Ding Ziwei, Weng Huiting, Yang Li, Zhang Bo, Luo Yuanyuan, Wang Qin
Xiangya Nursing School of Central South University, Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Address:Xiangya School of Nursing, Central South University, 172, Tongzroad, Changsha, 410013, China.
Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Address：139 Middle Renmin Road Changsha, 410011, China.
Heliyon. 2024 Feb 24;10(5):e26207. doi: 10.1016/j.heliyon.2024.e26207. eCollection 2024 Mar 15.
Transition shock is prevalent among nursing interns. Future time perspective helps nursing interns learn and work more effectively and improve their problem-solving skills. Professional self-concept and professional identity play an important central and driving role in nursing interns' career choices and career development. However, the mechanism by which future time perspective, professional self-concept and professional identity are linked to transition shock among nursing interns remains unknown.
We assess the degree of transition shock experienced by nursing interns and investigate the connections among transition shock, future-focused viewpoint, professional identity, and professional self-concept.
A descriptive, cross-sectional design was conducted.
Eight hospitals in Hunan Province, China were included in the study.
Nursing interns at the studied hospital participated in the study.
A total of 1090 nursing interns [929 female, 161 male] were recruited from eight hospitals. Data on transition shock, future time perspective, professional self-concept and professional identity among nursing interns were collected using questionnaires from 30 May to June 15, 2022.
On a 4-point rating scale, the participants' felt transition shock had a mean overall score of 2.39 (SD = 0.52). The dimension with the highest score was overwhelming workload (mean = 2.74, SD = 0.58), while the dimension with the lowest score was incongruity between work and personal life (mean = 2.16, SD = 0.70).Professional identity was statistically significantly correlated with transition shock (r = -0.198, p < 0.01). The preferred level of nursing (β = 0.354, p < 00.01), professional self-concept (β = 0.226, p < 00.01), professional identity (β = -0.2576, p < 00.01) and future time perspective (β = 0.119, p < 00.01) were predictors of transition shock.
The development of nursing interns' sense of professional identity and future time perspective should be enhanced during both the education phase and clinical placement to help nursing interns overcome the experience of transition shock.
转型冲击在护理实习生中很普遍。未来时间观有助于护理实习生更有效地学习和工作，并提高他们解决问题的能力。职业自我概念和职业认同在护理实习生的职业选择和职业发展中起着重要的核心和推动作用。然而，未来时间观、职业自我概念和职业认同与护理实习生转型冲击之间的联系机制尚不清楚。
我们评估护理实习生经历的转型冲击程度，并调查转型冲击、未来导向观点、职业认同和职业自我概念之间的联系。
采用描述性横断面设计。
中国湖南省的八家医院纳入研究。
研究医院的护理实习生参与研究。
从八家医院招募了总共1090名护理实习生[929名女性，161名男性]。2022年5月30日至6月15日，使用问卷收集护理实习生转型冲击、未来时间观、职业自我概念和职业认同的数据。
在4分制评分量表上，参与者感受到的转型冲击总体平均分为2.39（标准差=0.52）。得分最高的维度是工作量过大（平均=2.74，标准差=0.58），而得分最低的维度是工作与个人生活不协调（平均=2.16，标准差=0.70）。职业认同与转型冲击在统计学上显著相关（r=-0.198，p<0.01）。护理偏好水平（β=0.354，p<0.01）、职业自我概念（β=0.226，p<0.01）、职业认同（β=-0.2576，p<0.01）和未来时间观（β=0.119，p<0.01）是转型冲击的预测因素。
在教育阶段和临床实习期间，应加强护理实习生职业认同感和未来时间观的培养，以帮助护理实习生克服转型冲击的体验。
