4.5 Article

The status and associated factors of junior nurses' transition shock: A cross-sectional study

Journal

JOURNAL OF NURSING MANAGEMENT
Volume 30, Issue 3, Pages 716-723

Publisher

WILEY
DOI: 10.1111/jonm.13543

Keywords

feedback seeking; humanistic care; nurses; transition shock

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This study aimed to analyze the status of transition shock among junior nurses and its associated factors. The results showed that head nurses' humanistic care behavior and nurses' feedback-seeking behavior were negatively correlated with transition shock among junior nurses. Factors such as income satisfaction, head nurses' humanistic care behavior, night shift frequency, and educational background also influenced transition shock. The findings suggest that nursing management should focus on integrating humanistic care into practice and creating a supportive environment to reduce transition shock among junior nurses.
Aim To analyse junior nurses(') transition shock status and its associated factors. Background When nurses experience transition shock, turnover intentions followed by turnover behaviour are likely, which is unfavourable for the stable development of nursing teams. Methods Using convenience sampling, 1,148 Chinese junior nurses were recruited. Those recruited completed a demographic questionnaire and the head nurses' humanistic care behaviour for nurses, feedback-seeking behaviour and transition shock of nurses scales. Data and associated factors of transition shock were analysed using SPSS and univariate and multivariate analyses, respectively. Results Head nurses' humanistic care behaviour and nurses(') feedback-seeking behaviour were significantly and negatively correlated with junior nurses' transition shock (mean score: 2.87 +/- 0.85). Income satisfaction, head nurses' humanistic care behaviour, night shift frequency and educational background entered the regression equation. Conclusions Transition shock exists not only in new nurses but also in junior nurses with <= 5-year service. Those dissatisfied with their income have frequent night shifts, and higher education backgrounds have higher levels of transition shock. Implications for Nursing Management Head nurses need to reduce transition shock of nurses with <= 5-year service by integrating humanistic care into nursing management and creating a friendly environment to stimulate feedback-seeking behaviour.

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