A Conceptual Framework for Understanding Career Choice Intention Among Nursing Students: The Roles of Self-Efficacy and Psychological Stress

Nursing staff shortage is an acute issue in health care across the globe and it is no exception in Henan Province, China. As nursing programs have grown, some students question whether they want to pursue a lifelong career in the field. This paper aims to provide a theoretical foundation for understanding how self-efficacy and psychological stress affect career choice intention in nursing students. Based on social cognitive theory, the model suggests that self-efficacy encourages students’ career commitment, and psychological tension may be a moderator. The paper reviews current empirical literature identifies shortcomings of current research, and develops testable conjectures for future empirical study. Implications This framework contributes to both theory and practice by highlighting the importance of confidence building and stress management interventions in nursing education. This research provides a baseline for future inquiry on how to retain students and help them to succeed in a high-stress educational program like nursing.