Adult attachment profiles, death attitudes, and intention to remain in nursing among Chinese intern nursing students - Scorecard - MDSpire

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

  • 0 min

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Clinical Scorecard: Exploring Adult Attachment Styles, Perspectives on Death, and Commitment to Nursing Careers Among Chinese Nursing Interns

At a Glance

CategoryDetail
ConditionAdult Attachment Styles
Key MechanismsAttachment anxiety and avoidance influence emotional responses to death and professional commitment.
Target PopulationChinese intern nursing students
Care SettingClinical 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.

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