Self-efficacy, burnout and academic success in nursing students : A counterfactual mediation analysis

Journal article

Bulfone, Giampiera, Iovino, Paolo, Mazzotta, Rocco, Sebastian, Michael, Macale, Loreana, Sili, Alessandro, Vellone, Ercole and Alvaro, Rosaria. (2022). Self-efficacy, burnout and academic success in nursing students : A counterfactual mediation analysis. Journal of Advanced Nursing. 78(10), pp. 3217-3224. https://doi.org/10.1111/jan.15231
AuthorsBulfone, Giampiera, Iovino, Paolo, Mazzotta, Rocco, Sebastian, Michael, Macale, Loreana, Sili, Alessandro, Vellone, Ercole and Alvaro, Rosaria
Abstract

Aim
To test the mediating role of burnout in the relationship between self-efficacy and academic success in nursing students.

Design
This was a cross-sectional secondary analysis of longitudinal research aimed at exploring the academic success of nursing students.

Methods
We enrolled a convenience sample of nursing students attending 21 Italian baccalaureate nursing degree programmes. Data were collected from 2014 to the 2018–2019 academic year. We analysed the wave of data collected during the third year of the programme. The measurements were the Academic Nurse Self-Efficacy scale (ANSEs) and the Scale of Work Burnout (SWEBO). A mediation analysis with a counterfactual approach was performed.

Results
The participants (n = 556) had a median age of 20 years (IQR 19–22) and the majority was female [70.5% (392/556)]. Academic success was reached by 51.97% (289/556) of the students. The findings reveal a significant direct effect of self-efficacy on academic success and also a significant indirect effect of this relationship via burnout.

Conclusion
The mechanism by which self-efficacy influences academic performance in nursing students is more complex than a simple direct relationship. Universities should consider screening students for variables affecting academic success to decrease academic costs and increase ranking systems classification.

Impact
Nurses' professors should be engaged in strategies to promote self-efficacy. The area of intervention should be structured both during classes and internships, in tandem with the mentor and the clinical nurse.

Keywordsburnout; nursing students; self-efficacy
Year2022
JournalJournal of Advanced Nursing
Journal citation78 (10), pp. 3217-3224
PublisherJohn Wiley & Sons Ltd
ISSN0309-2402
Digital Object Identifier (DOI)https://doi.org/10.1111/jan.15231
PubMed ID35307859
Scopus EID2-s2.0-85126787674
Page range3217-3224
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online21 Mar 2022
Publication process dates
Accepted14 Feb 2022
Deposited18 Oct 2023
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