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<p>Existing research on learned helplessness among nursing interns often overlooks group heterogeneity and fails to explore its relationships with the clinical learning environment and self-esteem. A convenience sample of 381 nursing interns completed standardized questionnaires assessing their demographic characteristics, learned helplessness, clinical learning environment, and self-esteem. Latent profile analysis revealed three distinct profiles of learned helplessness among the nursing interns: “Low Helplessness–Low Hopelessness” (n = 127, 33.3%), “High Helplessness–Low Hopelessness” (n = 172, 45.2%), and “High Helplessness–High Hopelessness” (n = 82, 21.5%). Multivariate logistic regression analysis revealed that male gender, current pursuit of a bachelor’s degree, and working 4–6 night shifts during the past month were significantly associated with the “High Helplessness–Low Hopelessness” profile (OR = 5.113, 8.796, and 3.207, respectively). Holding an associate degree was significantly associated with the “High Helplessness–High Hopelessness” profile (OR = 7.221). Conversely, positive family relationships and fewer night shifts (0–3) during the past month were significantly associated with the "Low Helplessness–Low Hopelessness" profile (OR = 0.071 and 0.253, respectively). Additionally, a positive work atmosphere, individualized teaching, and high self-esteem were significantly associated with low levels of learned helplessness (OR = 0.850, 0.826, and 0.834, respectively; all p values &lt; 0.05). Given the substantial proportion of interns in the “High Helplessness–Low Hopelessness” group, universities and hospitals should develop targeted educational strategies to effectively reduce learned helplessness among nursing interns.</p>

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Latent profile analysis and predictive factors of learned helplessness among nursing students in clinical practice

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月7日

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  • Xiaoxiao Li,
  • Yanyan Jiao,
  • Qinqin Liu,
  • Zhongqiang Guo,
  • Yihan Liu,
  • Lili Jia,
  • Chaoran Chen

摘要

Existing research on learned helplessness among nursing interns often overlooks group heterogeneity and fails to explore its relationships with the clinical learning environment and self-esteem. A convenience sample of 381 nursing interns completed standardized questionnaires assessing their demographic characteristics, learned helplessness, clinical learning environment, and self-esteem. Latent profile analysis revealed three distinct profiles of learned helplessness among the nursing interns: “Low Helplessness–Low Hopelessness” (n = 127, 33.3%), “High Helplessness–Low Hopelessness” (n = 172, 45.2%), and “High Helplessness–High Hopelessness” (n = 82, 21.5%). Multivariate logistic regression analysis revealed that male gender, current pursuit of a bachelor’s degree, and working 4–6 night shifts during the past month were significantly associated with the “High Helplessness–Low Hopelessness” profile (OR = 5.113, 8.796, and 3.207, respectively). Holding an associate degree was significantly associated with the “High Helplessness–High Hopelessness” profile (OR = 7.221). Conversely, positive family relationships and fewer night shifts (0–3) during the past month were significantly associated with the "Low Helplessness–Low Hopelessness" profile (OR = 0.071 and 0.253, respectively). Additionally, a positive work atmosphere, individualized teaching, and high self-esteem were significantly associated with low levels of learned helplessness (OR = 0.850, 0.826, and 0.834, respectively; all p values < 0.05). Given the substantial proportion of interns in the “High Helplessness–Low Hopelessness” group, universities and hospitals should develop targeted educational strategies to effectively reduce learned helplessness among nursing interns.