Neonatal Intensive Care Unit, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan City, China.
Nursing Department, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan City, China.
J Nurs Manag. 2022 Apr;30(3):716-723. doi: 10.1111/jonm.13543. Epub 2022 Jan 17.
To analyse junior nurses transition shock status and its associated factors.
When nurses experience transition shock, turnover intentions followed by turnover behaviour are likely, which is unfavourable for the stable development of nursing teams.
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.
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.
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.
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.
分析新入职护士的职业变动震荡现状及其相关因素。
当护士经历职业变动震荡时，他们可能会产生离职意愿，从而导致离职行为，这对护理团队的稳定发展是不利的。
采用便利抽样法，选取 1148 名中国新入职护士作为研究对象。采用一般资料问卷、护士长人文关怀行为量表、护士反馈寻求行为量表和护士职业变动震荡量表对其进行调查。采用 SPSS 软件对数据和职业变动震荡的相关因素进行分析，分别采用单因素和多因素分析。
护士长的人文关怀行为和护士的反馈寻求行为与新入职护士的职业变动震荡呈显著负相关（均 P<0.001，平均分：2.87±0.85）。收入满意度、护士长的人文关怀行为、夜班频率和教育背景进入回归方程。
职业变动震荡不仅存在于新入职护士中，也存在于工作年限≤5 年的低年资护士中。收入满意度低、夜班频繁、教育程度较高的护士职业变动震荡水平更高。
护士长需要将人文关怀融入护理管理中，营造友好的环境，以激发护士的反馈寻求行为，从而降低工作年限≤5 年护士的职业变动震荡水平。
