Park Sun-Young, Kim Heejung, Ma Chenjuan
Health Care Manage Rev. 2022;47(2):168-178. doi: 10.1097/HMR.0000000000000317.
New graduate nurses experience difficulty in adapting to a new environment, which affects intent to leave. However, data on the factors contributing to difficulty in adapting and intent to leave among new graduate nurses are insufficient.
The aim of the study was to explore and compare factors associated with difficulty in adapting and the intent to leave among new graduate nurses in South Korea.
This cross-sectional study used secondary data analysis. Primary data were obtained from the 2015-2016 Korean National Graduates Occupational Mobility Survey. Descriptive statistics, independent t tests, and chi-square statistics with weighted samples besides multivariate logistic regression analyses were conducted (N = 467).
Roughly 46% of nurses reported difficulty adapting, and 16% expressed their intent to leave. The factors linked to difficulty in adapting were working at large hospitals with rotating shifts, low person-job fit, and low satisfaction with personal competency; intent to leave was associated with high monthly salary and low satisfaction with the workplace (all ps < .05). Difficulty in adapting did not equate to their intent to leave.
There were high rates of difficulty in adapting and intent to leave among new graduate nurses. Although different factors were associated with difficulty adapting and intent to leave, workplace condition is a common factor.
Different strategies are needed to improve adaptation and intention of leaving among new graduate nurses. For better adaptation, developing training programs enhancing professional competency with a sufficient training period is required. In addition, providing staff and resources to reduce the intent to leave is crucial.
新毕业护士在适应新环境方面存在困难，这影响了他们的离职意愿。然而，关于导致新毕业护士适应困难和离职意愿的因素的数据并不充分。
本研究旨在探索和比较韩国新毕业护士中与适应困难和离职意愿相关的因素。
本横断面研究采用二次数据分析。原始数据来自2015 - 2016年韩国全国毕业生职业流动调查。除多因素逻辑回归分析外，还对加权样本进行了描述性统计、独立t检验和卡方统计（N = 467）。
约46%的护士报告存在适应困难，16%表示有离职意愿。与适应困难相关的因素包括在大型医院轮班工作、个人与工作匹配度低以及对个人能力满意度低；离职意愿与高月薪和对工作场所满意度低相关（所有p值 <.05）。适应困难并不等同于离职意愿。
新毕业护士中适应困难和离职意愿的发生率较高。虽然与适应困难和离职意愿相关的因素不同，但工作场所条件是一个共同因素。
需要采取不同策略来提高新毕业护士的适应能力和降低离职意愿。为了更好地适应，需要制定培训计划，在足够的培训期内提高专业能力。此外，提供人员和资源以降低离职意愿至关重要。
