General Hospital Zadar, Bože Peričića 5, 23000 Zadar, Croatia.
Department of Health Studies, University of Zadar, Splitska 1, 23000 Zadar, Croatia.
Medicina (Kaunas). 2023 Feb 27;59(3):468. doi: 10.3390/medicina59030468.
Moving nurses to a COVID-19 department may cause the phenomenon of transition shock, which occurs when already employed nurses change jobs. A set of confusing and uncertain feelings arise due to the unfamiliar work environment, which may lead to their intention to leave the nursing profession. The aim of this study was to examine transition shock and the contribution of both the respondents' characteristics and the presence of stressors to the occurrence of transition shock in nurses assigned to work in COVID-19 departments. : A cross-sectional study with 120 nurses employed in COVID-19 departments was conducted. Several linear regression models were used to assess the association between transition shock, personal and professional COVID-19 stressors, and the intention to leave the nursing profession. : Nurses who intended to leave the profession showed higher transition shock and higher personal and professional stressors ( < 0.001). Female nurses had lower transition shock (β = -0.16; = 0.036) and higher personal COVID-19 stressors (β = 0.27; < 0.001). University education contributes to the lowering of nurses' transition shock (β = -0.16; = 0.038). Nurses who did not intend to leave the nursing profession had lower personal COVID-19 stressors (β = -0.15; = 0.044). Transition shock was associated with personal COVID-19 stressors (β = 0.39; < 0.001) and professional COVID-19 stressors (β = 0.29; < 0.001), and vice versa. : The phenomenon of transition shock was present after nurses transitioned to working in COVID-19 departments. Transition shock may cause more nurses to leave the profession, which may have a strong impact on the health system in many countries that are already facing a shortage of nurses. Additional education on and preparation for adapting to new working conditions with psychological support could have an influence by lowering the level of nurses' transition shock.
将护士调到 COVID-19 部门可能会导致过渡性休克现象，这种现象发生在已经就业的护士换工作时。由于不熟悉工作环境，会产生一系列困惑和不确定的感觉，这可能导致他们有意离开护理行业。本研究的目的是研究过渡性休克以及护士特征和压力源的存在对分配到 COVID-19 部门工作的护士过渡性休克发生的贡献。
这是一项横断面研究，共纳入 120 名在 COVID-19 部门工作的护士。使用多个线性回归模型来评估过渡性休克、个人和专业 COVID-19 压力源与离开护理行业意愿之间的关联。
结果显示，有离职意愿的护士表现出更高的过渡性休克和更高的个人和专业 COVID-19 压力源（<0.001）。女性护士的过渡性休克较低（β=-0.16；=0.036），个人 COVID-19 压力源较高（β=0.27；<0.001）。接受大学教育有助于降低护士的过渡性休克（β=-0.16；=0.038）。没有离职意愿的护士个人 COVID-19 压力源较低（β=-0.15；=0.044）。过渡性休克与个人 COVID-19 压力源（β=0.39；<0.001）和专业 COVID-19 压力源（β=0.29；<0.001）相关，反之亦然。
护士调到 COVID-19 部门后出现了过渡性休克现象。过渡性休克可能会导致更多的护士离开这个行业，这可能对许多已经面临护士短缺的国家的卫生系统产生强烈影响。通过提供关于适应新工作条件的额外教育和心理支持，可能会降低护士的过渡性休克水平，从而产生影响。
