Department of Nursing, Sejong Hospital, Incheon, Republic of Korea.
College of Nursing, Gachon University, Incheon, Republic of Korea.
J Clin Nurs. 2021 Apr;30(7-8):1037-1045. doi: 10.1111/jocn.15649. Epub 2021 Jan 26.
To examine transition shock in newly licensed nurses and the association of work environment and resilience with nurses' transition shock.
Although work environment is related to transition shock in newly licensed nurses, little is known about the factors of nursing work environment associated with transition shock. Furthermore, resilience is known to help nurses positively face workplace challenges; however, there is little evidence on the associations between resilience and transition shock in new nurses.
A cross-sectional, descriptive study.
Data from 163 new nurses with <12 months of work experience in the current hospital since graduation were analysed. Participants' characteristics, work environment, nurse resilience and transition shock were self-reported. Multivariable linear regressions were performed in three steps (following the STROBE checklist).
The highest mean score of transition shock was obtained for the item 'I perceive the limitations of my professional knowledge in nursing care'. In the regression analysis adjusted for all variables, two factors of work environment-'nurse staffing and resource adequacy' and 'collegial nurse-physician relationships'-were associated with transition shock. Meanwhile, resilience was not related to transition shock.
The gap between newly licensed nurses' theoretical and practical knowledge continues to exist. Adequate nurse staffing and a positive relationship with physicians, rather than nurse resilience, were more likely to associate with new nurses' transition shock.
Hospitals need to provide ward-based simulations and case-based learning methods to enhance nurses' transition to professional practice. For nurses' transition, hospitals should make efforts to provide adequate nurse staffing and resources. Furthermore, hospitals should provide communication opportunities to build a positive collaborative culture between nurses and physicians. Unit nurse managers need to assess newly licensed nurses' perception of nurse-physician professional relationship and create an atmosphere of respect and understanding for each other.
检查新注册护士的过渡冲击以及工作环境和适应力与护士过渡冲击的关系。
尽管工作环境与新注册护士的过渡冲击有关，但对于与护士过渡冲击相关的护理工作环境因素知之甚少。此外，适应力被认为有助于护士积极面对工作场所的挑战；然而，关于新护士的适应力和过渡冲击之间的关联，证据很少。
横断面描述性研究。
对 163 名毕业后在当前医院工作经验不足 12 个月的新护士进行数据分析。参与者的特征、工作环境、护士适应力和过渡冲击均为自我报告。采用多变量线性回归分三步进行（遵循 STROBE 清单）。
过渡冲击的最高平均得分是在“我认为自己在护理方面的专业知识有限”这一项中获得的。在调整所有变量的回归分析中，工作环境的两个因素——“护士人力配备和资源充足性”和“护士与医师的良好关系”与过渡冲击有关。而适应力与过渡冲击无关。
新注册护士的理论知识和实践知识之间的差距仍然存在。充足的护士人力配备和与医生的积极关系，而不是护士的适应力，更有可能与新护士的过渡冲击相关。
医院需要提供病房模拟和基于案例的学习方法，以增强护士的过渡到专业实践。为了护士的过渡，医院应努力提供充足的护士人力配备和资源。此外，医院应提供沟通机会，建立护士和医生之间积极的合作文化。单元护士管理者需要评估新注册护士对护士与医生专业关系的看法，并营造相互尊重和理解的氛围。
