Adult attachment profiles, death attitudes, and intention to remain in nursing among Chinese intern nursing students
-
By
-
Yan Yang
-
Jing Hua
-
Chenghao Shi
-
Chenling Zhu
-
Yuping Zhang
-
Danni Lin
-
Fang Chen
-
June 29, 2026
-
Clinical Scorecard: Exploring Adult Attachment Styles, Perspectives on Death, and Commitment to Nursing Careers Among Chinese Nursing Interns
At a Glance
| Category | Detail |
| Condition | Adult Attachment Styles |
| Key Mechanisms | Attachment anxiety and avoidance influence emotional responses to death and professional commitment. |
| Target Population | Chinese intern nursing students |
| Care Setting | Clinical training in teaching hospitals |
Key Highlights
- Four distinct attachment profiles identified: relatively secure, mildly insecure, moderately insecure, and highly insecure.
- Higher attachment insecurity correlates with negative death attitudes and lower intention to remain in nursing.
- Significant differences in death attitudes across attachment profiles.
- Adjusted logistic regression shows lower odds of remaining in nursing for highly and moderately insecure profiles.
Guideline-Based Recommendations
Diagnosis
- Utilize latent profile analysis to identify attachment styles among nursing interns.
Management
- Implement targeted death education and psychological support for nursing students.
Monitoring & Follow-up
- Assess death attitudes and attachment styles periodically during clinical training.
Risks
- Higher attachment insecurity may lead to increased burnout and intention to leave the nursing profession.
Patient & Prescribing Data
Intern nursing students undergoing clinical training.
Addressing individual differences in attachment may improve coping with death-related experiences.
Clinical Best Practices
- Incorporate training on emotional regulation and coping strategies in nursing curricula.
- Facilitate discussions on death and dying to improve death attitudes among nursing students.
Related Resources & Content