Features influencing surface acting of different clusters of nursing students in vocational college based on interpretable machine learning: A cross-sectional study

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2024-11-21 DOI:10.1016/j.nepr.2024.104204

Chaojin Da , Chen Wu , Zhenying Ji , Yuxin Zhang , Nanzhu Sun , Lu Yang , Qiuyan Zhao , Wenjuan He , Yanjin Huang , Qi Wang

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引用次数: 0

Abstract

Aim

To explore and explain the mechanisms that influence surface acting in nursing students with different characteristics.

Background

Nurses are now expected to deliver patient-centered care which necessitates the emotional labor. Surface acting, a form of emotional labor, can lead to negative outcomes. Given that nursing students are the backbone of the future nursing profession, there is an urgent need to investigate their surface acting tendencies and identify potential factors for early intervention.

Design

A cross-sectional study.

Methods

This study was surveyed in a vocational college in Gansu, China. Participants completed the general information questionnaire, Bem Sex Role Inventory, Professional Identity Questionnaire of Nursing Students and Surface Acting Scale. K-means cluster analysis was performed, followed by random forest algorithm and SHapley Additive exPlanations based on Python program.

Results

A total of 1241 nursing students from vocational college were investigated and were clustered into 4 groups. The five dimensions of professional identity had higher feature importance in all four groups, with professional self-image having the highest feature importance in Cluster 3. Professional self-image and understanding retention benefits and turnover risks were negative predictors of surface acting in all four groups. Social comparison and self-reflection, independence of career choice and social modeling regarding nursing profession were positively correlated with surface acting in specific groups. In Cluster 1, there exists a positive correlation between professional self-image and the constructs of social comparison and self-reflection; as well as a negative correlation between maternal education and understanding of retention benefits and turnover risks.

Conclusions

Professional identity significantly influences surface acting behaviors among nursing students, with professional self-image serving as a key negative predictor. Positive family conditions, access to educational resources, parental literacy, masculine or feminine gender roles and first-year nursing students, these traits have implications when dimensions of professional identity are used to predict surface acting behaviors.

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基于可解释机器学习的职业院校护理专业学生不同群组表面行为的影响特征：横断面研究

目的探索并解释影响具有不同特征的护理专业学生表面行为的机制。背景现在，人们期望护士提供以患者为中心的护理，这就要求她们付出情感劳动。表面行为作为情绪劳动的一种形式，可能会导致负面结果。鉴于护理专业学生是未来护理专业的中坚力量，迫切需要对他们的表面行为倾向进行调查，并找出早期干预的潜在因素。参与者填写一般信息问卷、Bem 性别角色量表、护理专业学生职业认同问卷和表面行为量表。结果共调查了 1241 名高职院校护理专业学生，并将其分为 4 组。职业认同的五个维度在四个组中都具有较高的特征重要性，其中职业自我形象在第 3 组中具有最高的特征重要性。在所有四个组中，职业自我形象和对留任益处和离职风险的理解是表面行为的负向预测因素。在特定组别中，社会比较和自我反思、职业选择的独立性以及有关护理专业的社会模式与表面行为呈正相关。在第一组中，职业自我形象与社会比较和自我反思之间存在正相关；母亲教育与对留职福利和离职风险的理解之间存在负相关。积极的家庭条件、获得教育资源的机会、父母的文化程度、男性或女性的性别角色以及一年级的护理专业学生，这些特质在用专业身份的维度来预测表面行为时都会产生影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.