Chinese Journal of Medical Education ›› 2023, Vol. 43 ›› Issue (5): 351-355.DOI: 10.3760/cma.j.cn115259-20220704-00856

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The influence of nursing students' e-learning attitude on e-learning behavior: the chain mediating effect of initiative personality and self-efficacy of e-learning

Liu Yao1, Chen Dong2, Yang Pu3, Zhang Yuhuan3, Liang Xiaoyu3, Liu Yuqi3, Niu Qichao3,You qi4   

  1. 1Health Management Center, Harbin Medical University Cancer Hospital, Harbin 150000, China;
    2Elderly Nursing Teaching and Research Office of Heilongjiang Provincial Nursing College, Harbin 150000, China;
    3Student Department of the Second Affiliated Hospital of Harbin Medical University, Harbin 150000, China;
    4Gastrointestinal Surgery Ward 1, Harbin Medical University Cancer Hospital, Harbin 150000, China
  • Received:2022-07-04 Online:2023-05-01 Published:2023-05-05
  • Contact: You Qi, Email: Youqi318@126.com
  • Supported by:
    The 2019 Key Project of the 13th Five-Year Plan of Education Science in Heilongjiang Province (GJB1319087); National Academic Degree and Postgraduate Education Research Project(B3-YX20190301-01); Heilongjiang Higher Education Teaching Reform Project(SJGY20210547)

Abstract: Objective To explore the mediating role of initiative personality and online learning self-efficacy between online learning attitude and online learning behavior of higher vocational nursing students. Methods In December 2021, 978 nursing students from a higher vocational college in Heilongjiang Province were selected by convenient sampling method, and a cross-sectional study was conducted. The general information questionnaire, initiative personality scale, online learning self-efficacy questionnaire, online learning attitude questionnaire and online learning behavior questionnaire were used to investigate the status quo and action path of higher vocational nursing students in terms of initiative personality, online learning self-efficacy, online learning attitude and online learning behavior. The data were analyzed and the structural equation model was constructed. Results The scores of students' proactive personality, online learning self-efficacy, online learning attitude, and online learning behavior were (57.65±12.52), (31.94±9.74), (32.87±10.49), and (74.78±12.10), respectively, with positive correlations among the variables (r=0.437-0.618, all P<0.001). Online learning attitude played a direct positive effect on online learning behavior (β=0.263, P<0.001), and the direct effect accounted for 45.90% of the total effect. Proactive personality and online learning self-efficacy played indirect positive effects between online learning attitude and online learning behavior, respectively (β=0.231, 0.052, both P<0.001), and proactive personality combined with online learning self-efficacy played indirect positive effects between online learning attitude and online learning behavior (β=0.027, P<0.001), and the three indirect effects accounted for the total effect in turn effect of 40.31%, 9.08%, and 4.71%, with a total indirect effect of 0.310, accounting for 54.10% of the total effect. Conclusions The online learning attitude can not only promote the online learning behavior of nursing students through the mediation of initiative personality and online learning self-efficacy, but also have an important influence on the online learning behavior of nursing students through the chain mediation of initiative personality and online learning self-efficacy.

Key words: Nursing, Proactive personality, Online learning self-efficacy, Online learning attitude, Online learning behavior

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