Role of executive function and depressive symptoms in relationship between nursing interns' perceived stress and clinical practice maladjustment
10.3969/j.issn.1000-6729.2025.12.13
- VernacularTitle:执行功能与抑郁情绪在实习护生感知压力与临床适应不良关系中的作用
- Author:
Xunqi ZHANG
1
;
Wenjie ZHANG
;
Hongyue SHEN
;
Aixia MA
;
Junping BIAN
;
Naixue CUI
Author Information
1. 山东大学护理与康复学院,济南 250012
- Publication Type:Journal Article
- Keywords:
nursing interns;
perceived stress;
clinical practice maladjustment;
executive function;
depressive mood
- From:
Chinese Mental Health Journal
2025;39(12):1087-1092
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To examine the relationship between perceived stress and clinical practice maladjust-ment,as well as the mediating roles of executive function and depressive symptoms in the relationship among intern nurses.Methods:A total of 624 nursing interns were recruited and followed up during this eight-month longitudinal study.Baseline data(Tl)were collectedon the day of internship orientation(July 2022)with the Perceived Stress Scale(PSS),Geurten Executive Function Questionnaire(G-QEF)and Patient Health Questionnaire Depression Module(PHQ-9).Follow-up data(T2)were collected shortly before the end of the internship(March 2023)with the PSS,G-QEF,PHQ-9,and Nursing Students Clinical Internship Maladjustment Scale(NSCPMS).The chain me-diation effect of executive function and depressive symptoms in the relationship between perceived stress and clini-cal practice maladjustment was analyzed.Results:The PSS scores at T1 significantly predicted the NSCPMS scores at T2(β=-1.00,P＜0.001).Executive function and depressive symptosm jointly mediated the relationship be-tween perceived stress and clinical practice maladjustment,with a mediation effect value of-0.01(95％CI=-0.026--0.004).Additionally,depressive symptoms alone significantly mediated the relationship between per-ceived stress at T1 and clinical practice maladjustment at T2,with a mediation effect value of-0.06(95％CI=-0.101--0.017).Conclusion:Perceived stress at the beginning of the internships may negatively impact long-term clinical adjustment among nursing interns,potentially through impaired executive function and depressive symptoms.This finding suggests that early prevention measures and interventions to reduce stress at the start of in-ternships are needed to help interns better adapt to clinical practice.
