{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T17:13:34Z","timestamp":1792170814184,"version":"4.4.0"},"reference-count":46,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T00:00:00Z","timestamp":1756944000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Professional identity plays a critical role in the career development of male postgraduate nursing students, particularly in contexts where gender imbalance and social stereotypes persist.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Objective<\/jats:title>\n<jats:p>This study explores how the clinical professional identity of male nursing postgraduates is perceived and constructed through social media discourse in China.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Design<\/jats:title>\n<jats:p>A qualitative study using content analysis of social media discourse, supported by sentiment classification and clustering algorithms.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Online comments related to male nursing postgraduates were extracted from Weibo and Zhihu. The data search was conducted from 2020 to 2023. This study was divided into five steps: data acquisition, data cleaning, statistical analysis, sentiment analysis, and topic analysis. Sentiment analysis was performed using a lexicon-enhanced rule-based model. Topic analysis was conducted using unsupervised machine learning.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Results<\/jats:title>\n<jats:p>Initially, 7,483 comments were collected. After cleaning, 5,692 valid comments totaling 486,366 words were retained for analysis. The sentiment distribution showed 64.3% were negative, 21.5% neutral, and 14.2% positive. Topic modeling revealed six main themes: identity confusion, gender role conflict, lack of clinical recognition, professional value affirmation, social support, and resistance to stereotypes.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec006\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Public discourse reflects both affirmation and marginalization of male postgraduate nurses in China. These perceptions shape their clinical professional identity and influence their sense of belonging and future career planning. Interventions in education and media strategies are necessary to promote inclusive and supportive identity development.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0331379","type":"journal-article","created":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T17:30:14Z","timestamp":1757007014000},"page":"e0331379","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["The public\u2019s perceptions and attitudes of male nursing postgraduate professional identity on Chinese social media: Qualitative study based on machine learning"],"prefix":"10.1371","volume":"20","author":[{"given":"Qi","family":"Zhou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8070-9129","authenticated-orcid":true,"given":"Jing","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuling","family":"Lei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guangxin","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuting","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanbing","family":"Shen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1867-4315","authenticated-orcid":true,"given":"Yueli","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,9,4]]},"reference":[{"issue":"4","key":"pone.0331379.ref001","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1046\/j.1365-2648.1998.00704.x","article-title":"The professional identity of the nurse: concept analysis and development","volume":"28","author":"J Ohl\u00e9n","year":"1998","journal-title":"J Adv Nurs"},{"issue":"2","key":"pone.0331379.ref002","doi-asserted-by":"crossref","DOI":"10.1111\/nup.12343","article-title":"What makes a nurse today? 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Xia","year":"2022"},{"issue":"2","key":"pone.0331379.ref007","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/j.profnurs.2020.04.018","article-title":"A scoping review on the influencing factors and development process of professional identity among nursing students and nurses","volume":"37","author":"A Mao","year":"2021","journal-title":"J Prof Nurs"},{"issue":"1","key":"pone.0331379.ref008","doi-asserted-by":"crossref","DOI":"10.1515\/ijnes-2022-0086","article-title":"The impact of university-based education on nursing professional identity: a qualitative examination of students\u2019 experiences","volume":"20","author":"N Ammari","year":"2023","journal-title":"Int J Nurs Educ Scholarsh"},{"issue":"4","key":"pone.0331379.ref009","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1111\/j.1466-7657.2012.01013.x","article-title":"Professional identity and nursing: contemporary theoretical developments and future research challenges","volume":"59","author":"M 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Chen","year":"2020","journal-title":"Am J Mens Health"},{"issue":"7","key":"pone.0331379.ref013","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.3390\/healthcare10071317","article-title":"Professional identity scale for male nursing students using the rasch model and latent regression on gender and background variables","volume":"10","author":"R Li","year":"2022","journal-title":"Healthcare (Basel)"},{"issue":"1","key":"pone.0331379.ref014","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1186\/s12912-022-01050-6","article-title":"Perceived professional identity and related factors in Iranian nursing students: a cross-sectional study","volume":"21","author":"T Gilvari","year":"2022","journal-title":"BMC Nurs"},{"key":"pone.0331379.ref015","doi-asserted-by":"crossref","first-page":"415","DOI":"10.17770\/sie2018vol1.3269","article-title":"Professional identity of nursing students in lithuania and Poland","volume":"3","author":"E Skarbalius","year":"2018","journal-title":"SIE"},{"issue":"2","key":"pone.0331379.ref016","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1111\/j.1742-7924.2010.00172.x","article-title":"Perspectives of Iranian male nursing students regarding the role of nursing education in developing a professional identity: a content analysis study","volume":"8","author":"M Vaismoradi","year":"2011","journal-title":"Jpn J Nurs Sci"},{"key":"pone.0331379.ref017","article-title":"A comparison of career identity and expectations of master of science in nursing students across degree types","volume":"5","author":"X Yang","year":"2016","journal-title":"Chin J Mod Nurs"},{"key":"pone.0331379.ref018","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/j.nedt.2018.02.039","article-title":"Caring characters and professional identity among graduate nursing students in China-A cross sectional study","volume":"65","author":"Y-J Guo","year":"2018","journal-title":"Nurse Educ 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