Driving Factors of Medical Students' Engagement in Rural Revitalization: Insights from the Youth Red Dream Journey
Keywords:
Youth Red Dream Journey, Social responsibility, Social capital, Entrepreneurial self-efficacy, Achievement motivation, Project engagementAbstract
This study investigates whether social responsibility, social capital, entrepreneurial self-efficacy, and achievement motivation influence medical students' engagement in rural revitalization projects, specifically within the framework of the "Youth Red Dream Journey" initiative. Rural revitalization is a core aspect of China's national development strategy, aiming to mitigate healthcare disparities in underserved regions, where medical students are positioned to play a pivotal role. Using data collected through a structured survey and analyzed with Partial Least Squares Structural Equation Modeling (PLS-SEM), this research assesses the predictive strength of these four psychological and contextual factors. The findings reveal that all four variables exert significant positive effects on project engagement, with entrepreneurial self-efficacy demonstrating the strongest impact. These results underscore the need to integrate entrepreneurship, civic values, and social network cultivation into medical education. This study offers actionable insights for educators and policymakers seeking to encourage rural healthcare participation and ensure the sustainable success of revitalization initiatives.
Downloads
Metrics
References
Açıksöz, S., Şendir, M., Kızıl, H., & Coşkun, E. Y. (2022). Evaluation of individual innovative characteristics and problem-solving skills of students. Journal of Academic Research in Nursing.
Afzal, F., Raychaudhuri, P. S., Afzal, M. A., & Ahmad, A. A. (2021). Challenges faced by bpl population in availing public healthcare–analysing government initiatives, technology and cultural barriers in Aligarh district, UP. South Asian Journal of Social Sciences and Humanities, 2(5), 1-19.
Alamri, M. M. (2023). A model of e-learning through achievement motivation and academic achievement among university students in Saudi Arabia. Sustainability, 15(3), 2264.
Altschuler, R., & Mann, A. K. (2023). The development of accessible and sustainable transgender health education for rural-serving medical providers in Appalachia. Rural and Remote Health, 23(2), 1-6.
Bandura, A., & Wessels, S. (1997). Self-efficacy (pp. 4-6). Cambridge: Cambridge University Press.
Bi, Q. C., & Collins, J. (2022). Proactivity, mindsets and the development of students' entrepreneurial self-efficacy: behavioural skills as the catalyst. Journal of the Royal Society of New Zealand, 52(5), 526-538.
Botha, R., Joubert, A., Morgan, H., & Wilmot, M. (2022). Relational experiences of community members participating in a rural health initiative with interprofessional students. African Journal of Health Professions Education, 14(2), 49-54.
Brandstätter, V., & Bernecker, K. (2022). Persistence and disengagement in personal goal pursuit. Annual Review of Psychology, 73(1), 271-299.
Brommelsiek, M., & Peterson, J. A. (2022). Self-care for advanced practice nursing students in rural primary care. Journal of Nursing Education, 61(4), 187-191.
Chen, Y. D. (2022). Using Social Prescribing to Practice Social Responsibility: A Case Study in the Taipei Medical University System. Hu Li Za Zhi, 69(3), 25-30.
Coelho, M., & Menezes, I. (2021). University social responsibility, service learning, and students' personal, professional, and civic education. Frontiers in psychology, 12, 617300.
Cohen, J. (2013). Statistical power analysis for the behavioral sciences. routledge.
Dahal, A., Kardonsky, K., Cunningham, M., Evans, D. V., & Keys, T. (2023). The Effect of Rural Underserved Opportunities Program Participation on Medical Graduates' Decision to Work in Rural Areas. Academic Medicine, 98(11), 1288-1293.
Damayanti, S. (2023). The influence of need for achievement and self efficacy on student entrepreneurship intention. International Journal of Research and Review, 10(1), 513-519.
Davis, S. L., Rives, L. M., & Ruiz‐de‐Maya, S. (2021). Personal social responsibility: Scale development and validation. Corporate Social Responsibility and Environmental Management, 28(2), 763-775.
Demirören, M., & Atılgan, B. (2023). Impacts of service learning-based social responsibility training on medical students. Advances in physiology education, 47(2), 166-174.
DeVellis, R. F., & Thorpe, C. T. (2021). Scale development: Theory and applications. Sage publications.
Emerson, R. W. (2021). Convenience sampling revisited: Embracing its limitations through thoughtful study design. Journal of Visual Impairment & Blindness, 115(1), 76-77.
Fan, V., Guo, M., Hou, J., Talagi, D., Ke, Y., & Wang, W. (2022). Factors associated with selection of practice in primary care and rural health among medical and nursing students in China. Australian Journal of Primary Health, 28(6), 556-563.
Firpo, D. R. T. Đ., Zhang, S., Olfman, L., Sirisaengtaksin, K., & Roberts, J. T. (2021). Building Social Capital in Higher Education With Online Opportunistic Social Matching. International Journal of Social Media and Online Communities (IJSMOC), 13(1), 1-18.
Gumede, D. M., Taylor, M., & Kvalsvig, J. D. (2021). Engaging future healthcare professionals for rural health services in South Africa: students, graduates and managers perceptions. BMC health services research, 21, 1-15.
Haddad, R., Badke D'Andrea, C., Ricchio, A., Evanoff, B., Morrato, E. H., Parks, J., ... & Nicol, G. E. (2022). Using Innovation-Corps (I-Corps™) methods to adapt a mobile health (mhealth) obesity treatment for community mental health settings. Frontiers in Digital Health, 4, 835002.
Hair, J. F., Ringle, C. M., & Sarstedt, M. (2011). PLS-SEM: Indeed a silver bullet. Journal of Marketing theory and Practice, 19(2), 139-152.
Hair, J. F., Risher, J. J., Sarstedt, M., & Ringle, C. M. (2019). When to use and how to report the results of PLS-SEM. European business review, 31(1), 2-24.
Hair Jr, J. F., Howard, M. C., & Nitzl, C. (2020). Assessing measurement model quality in PLS-SEM using confirmatory composite analysis. Journal of business research, 109, 101-110.
Hallowell, R., Saluja, S., Lewis, L., Novak, D. A., Valentine, W., Batch, E., ... & Ben-Ari, R. (2024). Advocacy for Health Justice: An Innovative Pilot Course for MD and Master of Public Policy Students. Teaching and Learning in Medicine, 36(2), 198-210.
Henseler, J., Hubona, G., & Ray, P. A. (2016). Using PLS path modeling in new technology research: updated guidelines. Industrial management & data systems, 116(1), 2-20.
Henseler, J., Ringle, C. M., & Sarstedt, M. (2015). A new criterion for assessing discriminant validity in variance-based structural equation modeling. Journal of the academy of marketing science, 43, 115-135.
Henseler, J., Ringle, C. M., & Sinkovics, R. R. (2009). The use of partial least squares path modeling in international marketing. In New challenges to international marketing (pp. 277-319). Emerald Group Publishing Limited.
Hernández, S. E., Orozco, P. G., & Yellamelli, N. (2023). Faculty-driven student engagement in community-engaged projects: An undergraduate perspective. Journal of Community Engagement and Scholarship, 15(2).
Hu, C. Y., Nisbet, G., & Chang, Y. C. (2022). Responding to change in a medical student rural community service: Insights from activity theory. Medical education, 56(11), 1086-1095.
Hu, D., Zhang, B., Huang, M., Liu, M., Xia, X., Zuo, Y., & Liu, X. (2023). Evaluation of a medical education policy with compulsory rural service in China. Frontiers in Public Health, 11, 1042898.
Khazami, N., & Lakner, Z. (2021). Influence of social capital, social motivation and functional competencies of entrepreneurs on agritourism business: rural lodges. Sustainability, 13(15), 8641.
Kono, S., & Sato, M. (2023). The potentials of partial least squares structural equation modeling (PLS-SEM) in leisure research. Journal of Leisure Research, 54(3), 309-329.
Koyanagi, Y., Aung, M. N., Yuasa, M., Sekine, M., & Takao, O. (2021). The relation between social capital and academic motivation of students: A study of health professional education in Japan. European Journal of Investigation in Health, Psychology and Education, 11(1), 129-141.
Lee, J. H. (2021). Structural analysis of university students' entrepreneurship, entrepreneurial self-efficacy, and entrepreneurial intention. The Journal of the Korea Contents Association, 21(5), 695-706.
Leuwol, F., Irawan, B., Doho, Y., Fauzan, T., & Mardikawati, B. (2023). Building and Developing Student Entrepreneurial Intentions Through Self-Efficacy and Entrepreneurship Education in Higher Education. Edumaspul: Jurnal Pendidikan.
Li, H. (2024). Construction and Practice of" Five Education" Education Mode in Colleges and Universities Based on" Youth Red Dream Journey" Activity. Journal of Education and Educational Research, 8(3), 183-188.
Liu, X., Lin, C., Zhao, G., & Zhao, D. (2019). Research on the effects of entrepreneurial education and entrepreneurial self-efficacy on college students' entrepreneurial intention. Frontiers in psychology, 10, 869.
Ljungblad, A. L., & Berhanu, G. (2020). A Change in Interpersonal Relational Capital: Through mentoring relationships and homework activities in a university setting. International Journal of Special Education, 35(1), 5-17.
Luo, L., Guo, M., Huang, J., & Yang, J. (2022). Research on the effect of an entrepreneurial environment on college students' entrepreneurial self-efficacy: the mediating effect of entrepreneurial competence and moderating effect of entrepreneurial education. Sustainability, 14(11), 6744.
McCarty, C., Christensen, R., & McCabe, K. (2023). Clinical Ethics Concerns of Rural Healthcare Providers. Journal of Regional Medical Campuses, 6(1).
Miao, B. (2020). Impact of Innovation and Entrepreneurship Experiment Teaching Model on Academic Self-efficacy of Nursing Undergraduates. Investigacion Clinica, 61.
Ngoc Ton, H. N., Shumshunnahar, M., Nhat Tu, T. N., & Nguyen, P. T. (2023). Revisiting social capital and knowledge sharing processes in tertiary education: Vietnamese and Bangladeshi students as target populations. Cogent Social Sciences, 9(1), 2186579.
Piasecki, J., & Dranseika, V. (2021). Balancing professional obligations and risks to providers in learning healthcare systems. Journal of medical ethics, 47(6), 413-416.
Prabhu, G. N. (2020). Teaching the scope and limits of generalizability in qualitative research. New Trends in Qualitative Research, 1, 186-192.
Puiu, S., Udriștioiu, M. T., Petrișor, I., Yılmaz, S. E., Pfefferová, M. S.,Raykova, Z., ... & Marekova, E. (2024, July). Students' Well-Being and Academic Engagement: A Multivariate Analysis of the Influencing Factors. In Healthcare (Vol. 12, No. 15, p. 1492). MDPI.
Putnam, R. D. (2000). Bowling alone: The collapse and revival of American community. Simon Schuster.
Raj, M., De Vries, R., Nong, P., Kardia, S. L., & Platt, J. E. (2020). Do people have an ethical obligation to share their health information? Comparing narratives of altruism and health information sharing in a nationally representative sample. PloS one, 15(12), e0244767.
Rogers, C. (2021). Supporting health students on rural placements: A scoping review. Australian Journal of Rural Health, 29(3), 319-331.
Roy, S. (2022). Achievement motivation of post graduate level students: an analytical study. Galore International Journal of Applied Sciences and Humanities, 6(4), 51-55.
Sarnkhaowkhom, C., Santre, S., Phonsuk, P., Wongtawee, N., Piansamer, S., Laohapisitpanich, A., ... & Phikunthong, P. (2022). Assessment of Entrepreneurial Leadership among Undergraduate Nursing Students: The Case from Thailand. Nurse Media Journal of Nursing, 12(3).
Sarstedt, M., Ringle, C. M., & Hair, J. F. (2021). Partial least squares structural equation modeling. In Handbook of market research (pp. 587-632). Cham: Springer International Publishing.
Saunders, C., Marcolin, B., & Cherneski, J. (2022). The role of students' personal values and ethical ideologies in increasing the importance of perceptions of social responsibility for business students: A prme directive. Journal of Management Education, 46(5), 920-950.
Seiler, C. (2018). Can there be a moral obligation to participate in biomedical research?. European journal of clinical investigation, 48(4), e12896.
Shen, Y., Wang, Q., Hua, D., & Zhang, Z. (2021). Entrepreneurial learning, self-efficacy, and firm performance: Exploring moderating effect of entrepreneurial orientation. Frontiers in psychology, 12, 731628.
Singh, M. K., & Moody, J. (2022). Do social capital and networks facilitate community participation?. International Journal of Sociology and Social Policy, 42(5/6), 385-398.
Tang, J., Ruan, H., Wang, C., Xu, W., Li, C., & Dong, X. (2022). Social network, cognition and participation in rural health governance. International journal of environmental research and public health, 19(5), 2862.
Thaivalappil, A., Coghlin, R., Bell, C., Dougherty, B., Duench, S., Janicki, R., & Papadopoulos, A. (2023). A mixed-methods assessment of community-engaged learning in a Master of Public Health program. SAGE Open Medicine, 11, 20503121231176637.
Uysal, İ., Koşan, A. M. A., Postacı, E. S., & Tekin, M. (2021). The Relationship between Motivational Persistence and Achievement Goal Orientations of Vocational School of Health Services Students. Acta Medica International, 8(1), 7-15.
Weston, T. J., Hayward, C. N., & Laursen, S. L. (2021). When seeing is believing: Generalizability and decision studies for observational data in evaluation and research on teaching. American Journal of Evaluation, 42(3), 377-398.
Wicaksono, R. B., Ferine, M., Lestari, D. W. D., Hidayah, A. N., & Muhaimin, A. (2021). Experience of Indonesian medical students of ethical issues during their clinical clerkship in a rural setting. Journal of Medical Ethics and History of Medicine, 14.
Wiyono, B. B., & Wu, H. H. (2022). Investigating the structural effect of achievement motivation and achievement on leadership and entrepreneurial spirit of students in higher education. Administrative Sciences, 12(3), 99.
Yahata, S., Takeshima, T., Kenzaka, T., & Okayama, M. (2021). Fostering student motivation towards community healthcare: a qualitative study. BMJ open, 11(1), e039344.
Yan, Y., & Tu, Y. (2023). The impact of China's urban and rural economic revitalization on the utilization of mental health inpatient services. Frontiers in Public Health, 10, 1043666.
Yashiro, D., Nawa, N., Okada, E., Kato, H., Yonemori-Matsumoto, S., Kashimada, A., ... & Tanaka, Y. (2021). Facilitators and barriers to physicians' entrepreneurial ventures in major Japanese cities: A qualitative study. PloS one, 16(10), e0258957.
You, Y., Xie, A., & Cleland, J. (2022). Medical students' rural practice intention: academic performance matters. Medical Education, 56(12), 1203-1213.
Yuan, C. H., Wang, D., & Su, H. H. (2023). Red Boat Spirit and social entrepreneurship education in China. Sustainability, 15(6), 5030.
Yue, L., & Rivera, J. P. R. (2022). Probing Chinese perception on the importance of social capital in entrepreneurial success. Vision, 26(4), 504-521.
Zeng, X., Zhao, Y., & Cheng, Z. (2021). Development and research of rural renewable energy management and ecological management information system under the background of beautiful rural revitalization strategy. Sustainable Computing: Informatics and Systems, 30, 100553.
Zhang, Z. (2021). Innovation and Entrepreneurship of College Students to Empower Rural Revitalization Implementation Path and Thinking. Learning & Education, 10(5), 255-256.
Zhou, H., Hong, J., Yang, S., & Huang, Y. (2022). The Impact of Social Capital on Rural Residents' Medical Service Utilization in China—An Empirical Study Based on CFPS Data. International Journal of Environmental Research and Public Health, 19(23), 15989.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
