The Journal of Korean Academic Society of Nursing Education (한국간호교육학회지)

The Korean Academic Society of Nursing Education (한국간호교육학회)
권호 표지
DOI QR코드

DOI QR Code

Factors influencing the transition shock of newly-graduated nurses

신규졸업간호사의 전환충격 영향요인

  • Received : 2022.02.24
  • Accepted : 2022.04.16
  • Published : 2022.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to identify factors that can affect transition shock in newly-graduated nurses. Methods: The first descriptive written survey was conducted on 450 graduate students from five nursing colleges. After their employment, the second survey was conducted on 316 participants who had responded to the first survey. A total of 158 respondents were used for the final analysis. Data were analyzed using an independent t-test, ANOVA, Tukey test, Pearson's correlation coefficient, and hierarchical multiple regression analysis with the SPSS Win 25.0 Program. Results: The average age of the participants was 24.25±4.47. Of the participants, 126 (79.8%) were satisfied that they had majored in nursing. The average score for transition shock was 2.61±0.55 points. Factors influencing the transition shock of newly-graduated nurses were the working department, working period, and working environment. The more positively the newly-graduated nurses perceived the nursing work environment, the less of a transition shock they experienced. Grade point average, clinical competence, confidence in performing core nursing skills, and nursing professionalism did not affect their transition shock. It could be confirmed that there is a gap between college nursing education and the clinical field. Conclusion: In order to reduce the transition shock of newly-graduated nurses, it is necessary to improve the nursing work environment and apply educational and emotional support strategies according to the characteristics of each work department and the period of work.

Keywords

Acknowledgement

This work was supported by the Sungshin Women's University Research Grant of 2021.

References

  1. Kim EY, Yeo JH. Effects of pre-graduation characteristics and working environments on transition shock of newly graduated nurses: A longitudinal study. Nurse Education Today. 2019;78:32-36. https://doi.org/10.1016/j.nedt.2019.04.002
  2. Duchscher JE. Transition shock: The initial stage of role adaptation for newly graduated registered nurses. Journal of Advanced Nursing. 2009;65(5):1103-1113. https://doi.org/10.1111/j.1365-2648.2008.04898.x
  3. Martin K, Wilson CB. Newly registered nurses' experience in the first year of practice: A phenomenological study. International Journal for Human Caring. 2011;15(2):21-27. https://doi.org/10.20467/1091-5710.15.2.21
  4. Korean Hospital Nurses Association. Hospital nurse staffing state surveys No.367 [Internet]. Seoul: Hospital nurses association work report; 2021 [cited 2022 Janary 25]. Available from: https://khna.or.kr/home/pds/utilities.php
  5. Sin KM, Kwon JO, Kim EY. Factors associated with new graduate nurses' reality shock. The Journal of Korean Academy of Nursing Administration. 2014;20(3):292-301. https://doi.org/10.11111/jkana.2014.20.3.292
  6. Kramer M. Reality shock: Why nurses leave nursing. Saint Louis: CV Mosby; 1974. p.1-249.
  7. Lake ET. Development of the practice environment scale of the nursing work index. Research in Nursing & Health. 2002;25(3):176-188. https://doi.org/10.1002/nur.10032
  8. Kim EY, Yeo JH, Yi KI. Development of the transition shock scale for newly graduated nurses. Journal of Korean Academy of Nursing. 2017;47(5):589-599. https://doi.org/10.4040/jkan.2017.47.5.589
  9. Shin KM. Kim EY. A concept analysis on reality shock in newly graduated nurses using the hybrid model. Korean Journal of Occupational Health Nursing. 2017;26(1):19-29. http://doi.org/10.5807/kjohn.2017.26.1.19
  10. Lee KM, Yeo JH. Effects of self-resilience and social support on reality shock among new graduate nurses. Journal of East-West Nursing Research. 2017;23(1):45-52. https://doi.org/10.14370/jewnr.2017.23.1.45
  11. Lee SY, Suh SL. Effect of social support and self-efficacy in the relationship between nursing work environment and reality shock in new graduate nurses. Journal of the Korea Academia-Industrial Cooperation Society. 2017;18(4):317-324. https://doi.org/10.5762/KAIS.2017.18.4.317
  12. Kim EY, Kim SH, Oh YK. Impact of nurse practice environment, coworker support, and work-Life balance on job satisfaction for newly graduated nurses. Korean Journal of Occupational Health Nursing. 2021;30(1):1-9. https://doi.org/10.5807/kjohn.2021.30.1.1
  13. Kramer M, Brewer BB, Maguire P. Impact of healthy work environments on new graduate nurses' environmental reality shock. Western Journal of Nursing Research. 2013;35(3):348-383. https://doi.org/10.1177/0193945911403939
  14. Lee SY, Lee JH. The effects of reality shock on turnover intention in new nurses: Focused on the mediating effect of nursing professionalism and compensation equity. Journal of Learner-Centered Curriculum and Instruction. 2020;20(4): 677-693. http://doi.org/10.22251/jlcci.2020.20.4.677
  15. Song RY, Shin SJ, Suh YO, Shin SR, Park YH, Kang YH, et al. The future direction of learning objectives and national nurse's licensing examination in adult health nursing. Korean Journal of Adult Nursing. 2011;23(5):503-513.
  16. Kim, HW, Kim, MG. The relationship among academic achievement, clinical competence, and confidence in clinical performance of nursing students. The Journal of Korean Academic Society of Nursing Education. 2021;27(1):49-58. https://doi.org/10.5977/jkasne.2021.27.1.49
  17. Korean Accreditation Board of Nursing Education. Core basic nursing skill items [Internet]. Seoul: Korean Accreditation Board of Nursing Education; 2012 [cited 2019 October 20]. Available from: http://www.kabone.or.kr/reference/refRoom.do
  18. Lee EK, Ji EJ. Factors influencing nursing professionalism in nursing students: Clinical learning environment and attitude toward nurse-physician collaboration. Journal of Korean Academy of Fundamentals of Nursing. 2016;23(2):126-135. https://doi.org/10.7739/jkafn.2016.23.2.126
  19. Byeon, YS, Lim, NY, Kang KS, Sung, MS, Won JS, Ko IS, et al.. Clinical nursing competency for new Graduate nurses-A grounded theory approach. Journal of Korean Academy of Fundamentals of Nursing. 2003;10(1):47-56.
  20. Lee WH, Kim CJ, Yoo JS, Heo HK, Kim KS, Lim SM. Development of a clinical competency measurement tool for student. Yonsei Journal of Nursing Science. 1990;13(1):17-29.
  21. Yang JJ, Park MY. The relationship of clinical competency and self-directed learning in nursing students. The Journal of Korean Academic Society of Nursing Education. 2004;10(2):271-277.
  22. Kim YH, Hwang SY, Lee AY. Perceived confidence in practice of core basic nursing skills of new graduate nurses. The Journal of Korean Academic Society of Nursing Education. 2014;20(1):37-46. https://doi.org/10.5977/jkasne.2014.20.1.37
  23. Yeun EJ, Kwon YM, Ahn OH. Development of a nursing professional values scale. Journal of Korean Academy of Nursing. 2005;35(6):1091-1100. https://doi.org/10.4040/jkan.2005.35.6.1091
  24. Han SS, Kim MH, Yung EK. Factors affecting nursing professionalism. The Journal of Korean Academic Society of Nursing Education. 2008;14(1):73-79. https://doi.org/10.5977/JKASNE.2008.14.1.073
  25. Cho EH, Choi MN, Kim EY, Yoo IY, Lee NJ. Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Journal of Korean Academy of Nursing. 2011;41(3):325-332. https://doi.org/10.4040/jkan.2011.41.3.32521
  26. Duchscher JE. A process of becoming: The stages of new nursing graduate professional role transition. The Journal of Continuing Education in Nursing. 2008;39(10):441-450. https://doi.org/10.3928/00220124-20081001-03
  27. Wakefield E. Is your graduate nurse suffering from transition shock?. Journal of Perioperative Nursing. 2018;31(1):47-50. https://doi.org/10.26550/2209-1092.1024
  28. Ko JK, Jung MS, Choi MA, Park YI, Bang, KS, Kim JA. Modeling of nursing competencies for competency-based curriculum development. The Journal of Korean Academic Society of Nursing Education. 2013;19(1):87-96. https://doi.org/10.5977/jkasne.2013.19.1.87
  29. Christmas K. How work environment impacts retention. Nursing Economics. 2008;26(5):316-318.
  30. Shin SJ, Park YW, Kim MJ, Kim JH, Lee IY. Survey on the education system for new graduate nurses in hospitals: Focusing on the preceptorship. Korean Medical Education Review. 2019;21(2):112-122. https://doi.org/10.17496/kmer.2019.21.2.112