Effects of clinical learning environment on the professional identity of Chinese nursing students: multiple mediating effects of learning engagement and stress-related growth

This study found that improving the nursing students' clinical learning environment, including interpersonal relationships, working atmosphere, team culture, student participation, task orientation, innovation, and personalization, as well as increasing their learning engagement, leads them to achieve stress-related growth, which both conducive to enhancing their professional identity as nurses. More importantly, improving the clinical learning environment can not only increase the learning input of nursing students but also help them better obtain stress-related growth, thus enhancing their professional identity. Teaching institutions need to strengthen the investigation and guidance of teaching hospitals, especially the construction of the working atmosphere, task orientation, and humanistic construction of teaching hospitals et al., create a good practice environment; on the other hand, it is necessary to pay attention to and guide nursing students' practice dynamically and consciously plan their learning and career growth, which may be more conducive to the promotion of nursing students' professional identity, it is also conducive to the expansion of the nursing team and improve the quality of nursing care.