{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T06:01:43Z","timestamp":1789797703655,"version":"4.0.1"},"reference-count":50,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":260,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nursing students, as the reserve force of the nursing workforce, often experience transition shock during clinical internships, which negatively impacts their physical and mental health and may lead to presenteeism. Self\u2010efficacy, a modifiable psychological resource, offers a key intervention target for improving this situation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine self\u2010efficacy\u2019s mediating role between transition shock and presenteeism in nursing students and to guide management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study adopted a descriptive cross\u2010sectional design. A convenience sampling survey was conducted on 421 nursing students in Shenyang City, China. The questionnaire included demographic characteristics, the General Self\u2010Efficacy Scale (GSES), the Transition Shock Scale for Undergraduate Nursing Students (UNSTS), and Stanford Presenteeism Scale (SPS\u20106). Descriptive statistics, correlation analysis, and multiple linear regression were performed using IBM SPSS 27.0. The structural equation model was used to test the mediating effect hypothesis of self\u2010efficacy between transition shock and presenteeism, and AMOS 28.0 was used to estimate the path coefficients and evaluate the model fit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The research found that the presenteeism, transition shock, and self\u2010efficacy level of nursing students in Shenyang were all at a moderately high level. Transition shock showed statistically significant positive correlations with presenteeism (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.646) and negative correlations with self\u2010efficacy (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u22120.576), while self\u2010efficacy was negatively correlated with presenteeism (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u22120.636). The SEM showed satisfactory model fit. The results indicated that self\u2010efficacy played a partial mediating role between transition shock and presenteeism (effect\u2009=\u20090.212, [0.149.0.294],\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), accounting for 29.04% of the total effect (total effect\u2009=\u20090.73, [0.615.0.823],\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study has confirmed that self\u2010efficacy plays a mediating role between the transition shock and presenteeism among nursing students in Shenyang City, China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implication for Nursing Management<\/jats:title>\n                    <jats:p>This study offers nursing managers a new way to address presenteeism among nursing students and a reference for improving clinical internship quality and talent cultivation models.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/5586956","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T05:18:32Z","timestamp":1789795112000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mediating Role of Self\u2010Efficacy in Transition Shock and Presenteeism Among Nursing Students in China: A Cross\u2010Sectional Study"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7110-8127","authenticated-orcid":false,"given":"Chanyi","family":"Jia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujia","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0932-6658","authenticated-orcid":false,"given":"Siyu","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoxia","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9669-4739","authenticated-orcid":false,"given":"Lina","family":"Ge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7814-8011","authenticated-orcid":false,"given":"Shuang","family":"Zang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2021.306327"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nepr.2024.104097"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.974281"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10040613"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtumed.2021.05.004"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2008.04898.x"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2025.1463319"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-01722-5"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0b013e3181f475cc"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0193945919863409"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1037\/\/0033-295x.84.2.191"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-022-01584-7"},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2024-094858"},{"key":"e_1_2_11_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnss.2019.03.004"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0230562"},{"key":"e_1_2_11_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/10519815251394877"},{"key":"e_1_2_11_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2016.01.043"},{"key":"e_1_2_11_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2025.106587"},{"key":"e_1_2_11_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2021.104891"},{"key":"e_1_2_11_20_2","doi-asserted-by":"publisher","DOI":"10.1037\/ocp0000056"},{"key":"e_1_2_11_21_2","doi-asserted-by":"publisher","DOI":"10.1155\/jonm\/9306693"},{"key":"e_1_2_11_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/00332941231206354"},{"key":"e_1_2_11_23_2","volume-title":"Multivariate Analysis","author":"Kendall M.","year":"1980"},{"key":"e_1_2_11_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9280.2007.01882.x"},{"key":"e_1_2_11_25_2","first-page":"82","volume-title":"Measures in Health Psychology: A User\u2019s Portfolio","author":"Schwarzer R.","year":"1995"},{"key":"e_1_2_11_26_2","first-page":"37","article-title":"Research on the Reliability and Validity of the General Self-Efficacy Scale","volume":"7","author":"Wang Caikang H. Z. Y. L.","year":"2001","journal-title":"Chinese Journal of Applied Psychology"},{"key":"e_1_2_11_27_2","doi-asserted-by":"publisher","DOI":"10.5977\/jkasne.2019.25.1.17"},{"key":"e_1_2_11_28_2","doi-asserted-by":"publisher","DOI":"10.3761\/j.issn.1672-9234.2021.08.012"},{"key":"e_1_2_11_29_2","doi-asserted-by":"publisher","DOI":"10.1097\/00043764-200201000-00004"},{"key":"e_1_2_11_30_2","first-page":"679","article-title":"Reliability and Validity of Stanford Presenteeism Scale Chinese Version","volume":"28","author":"Zhao F.","year":"2010","journal-title":"Chinese Journal of Industrial Hygiene and Occupational Diseases"},{"key":"e_1_2_11_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/0022022199030005001"},{"key":"e_1_2_11_32_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-03464-4"},{"key":"e_1_2_11_33_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12242522"},{"key":"e_1_2_11_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2024.e37644"},{"key":"e_1_2_11_35_2","doi-asserted-by":"publisher","DOI":"10.3928\/01484834-20190103-05"},{"key":"e_1_2_11_36_2","doi-asserted-by":"publisher","DOI":"10.1515\/ijnes-2021-0153"},{"key":"e_1_2_11_37_2","doi-asserted-by":"publisher","DOI":"10.3928\/01484834-20240628-01"},{"key":"e_1_2_11_38_2","doi-asserted-by":"publisher","DOI":"10.1155\/jonm\/8865098"},{"key":"e_1_2_11_39_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-04118-1"},{"key":"e_1_2_11_40_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2025.1635755"},{"key":"e_1_2_11_41_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-024-11084-y"},{"key":"e_1_2_11_42_2","doi-asserted-by":"publisher","DOI":"10.1155\/jonm\/8462843"},{"key":"e_1_2_11_43_2","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.70209"},{"key":"e_1_2_11_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nepr.2026.104746"},{"key":"e_1_2_11_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.profnurs.2025.05.010"},{"key":"e_1_2_11_46_2","doi-asserted-by":"publisher","DOI":"10.3390\/nursrep15120437"},{"key":"e_1_2_11_47_2","doi-asserted-by":"publisher","DOI":"10.1155\/jonm\/4081706"},{"key":"e_1_2_11_48_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.845588"},{"key":"e_1_2_11_49_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2025.105304"},{"key":"e_1_2_11_50_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anr.2025.03.010"}],"container-title":["Journal of Nursing Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jonm\/5586956","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/jonm\/5586956","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jonm\/5586956","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T05:18:35Z","timestamp":1789795115000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/jonm\/5586956"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":50,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/jonm\/5586956"],"URL":"https:\/\/doi.org\/10.1155\/jonm\/5586956","archive":["Portico"],"relation":{},"ISSN":["0966-0429","1365-2834"],"issn-type":[{"value":"0966-0429","type":"print"},{"value":"1365-2834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-03-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"5586956"}}