using the self-designed demographic sociology data questionnaire,the Chinese version of the Nursing Professional Student Professional Attitude Scale(IPASN),the academic self-efficacy scale and the college student learning burnout scale.The database was built and analyzed with SPSS20.0 and AMOS23.0 software.The count data was described by frequency and composition ratio,and the measurement data obeyed the normal distribution using mean±standard deviation description.The sociological data of different populations used the t-test and one-way analysis of variance for the single factor analysis of professional attitude,academic self-efficacy and learning burnout of higher vocational nursing students.The sociological data of different populations gave professional attitude and academic self-efficacy to higher vocational nursing students.Multivariate analysis of learning burnout was performed using multiple linear regression analysis.The correlation between professional attitude,academic self-efficacy and learning burnout of vocational nursing students adopts Pearson correlation analysis.The mediating effect of academic self-efficacy in professional nursing students' professional attitude and learning burnout is analyzed by AMOS23.0.The difference was statistically significant at P<0.05.3.2 Phenomenological research methodTaking the stratified sampling method,the high-level nursing students with low academic self-efficacy in a medical college were selected as interviewees in April-June 2019.In-depth interviews were conducted based on the research objectives and semi-structured interview outlines.4 Results4.1 The status of professional attitude,academic self-efficacy and learning burnout of vocational nursing studentsThe average score of professional attitudes of vocational nursing students is(108.05±11.50)points,the average score of entries is(3.86±0.41)points,the ratio of professional attitudes of nursing students at a lower level is 2.0%;The average score of academic self-efficacy is(77.61±9.94)points,and the average score of entries is(3.53±0.45)points,10.5%of nursing students'self-efficacy is at a lower level;The average score for learning burnout is(51.93±10.33)points,and the average score for entries is(2.60±0.52)points,the detection rate of burnout in vocational nursing students was 23.2%,the detection rate of mild to moderate burnout was 22.7%,and the detection rate of severe burnout was 0.5%.4.2 Influencing factors of professional attitude,academic self-efficacy and learning burnout of vocational nursing studentsThe results of multiple regression analysis showed:whether it has participated in the internship,the degree of acceptance of the nursing profession,the perception of the development prospects of the nursing,whether the student cadre,the academic achievement,the main reason for the nursing major,and the preferred nursing professional factors,which affect the high vocational care Students with professional attitudes,they can jointly explain 11.1%of their variation;whether they have participated in internships,grades,nursing professional acceptance,views on nursing development prospects,academic achievements,career choices,these are the factors of self-efficacy of high vocational nursing students,which can jointly explain the variation of 19.5%;grades,whether they have participated in internships,academic achievement,degree of acceptance of nursing profession,views on the prospects of nursing development,views on the social status of nurses,and major nursing majors Reasons,career intentions,these factors are the factors that affect the burnout of vocational nursing students,they can jointly explain the 23.2%of their variation.4.3 Correlation analysis of professional attitude,academic self-efficacy and learning burnout of vocational nursing studentsThe professional attitude of nursing students was positively correlated with academic self-efficacy(r=0.414,P<0.01),and the professional attitude of nursing students was negatively correlated with learning burnout(r=-0.336,P<0.01).Academic self-efficacy was negatively correlated with learning burnout(r=-0.668,P<0.01).4.4 The mediating effect of academic self-efficacy on professional attitude and learning burnout of nursing studentsThe constructed result equation model fits well(x2/df=4.774,TLI=0.957,CFI=0.970,GFI=0.975,RMSEA=0.050,SRMR=0.036).The professional attitude of nursing students?study self-efficacy?the indirect effect of learning burnout is statistically significant(effect value is 0.53x-0.95=-0.50),and academic self-efficacy plays a full mediating role between nursing professional attitude and learning burnout(The 95%confidence interval is[-0.567?-0.447]).4.5 Conduct qualitative interviews with high-level nursing students with low scores on academic self-efficacy to analyze the reasonsReasons for low self-efficacy of nursing students in higher vocational colleges:?Nursing knowledge is large and difficult to understand,and nursing students lack good learning methods.?Mobile phone dependence is serious,and the self-control ability of nursing students is low.?Due to the negative influence of students,the nursing students have low enthusiasm for learning and can cope with the exam.?Nursing students are not satisfied with the teaching methods of some teachers,which makes the class easy to distract and affect the learning effect.?liberal arts students are not considered to be competent enough to take courses.5 Conclusions5.1 Professional nursing students'professional attitude is at the upper-middle level;Academic self-efficacy is at the upper-middle level;Learning burnout detection rate was 23.2%,learning burnout is at a medium level5.2 When vocational nursing students like nursing profession,think that nursing development prospects are good,and their academic performance is good,their professional attitude and academic self-efficacy are high,and learning burnout is low.The reason for the low self-efficacy of nursing students is that they lack good learning methods,their self-control ability is low,they are negatively influenced by their negative influences,some teachers have poor teaching methods,and liberal arts students are not qualified for the courses they are studying.5.3 Higher vocational colleges can improve their academic self-efficacy by cultivating a positive professional attitude of nursing students,thereby reduce their sense of learning burnout. |
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