Nursing students and the COVID-19 pandemic: a Cross-Sectional study of occupational control and its influencing factors
摘要
To investigate the factors influencing perceived occupational control among Chinese nursing students during the COVID-19 pandemic, with a focus on psychological resources and pandemic-related lifestyle disruptions. A cross-sectional online survey was conducted with 220 nursing students from three universities in China. The survey included a general information questionnaire, the Zung Self-Rating Anxiety Scale (SAS), and the Career Adapt-Abilities Scale (CAAS), from which the dimensions of occupational control, confidence, and curiosity were analyzed. Data were analyzed using chi-square tests and multivariable binary logistic regression. The prevalence of anxiety was high among participants. The multivariable logistic regression model revealed that higher occupational curiosity (OR = 13.47, 95% CI [5.25–34.53]) and occupational confidence (OR = 4.70, 95% CI [1.90–11.66]) were the strongest predictors of high occupational control. Conversely, the presence of anxiety was associated with significantly lower odds of high occupational control (OR = 0.27, 95% CI [0.11–0.64]). Lifestyle disruptions, such as reduced work/study time and reduced sleep, were also significant negative predictors. Nursing students’ sense of occupational control during the pandemic was more strongly influenced by internal psychological resources (curiosity, confidence) and mental state (anxiety) than by demographic factors. Findings underscore the need for educational interventions that build career adaptability and provide robust mental health support to enhance resilience and agency in the future nursing workforce.