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Background <p>Self-regulatory fatigue is an emerging concern within nursing education, with implications for professional competence, emotional resilience, and long-term career development. To assess the level of self-regulatory fatigue among nursing interns and explore its related influencing factors.</p> Methods <p>A total of 340 nursing interns participated in this survey. Data were collected from March to December 2024 using an online survey comprising a general information questionnaire, the Perceived Stress Scale (PSS), the Adolescent Mental Health Literacy Assessment Questionnaire (AMHLAQ), and the Psychological Detachment Scale. Descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficients, and multiple linear regression analyses were conducted.</p> Results <p>Perceived stress (β = 0.47, <i>p</i> &lt; 0.001), mental health literacy (β = -0.13, <i>p</i> = 0.008), psychological detachment (β = -0.10, <i>p</i> = 0.025), academic performance (β = 0.15, <i>p</i> &lt; 0.001), length of clinical placement (β = -0.11, <i>p</i> = 0.016) and left-behind experience (β = -0.10, <i>p</i> = 0.032) were significant predictors of self-regulatory fatigue. The model explained 39.1% of the variance in self-regulatory fatigue.</p> Conclusions <p>Nursing interns showed a moderate level of self-regulatory fatigue. Three psychological factors, namely, perceived stress, mental health literacy, and psychological detachment, along with academic performance, clinical placement duration, and left-behind experience, were significantly associated factors of self-regulatory fatigue. These findings suggest that targeted strategies should be developed to mitigate interns’ fatigue and promote their holistic health.</p>

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Self-regulatory fatigue and its associated factors among nursing interns: a cross-sectional study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月7日

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  • Qiaoying Chang,
  • Xiangying Liu,
  • Yizhou Tan,
  • Jiajia Duan,
  • Jinping Li

摘要

Background

Self-regulatory fatigue is an emerging concern within nursing education, with implications for professional competence, emotional resilience, and long-term career development. To assess the level of self-regulatory fatigue among nursing interns and explore its related influencing factors.

Methods

A total of 340 nursing interns participated in this survey. Data were collected from March to December 2024 using an online survey comprising a general information questionnaire, the Perceived Stress Scale (PSS), the Adolescent Mental Health Literacy Assessment Questionnaire (AMHLAQ), and the Psychological Detachment Scale. Descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficients, and multiple linear regression analyses were conducted.

Results

Perceived stress (β = 0.47, p < 0.001), mental health literacy (β = -0.13, p = 0.008), psychological detachment (β = -0.10, p = 0.025), academic performance (β = 0.15, p < 0.001), length of clinical placement (β = -0.11, p = 0.016) and left-behind experience (β = -0.10, p = 0.032) were significant predictors of self-regulatory fatigue. The model explained 39.1% of the variance in self-regulatory fatigue.

Conclusions

Nursing interns showed a moderate level of self-regulatory fatigue. Three psychological factors, namely, perceived stress, mental health literacy, and psychological detachment, along with academic performance, clinical placement duration, and left-behind experience, were significantly associated factors of self-regulatory fatigue. These findings suggest that targeted strategies should be developed to mitigate interns’ fatigue and promote their holistic health.