Heterogeneity in Psychological Resilience and Mental Health among Newly Graduated Nursing Students: A Latent Profile and Generalized Additive Model Analysis

Abstract

Background Psychological resilience is important to mental health and professional development in newly graduated nursing students (NGNSs). However, the association between psychological resilience and mental health in NGNSs is less explored. Purpose The current study was designed to determine mental health profiles measured by the Kessler 10 scale (K10) and evaluate the non-linear association between psychological resilience and mental health in NGNSs. Methods A total of 472 NGNSs from the Be Resilient to Nursing Career program were assessed using the K10 and ten-item Connor–Davidson Resilience Scale (CD-RISC 10). Latent profile analysis and generalized additive model analysis were performed. Results A four-class model based on the K10 was identified: lowest (28.0%), lower-middle (36.4%), upper-middle (26.1%), and highest (9.5%) subgroups. Academic degree and psychological resilience were significant indicators of mental health profiles. Psychological resilience was negatively and nonlinearly correlated with mental health when the CD-RISC 10 score was >17. Conclusion There exists heterogeneity in NGNSs’ mental health. The negative and nonlinear association between psychological resilience and mental health can only be confirmed in NGNSs with moderate and high resilience levels.

Associations among neuroticism, self-efficacy, resilience and psychological distress in freshman nursing students: a cross-sectional study in China

“…24 This scale has been successfully administered in previous studies. 14 16 The Cronbach's alpha was 0.875 in the present study.…”

Stress/Resource Complex, Sense of Coherence and Professional Identity Among Nursing Students: A Latent Profile and Mediation Analysis

“… 3 In addition, it demonstrated that students who had nursing role models were prone to Flexibility and were more self-adjusted to academic stress than those who did not have nursing role models, which was consistent with our previous studies. 2 , 22 In the pandemic of COVID-19, nursing role models helped nursing students recognize the value and possibilities of nurses, thus changing their negative attitude to the nursing profession. 40 According to Motivational Theory of Role Modeling, nursing role models could inspire and motivate nursing students to achieve professional identification and internalization.…”

“…A total of 613 nursing students were approached from Be Resilient to Nursing Career (BRNC) between October and December 2021. 2 , 22 A total of 595 completed the booklet resulting in a response rate of 97.1%. A sample size of 500 provides good test power and convergent validity for the model indicators.…”

“…Also, professional-related characteristics, including nursing role model, willing to leave the profession, etc., were collected according to previous research. 2 , 22 , 25 , 26 …”

“…21 In addition, we also have interests whether there exists heterogeneity in stress/resource complex and a hypothesized framework is described in Figure 1. To be brief, stress/resource complex and SoC might be independent factors to professional identity, 2,11,12,22 while the associations between stress/resource complex, SoC, and professional identity combined have not been fully explored. Therefore, in the current study, the heterogeneity of stress/resource complex was examined from a resource-oriented perspective.…”