Latent profile analysis of intern nurses' work engagement and influencing factors

Abstract

Abstract:

Objective To investigate the current status of work engagement among nursing students during their internship and analyze the potential profiles of their work engagement and the relationships with influencing factors and provide theoretical basis and practical guidance for clinical nursing management and nursing education. Methods From September to October 2024，a convenience sampling method was used to survey 378 nursing students majoring in nursing from a university in Tianjin. Using the latent profile analysis（LPA），combined with the work engagement scale，role stress scale，and the NASA task load index（TLX） to evaluate the level of work engagement among the nursing students. Results The total score of the work engagement scale was （4.51±1.60）points，the total score of the role stress scale was （55.76±5.36）points，and the total score of the NASA TLX was （11.36±3.55）points. The work engagement of nursing students was heterogeneous and could be divided into three potential profile categories：lowwork engagement group（15.3%），medium work engagement group（46.6%），and high work engagement group（38.1%）. The results of the multivariate logistic regression analysis revealed that，compared with the high work engagement group，having part-time experience and role stress were predictors for the low work engagement group（both P<0.05）. Whether there were medical professionals in the family and the NASA TLX were predictors for the low and medium work engagement group（both P<0.01）. Conclusion The work engagement of nursing students is at a medium to high level and can be divided into three potential profiles. Nursing managers and school teachers need to pay attention to the work engagement level of nursing students and provide targeted interventions based on the characteristics of different potential profiles to provide a reserve force for the nursing profession and strengthen the nursing workforce.

Key words: Intern nursing student, Work engagement, Latent profile analysis, Influencing factors, Role stress, Psychological load

CLC Number:

R181.3

REN Ying, LIU Baoyu, SUN Yumei, LI Qingqing, YANG Bowen, PANG Xiaoli. Latent profile analysis of intern nurses' work engagement and influencing factors. [J]OCCUPATION AND HEALTH, 2026, 42(2): 237-242.

Figures/Tables 4

References 28

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模型	AIC	BIC	aBIC	Entropy	LMR	BLRT	类别概率
1	6 949.876	6 973.485	6 954.448				1.00
2	6 347.524	6 386.873	6 355.145	0.969	<0.01	<0.01	0.84/0.16
3	5 896.607	5 951.695	5 907.276	0.954	<0.01	<0.01	0.15/0.46/0.39
4	5 731.237	5 802.065	5 744.955	0.962	<0.01	<0.01	0.35/0.07/0.43/0.15
5	5 651.298	5 737.865	5 668.064	0.921	>0.05	<0.01	0.22/0.15/0.33/0.23/0.07

模型	AIC	BIC	aBIC	Entropy	LMR	BLRT	类别概率
1	6 949.876	6 973.485	6 954.448				1.00
2	6 347.524	6 386.873	6 355.145	0.969	<0.01	<0.01	0.84/0.16
3	5 896.607	5 951.695	5 907.276	0.954	<0.01	<0.01	0.15/0.46/0.39
4	5 731.237	5 802.065	5 744.955	0.962	<0.01	<0.01	0.35/0.07/0.43/0.15
5	5 651.298	5 737.865	5 668.064	0.921	>0.05	<0.01	0.22/0.15/0.33/0.23/0.07

项目	低工作投入组		中等工作投入组
项目	OR（95%CI）	P	OR（95%CI）	P
有兼职经历	15.000（1.995~112.801）	<0.01	0.895（0.524~1.527）	>0.05
家中有医疗相关从业人员	0.380（0.177~0.814）	<0.05	0.590（0.363~0.957）	<0.05
角色压力总分	1.137（1.068~1.211）	<0.01	1.126（1.071~1.184）	>0.05
NASA任务负荷指数总分	0.717（0.674~0.762）	<0.01	0.881（0.859~0.903）	<0.01

项目	低工作投入组		中等工作投入组
项目	OR（95%CI）	P	OR（95%CI）	P
有兼职经历	15.000（1.995~112.801）	<0.01	0.895（0.524~1.527）	>0.05
家中有医疗相关从业人员	0.380（0.177~0.814）	<0.05	0.590（0.363~0.957）	<0.05
角色压力总分	1.137（1.068~1.211）	<0.01	1.126（1.071~1.184）	>0.05
NASA任务负荷指数总分	0.717（0.674~0.762）	<0.01	0.881（0.859~0.903）	<0.01