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NCT Number: NCT07682493

Undergraduate Nursing Intern Cohort Study

This prospective observational cohort study aims to examine changes in occupational disidentification among undergraduate nursing interns during clinical internship and to identify factors associated with high-risk trajectories. Undergraduate nursing students will be followed using online questionnaires from the end of the first internship week and approximately every three months until the end of internship. The study will assess occupational disidentification, personal psychological resources, clinical learning environment, occupational stigma, negative clinical experiences, transition shock, emotional exhaustion, occupational fatigue, sleep, and musculoskeletal symptoms.

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Key information

Age range

18 year–25 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Nanjing Medical University

Nanjing, Jiangsu, 211166, China

Location status: Recruiting

Location contact

Jun Yao, PhD

CONTACT

[email protected]

86-13915965527

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Full-time undergraduate students majoring in nursing.
  • Students who are about to enter clinical internship or are in the early stage of clinical internship.
  • Students who are able to use the WeChat mini-program to complete questionnaires.
  • Students with normal reading comprehension ability.
  • Students who voluntarily agree to participate in the study and provide informed consent.

Exclusion criteria

  • Students who are unable to complete the internship during the study period due to suspension of schooling, withdrawal from school, military service, long-term sick leave, or other reasons.
  • Students who have participated in similar interventional studies that may affect the assessment of the primary outcome.
  • Students with severe physical or mental illness, or other conditions that make them unable to complete the questionnaires independently.

Exclusion From Analysis Criteria:

  • Questionnaires with an obviously too short completion time, below the minimum reasonable response time set by the research team.
  • Questionnaires with patterned responses or obvious logical inconsistencies.
  • Questionnaires with missing key variables that cannot be used for the main statistical analysis.
  • Repeated submissions at the same time point where the valid version cannot be confirmed.

Treatment and study plan

Primary outcomes

  1. Change in Occupational Disidentification

    Time frame: From the end of the first internship week to the end of internship, up to 12 months

    Occupational disidentification refers to the tendency of undergraduate nursing interns to psychologically distance themselves from the nursing profession or separate the nursing professional identity from their self-concept. It will be assessed using an occupational disidentification scale. Higher scores indicate a higher level of occupational disidentification.

Secondary outcomes

  1. Change in Transition Shock

    Time frame: End of the first internship week and approximately every three months until the end of internship, up to 12 months

    Transition shock refers to the instability, stress, and maladaptation experienced by undergraduate nursing interns during the transition from school-based learning to clinical practice. It will be assessed using a transition shock scale. Higher scores indicate a higher level of transition shock.

  2. Change in Emotional Exhaustion

    Time frame: End of the first internship week and approximately every three months until the end of internship, up to 12 months

    Emotional exhaustion refers to the depletion of emotional and psychological resources experienced by undergraduate nursing interns during clinical internship. It will be assessed using an emotional exhaustion scale. Higher scores indicate a higher level of emotional exhaustion.

Study contacts

Contact information is provided by the study sponsor or research team.

Jun Yao, PhD

CONTACT

[email protected]

86-13915965527

Sponsors and collaborators

Lead sponsor

Nanjing Medical University

Other

Registry information

Official study title

Risk Trajectories and Prediction Model of Occupational Disidentification Among Undergraduate Nursing Interns: A Prospective Cohort Study

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Jul 6, 2026
Registry last updated
Jul 6, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.