Predicting marginalization in undergraduate nursing students: Identifying risk and leveraging modifiable supports

IF 2.5 Q2 NURSING

Teaching and Learning in Nursing Pub Date : 2026-10-01 Epub Date: 2026-08-16 DOI:10.1016/j.teln.2026.07.032

Heather M. Englund PhD, DNP, APNP, FNP-BC, CNE, Bonnie Soik DNP, APNP, FNP-C, RRT, Brent MacWilliams PhD, ANP-BC

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引用次数: 0

Abstract

Background

Marginalization is increasingly recognized as a barrier to student success, yet limited work has examined whether it can be predicted using identifiable student and learning environment characteristics.

Purpose

To examine predictors of high marginalization among undergraduate nursing students and identify modifiable factors associated with reduced risk.

Methods

Cross-sectional analysis of 6,480 undergraduate nursing students using logistic regression to examine identity, structural, and learning environment predictors of high marginalization (top quartile of Englund Marginality Index scores).

Results

Identity characteristics were the strongest predictors of marginalization, with racial/ethnic minoritized status (odds ratio [OR] = ∼7.5) and disability (OR = ∼5.8) demonstrating the largest effects. Structural factors (employment, dependents) were not significant. Mentorship (OR = ∼0.57) and hybrid instructional formats (OR = ∼0.70) were associated with reduced odds of high marginalization.

Conclusions

Marginalization is predictable and stratified by identity, but modifiable educational supports, particularly mentorship offer meaningful opportunities for intervention.

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预测本科护理学生的边缘化：识别风险和利用可修改的支持

边缘化越来越被认为是学生成功的障碍，但有限的工作已经研究了是否可以使用可识别的学生和学习环境特征来预测边缘化。目的探讨本科护生高度边缘化的预测因素，并确定与降低风险相关的可修改因素。方法采用logistic回归对6480名本科护理学生进行横断面分析，以检验身份、结构和学习环境对高度边缘化的预测因素（英格兰边缘化指数得分最高的四分之一）。结果身份特征是边缘化的最强预测因子，种族/少数民族地位（优势比[OR] = ~ 7.5）和残疾（OR = ~ 5.8）的影响最大。结构性因素（就业、家属）不显著。导师制（OR = ~ 0.57）和混合教学形式（OR = ~ 0.70）与高度边缘化的几率降低相关。结论边缘化是可预测的，并由身份分层，但可调整的教育支持，特别是师徒关系提供了有意义的干预机会。

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

Teaching and Learning in Nursing NURSING-

CiteScore

2.60

自引率

10.50%

发文量

119

审稿时长

37 days

期刊介绍： Teaching and Learning in Nursing is the Official Journal of the National Organization of Associate Degree Nursing. The journal is dedicated to the advancement of Associate Degree Nursing education and practice, and promotes collaboration in charting the future of health care education and delivery. Topics include: - Managing Different Learning Styles - New Faculty Mentoring - Legal Issues - Research - Legislative Issues - Instructional Design Strategies - Leadership, Management Roles - Unique Funding for Programs and Faculty