The interaction between rumination and job embeddedness among trainee nurses during internship: A multicenter
Weiyi Wang1, Huizhen Ma1, Lei Huang2
1Department of Geriatric Medicine, Nanjing Drum Tower Hospital: The Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Plos One
|May 26, 2026
Summary
During nursing internships, rumination decreases while job embeddedness increases. Understanding this dynamic relationship is key for improving trainee nurses' job embeddedness and overall training experience.
Area of Science:
- Nursing Education
- Psychology
- Organizational Behavior
Background:
- Rumination and job embeddedness are critical factors influencing trainee nurses' professional development and retention.
- Understanding the developmental trajectories and interrelationships of these constructs is essential for effective clinical training.
Purpose of the Study:
- To investigate the developmental trends of rumination and job embeddedness in college trainee nurses.
- To examine the predictive relationship between rumination and job embeddedness throughout the internship period.
Main Methods:
- A longitudinal study design was employed, tracking 405 nursing interns across three time points over a 9-10 month internship.
- The Ruminative Responses Scale (RRS) and Global Job Embeddedness Items (GJEI) were used for data collection.
- A cross-lagged model was utilized to analyze the causal relationships between rumination and job embeddedness.
Main Results:
- Rumination significantly decreased from the initial to the completion stages of the internship (44.79 to 41.61).
- Job embeddedness significantly increased during the same period (22.42 to 25.48).
- Previous levels of rumination negatively predicted subsequent job embeddedness, and vice versa, indicating a reciprocal negative relationship.
Conclusions:
- Trainee nurses experience a decline in rumination and a rise in job embeddedness during their clinical training.
- Educators and clinical instructors should monitor rumination levels and strategically use the dynamic interplay between rumination and job embeddedness to enhance training outcomes.
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