Why is psychiatric nursing not the preferred option for nursing students: A cross-sectional study examining pre-nursing and nursing school factors

• Published in: Nurse education today 2017-05, Vol.52, p.95-102
• Main Authors: Ong, Hui Lin, Seow, Esmond, Chua, Boon Yiang, Xie, Huiting, Wang, Jia, Lau, Ying Wen, Chong, Siow Ann, Subramaniam, Mythily
• Format: Article
• Language: English
• Subjects: Admissions policies; Attitude; Attitudes; Career Choice; Clinical nursing; Clinical training; Cross-Sectional Studies; Education; Ethnicity; Extraversion; Female; Forensic psychiatry; Humans; Imagination; Internet; Job satisfaction; Male; Mental disorders; Mental health; Nursing; Nursing Students; Parenthood education; Personality tests; Prospects; Psychiatric nurses; Psychiatric Nursing; Psychiatric-mental health nursing; Psychiatry; Psychology; Questionnaires; Recruitment; Schools, Nursing; Shortages; Singapore; Student Attitudes; Students, Nursing - psychology; Surveys and Questionnaires; Teaching methods; Work experience; Young Adult
• ISSN: 0260-6917; 1532-2793
• DOI: 10.1016/j.nedt.2017.02.014

There is a shortage of nurses working in the mental health field globally. The aim of the present study was to examine Singapore nursing students' attitudes towards specializing in psychiatric nursing by examining the pre-nursing and nursing school factors as well as attitudes towards psychiatry and personality traits. A cross-sectional online survey was conducted with 500 nursing students from four nursing institutions in Singapore. Students' attitudes towards psychiatry (ATP-18), perception of psychiatric nursing career aspects relative to other fields, and personality traits (mini-IPIP) were assessed. The main outcome measure was likelihood of specializing in psychiatric nursing. Logistic regression was used to examine the combined effect of factors upon the outcome. Twenty-six students (5.2%) rated “definitely decided to do” psychiatric nursing. Pre-nursing school factors associated with choosing psychiatry included ethnicity, current education, parents' wishes, having personal/family experience of mental illness, prior work experience, interest in psychiatric nursing and psychology module taken prior to current school admission. Nursing school factors such as teaching methods and clinical exposure were not associated with choosing psychiatric nursing. Positive attitudes towards psychiatry, perception of better career aspects in psychiatric nursing relative to other fields, and the personality traits of extraversion and intellect/imagination were associated with likelihood of choosing psychiatric nursing. Logistic regression revealed Malay (OR: 1.90, 1.14–3.16, p=0.013) and Indian ethnicity (OR: 2.56, 1.32–4.96, p=0.005), interest in psychiatry (OR: 22.56, 8.22–61.92, p