{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T06:01:49Z","timestamp":1789970509137,"version":"4.0.1"},"reference-count":32,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"\n Background<\/jats:title>\n Global population aging has raised worldwide demand for geriatric care practitioners, including in China. Vocational nursing students are key reserve workforce for geriatric care, yet few enter this sector. Existing studies have explored individual factors shaping geriatric care employment intention, but few examine interactive effects of family support, experiential exposure and personal cognitive factors, or extend Social Cognitive Career Theory (SCCT) to Chinese vocational nursing education.<\/jats:p>\n <\/jats:sec>\n \n Purpose<\/jats:title>\n This study explores how family support, practical care experience and personal cognitive variables interact to shape vocational nursing students\u2019 intentions to engage in geriatric care. It expands SCCT application and provides empirical evidence for geriatric care workforce recruitment, nursing curriculum design and may offer insights for other regions of China and aging societies internationally.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A cross-sectional survey was conducted among 1,537 vocational nursing students in Hunan Province (2024\u20132025). Questionnaire data were analyzed using binary logistic regression and eXtreme Gradient Boosting (XGBoost) to identify key predictors. Hayes\u2019 PROCESS macro was used to test the mediating role of personal factors.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Only 53.4% of students reported willingness to work in geriatric care. Family attitudes, prior caregiving experience and personal-factor-related occupational cognitions positively predicted intention, while insufficient curriculum exposure and poor perceived career prospects suppressed it. Personal factors significantly mediated the association between family factors and employment intention, with notable interactive effects across family, experience and cognition-related variables.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Findings highlight integrating the family-experience-cognition pathway into curriculum optimization and policy interventions. This study enriches SCCT application in Chinese vocational education and offers region specific practical references for strengthening China\u2019s geriatric care workforce via talent cultivation and educational reform.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1871999","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T05:34:45Z","timestamp":1789968885000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Employment intentions of vocational nursing students toward geriatric care in central China"],"prefix":"10.3389","volume":"14","author":[{"given":"Ting-ting","family":"Ruan","sequence":"first","affiliation":[{"name":"Changsha Health Vocational College","place":["Changsha, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling-ling","family":"Huang","sequence":"additional","affiliation":[{"name":"Shanghai Donghai Vocational and Technical College","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li-juan","family":"Zhang","sequence":"additional","affiliation":[{"name":"The Third Xiangya Hospital of Central South University","place":["Changsha, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"ref1","volume-title":"Beyond Applause? Improving Working Conditions in Long-Term Care","year":"2023"},{"key":"ref2","volume-title":"Current Status of Securing Care Workers","year":"2025"},{"key":"ref3","first-page":"44","article-title":"The nursing and care labour market and demographic change\u2014methodology and results of nursing and care staff projection","volume":"2","author":"Eppers","year":"2024","journal-title":"WISTA\u2014Wirtsch Stat"},{"key":"ref4","volume-title":"Statistical communiqu\u00e9 on the 2024 national economic and social Development","year":"2025"},{"key":"ref5","volume-title":"Understanding China\u2019s Long-Term Care Insurance Pilots: Technical Note","year":"2018"},{"key":"ref6","volume-title":"National Report on the Development of Undertakings for Older Adults","year":"2024"},{"key":"ref7","volume-title":"Improving Long-Term Senior Care in an Aging Society 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aged care: a cross-sectional study to assess gerontological nursing competencies among undergraduate nursing students","volume":"22","author":"Ho","year":"2023","journal-title":"BMC Nurs"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"3117","DOI":"10.1007\/s40520-021-01840-z","article-title":"Study of the attitudes and future intentions of nursing students towards the care of older people","volume":"33","author":"Galzignato","year":"2021","journal-title":"Aging Clin Exp Res"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"105376","DOI":"10.1016\/j.nedt.2022.105376","article-title":"Educational effects of community service\u2011learning involving older adults in nursing education: An integrative review","volume":"113","author":"Goh","year":"2022","journal-title":"Nurse Educ Today"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"104563","DOI":"10.1016\/j.nedt.2020.104563","article-title":"Factors affecting nursing students\u2019 intention to work as a geriatric nurse with older adults in Turkey: a cross-sectional study","volume":"95","author":"Birimo\u011flu Okuyan","year":"2020","journal-title":"Nurse Educ Today"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"e0300618","DOI":"10.1371\/journal.pone.0300618","article-title":"Effects of different geriatric nursing teaching methods on nursing students\u2019 knowledge and attitude: a network meta-analysis","volume":"19","author":"Cheng","year":"2024","journal-title":"PLoS One"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"e251105","DOI":"10.1001\/jamahealthforum.2025.1105","article-title":"China\u2018s social health insurance in the era of rapid population aging","volume":"6","author":"Gruber","year":"2025","journal-title":"JAMA Health Forum"},{"key":"ref17","volume-title":"Geriatric Care Studies to be Diversified","year":"2025"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"100697","DOI":"10.1016\/j.lanhl.2025.100697","article-title":"The effect of China\u2019s integrated medical and social care policy on functional dependency and care deficits in older adults: a nationwide quasi-experimental study","volume":"6","author":"Zhou","year":"2025","journal-title":"Lancet Healthy Longev"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1006\/jvbe.1994.1027","article-title":"Toward a unifying social cognitive theory of career and academic interest, choice, and performance","volume":"45","author":"Lent","year":"1994","journal-title":"J Vocat Behav"},{"key":"ref20","volume-title":"Survey Analysis Report on the Willingness of Chinese University Students to Work in the Older Adult Care Service Industry","year":"2019"},{"key":"ref21","volume-title":"Employment Intention and Influencing Factors of Students Majoring in Older Adult Service in Jiangxi Vocational Colleges","author":"Zhu","year":"2021"},{"key":"ref22","volume-title":"Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach","author":"Hayes","year":"2022"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"11","DOI":"10.20037\/j.issn.1671-1246.2023.16.04","article-title":"Talent cultivation of higher vocational nursing major based on industrial demands","volume":"41","author":"Zhang","year":"2023","journal-title":"Health Vocat Educ"},{"key":"ref24","volume-title":"Implementation Opinions on Strengthening the Construction of Senior-Care Service Talent Workforce","year":"2024"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1037\/a0033446","article-title":"Social cognitive model of career self-management: a unifying view of adaptive career behavior across the life span","volume":"60","author":"Lent","year":"2013","journal-title":"J Couns Psychol"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"2061","DOI":"10.1002\/nop2.726","article-title":"Nursing students\u2019 willingness to work in geriatric care: an integrative review","volume":"8","author":"Dai","year":"2021","journal-title":"Nurs Open"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"105344","DOI":"10.1016\/j.nedt.2022.105344","article-title":"Willingness to care for older people and associated factors in pre-licensure nursing students: a multi-country study","volume":"112","author":"Ayd\u0131n Say\u0131lan","year":"2022","journal-title":"Nurse Educ Today"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"20230110","DOI":"10.1515\/ijnes-2023-0110","article-title":"Educational interventions to improve student nurses\u2019 knowledge, attitudes, or willingness to work with older people: a systematic review of quantitative findings","volume":"21","author":"Tao","year":"2024","journal-title":"Int J Nurs Educ Scholarsh"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"7301","DOI":"10.1186\/s12909-025-07301-9","article-title":"Examining final-year healthcare students\u2019 willingness to work with older adults: 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