A multi-center cross-sectional study on identification of influencing factors of medical students' emotional engagement in China

作者全名："Huang, Runzhi; Zhang, Guoyang; Zhou, Zhitong; Lin, Min; Xian, Shuyuan; Gong, Meiqiong; Yin, Huabin; Meng, Tong; Liu, Xin; Wang, Xiaonan; Wang, Yue; Chen, Wenfang; Zhang, Chongyou; Du, Erbin; Lin, Qing; Wu, Hongbin; Huang, Zongqiang; Zhang, Jie; Xu, Dayuan; Ji, Shizhao"

作者地址："[Huang, Runzhi; Xian, Shuyuan; Xu, Dayuan; Ji, Shizhao] Naval Med Univ, Dept Burn Surg, Affiliated Hosp 1, Shanghai, Peoples R China; [Huang, Runzhi; Xian, Shuyuan; Xu, Dayuan; Ji, Shizhao] Chinese Acad Med Sci, Res Unit key Tech treatment burns & combined burns, Shanghai, Peoples R China; [Zhang, Guoyang; Zhang, Jie] Maastricht Univ, Sch Hlth Profess Educ, Maastricht, Netherlands; [Zhou, Zhitong] Tongji Univ, Sch Med, Shanghai 200092, Peoples R China; [Lin, Min] Chongqing Med Univ, Mental Hlth Educ & Consultat Ctr, 61 Daxuecheng Middle Rd, Chongqing 401331, Peoples R China; [Gong, Meiqiong] Shanghai Open Univ, Off Educ Adm, Shanghai 200444, Peoples R China; [Yin, Huabin; Meng, Tong] Shanghai Jiao Tong Univ, Sch Med, Shanghai Gen Hosp, Dept Orthoped, 100 Haining Rd, Shanghai 200072, Peoples R China; [Liu, Xin] Naval Med Univ, Affiliated Hosp 2, Dept Rheumatol & Immunol, Shanghai, Peoples R China; [Wang, Xiaonan] Capital Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, 10 Xitoutiao, Beijing 100069, Peoples R China; [Wang, Yue] Air Force Med Univ, Sch Publ Hlth, Dept Hlth Stat, 169 Changle West Rd, Xian 710032, Peoples R China; [Chen, Wenfang] Jinggangshan Univ, Med Coll, 28 Xueyuan Rd, Jian 343009, Jiangxi, Peoples R China; [Zhang, Chongyou] Harbin Med Univ, Basic Med Coll, 157 Baojian Rd, Harbin 150081, Heilongjiang, Peoples R China; [Du, Erbin] Mudanjiang Med Univ, Basic Med Coll, Mudanjiang 157011, Peoples R China; [Lin, Qing] Fujian Med Univ, Sch Basic Med Sci, Dept Human Anat, Lab Clin Appl Anat, 1 Xuefu North Rd, Fuzhou 350122, Fujian, Peoples R China; [Wu, Hongbin] Peking Univ, Natl Ctr Hlth Profess Educ Dev, Beijing 100191, Peoples R China; [Wu, Hongbin] Peking Univ, Inst Med Educ, 5 YiHeYuan Rd, Beijing 100871, Peoples R China; [Huang, Zongqiang] Zhengzhou Univ, Dept Endocrinol, Affiliated Hosp 1, 1 Jianshe East Rd, Zhengzhou 450052, Peoples R China; [Zhang, Jie] Tongji Univ, Sch Med, Shanghai Matern & Infant Hosp 1, Dept Gynecol, 2699 West GaoKe Rd, Shanghai 201204, Peoples R China"

通信作者："Xu, DY; Ji, SZ (通讯作者)，Naval Med Univ, Dept Burn Surg, Affiliated Hosp 1, Shanghai, Peoples R China.; Xu, DY; Ji, SZ (通讯作者)，Chinese Acad Med Sci, Res Unit key Tech treatment burns & combined burns, Shanghai, Peoples R China.; Zhang, J (通讯作者)，Maastricht Univ, Sch Hlth Profess Educ, Maastricht, Netherlands.; Lin, M (通讯作者)，Chongqing Med Univ, Mental Hlth Educ & Consultat Ctr, 61 Daxuecheng Middle Rd, Chongqing 401331, Peoples R China.; Yin, HB; Meng, T (通讯作者)，Shanghai Jiao Tong Univ, Sch Med, Shanghai Gen Hosp, Dept Orthoped, 100 Haining Rd, Shanghai 200072, Peoples R China.; Liu, X (通讯作者)，Naval Med Univ, Affiliated Hosp 2, Dept Rheumatol & Immunol, Shanghai, Peoples R China.; Wang, XA (通讯作者)，Capital Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, 10 Xitoutiao, Beijing 100069, Peoples R China.; Wang, Y (通讯作者)，Air Force Med Univ, Sch Publ Hlth, Dept Hlth Stat, 169 Changle West Rd, Xian 710032, Peoples R China.; Chen, WF (通讯作者)，Jinggangshan Univ, Med Coll, 28 Xueyuan Rd, Jian 343009, Jiangxi, Peoples R China.; Zhang, CY (通讯作者)，Harbin Med Univ, Basic Med Coll, 157 Baojian Rd, Harbin 150081, Heilongjiang, Peoples R China.; Du, ER (通讯作者)，Mudanjiang Med Univ, Basic Med Coll, Mudanjiang 157011, Peoples R China.; Lin, Q (通讯作者)，Fujian Med Univ, Sch Basic Med Sci, Dept Human Anat, Lab Clin Appl Anat, 1 Xuefu North Rd, Fuzhou 350122, Fujian, Peoples R China.; Wu, HB (通讯作者)，Peking Univ, Natl Ctr Hlth Profess Educ Dev, Beijing 100191, Peoples R China.; Wu, HB (通讯作者)，Peking Univ, Inst Med Educ, 5 YiHeYuan Rd, Beijing 100871, Peoples R China.; Huang, ZQ (通讯作者)，Zhengzhou Univ, Dept Endocrinol, Affiliated Hosp 1, 1 Jianshe East Rd, Zhengzhou 450052, Peoples R China.; Zhang, J (通讯作者)，Tongji Univ, Sch Med, Shanghai Matern & Infant Hosp 1, Dept Gynecol, 2699 West GaoKe Rd, Shanghai 201204, Peoples R China."

来源：BMC MEDICAL EDUCATION

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:001101190100009

JCR分区：Q1

影响因子：2.7

年份：2023

卷号：23

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Medical students; Emotional engagement; Influencing factors; Multi-center; Cross-sectional study; Nomogram

摘要："Background Studies exploring influencing factors of emotional engagement among medical students are scarce. Thus, we aimed to identify influencing factors of medical students' emotional engagement.Methods We carried out a multi-center cross-sectional study among 10,901 medical students from 11 universities in China. The Chinese version of Utrecht Work Engagement Scale-Student version (UWES-S) was used to evaluate emotional engagement level of medical students. The predictors related to engagement level were determined by the logistic regression analysis. Furthermore, we constructed a nomogram to predict emotional engagement level of medical students.Results A total of 10,576 sample were included in this study. The mean emotional engagement score was 74.61(+/- 16.21). In the multivariate logistic regression model, we found that males showed higher engagement level compared with females [odds ratio (OR) (95% confidence interval (CI)): 1.263 (1.147, 1.392), P < 0.001]. Medical students from the second batches of medical universities had higher engagement level and from ""Project 985"" universities had lower engagement level compared with 211 project universities [OR (95%CI): 1.376 (1.093, 1.733), P = 0.007; OR (95%CI): 0.682 (0.535, 0.868), P = 0.002]. Medical students in grade 4 and grade 2 presented lower engagement level compared with in grade 1 [OR (95%CI): 0.860 (0.752, 0.983), P = 0.027; OR (95%CI): 0.861 (0.757, 0.980), P = 0.023]. Medical students lived in provincial capital cities had higher engagement level compared with in country [OR (95%CI): 1.176 (1.022, 1.354), P = 0.024]. Compared with eight-year emotional duration, medical students in other emotional duration (three-year and four-year) had lower engagement level [OR (95%CI): 0.762 (0.628, 0.924), P = 0.006]. Medical students' engagement level increased with increases of grade point average and interest in studying medicine. Medical students learned by converging style showed lower engagement level [OR (95%CI): 0.827 (0.722, 0.946), P = 0.006] compared with accommodating style. The model showed good discriminative ability (area under curve = 0.778), calibrating ability and clinical utility.Conclusions We identified influencing factors of medical students' emotional engagement and developed a nomogram to predict medical students' emotional engagement level, providing reference and convenience for educators to assess and improve emotional engagement level of medical students. It is crucial for educators to pay more attention to emotional engagement of medical students and adopt effective strategies to improve their engagement level."

基金机构："National Natural Science Foundation of China [81702659, 81772856, 82173168, 82073207, 81801620, 81930057, 81772076, 81971836]; CAMS Innovation Fund for Medical Sciences [2019-I2M-5-076]; Deep Blue Talent Project of Naval Medical University, 234 Academic Climbing Programme of Changhai hospital and Achievements Supportive Fund [2018-CGPZ-B03]; Shanghai Rising-Star Program (Sailing Special Program) [23YF1458400]; Youth Fund of Shanghai Municipal Health Planning Commission [2017YQ054, 2017Y0117]; Interdisciplinary Program of Shanghai Jiao Tong University [YG2017MS26]; Shanghai Rising-Star Program [21QA1407500]; Shanghai Talent Development Fund [2018094]; Shanghai Municipal Health Commission [201940306]; Henan medical science and technology research project [201602031]; Key project of provincial and ministerial co-construction of Henan Medical Science and Technology [SBGJ202002031]"

基金资助正文："This study was supported in part by the National Natural Science Foundation of China (Grant No. 81702659; 81772856; 82173168; 82073207; 81801620; 81930057; 81772076; 81971836); CAMS Innovation Fund for Medical Sciences (2019-I2M-5-076), Deep Blue Talent Project of Naval Medical University, 234 Academic Climbing Programme of Changhai hospital and Achievements Supportive Fund (2018-CGPZ-B03); Shanghai Rising-Star Program (Sailing Special Program) (No. 23YF1458400); Youth Fund of Shanghai Municipal Health Planning Commission (No.2017YQ054; 2017Y0117); Interdisciplinary Program of Shanghai Jiao Tong University (No.YG2017MS26); Shanghai Rising-Star Program (No. 21QA1407500); Shanghai Talent Development Fund (No.2018094); Shanghai Municipal Health Commission (No.201940306); Henan medical science and technology research project (No. 201602031); Key project of provincial and ministerial co-construction of Henan Medical Science and Technology (No. SBGJ202002031). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript."