Department of Nursing, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Department of Nursing, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China
BMJ Open. 2024 Apr 3;14(4):e082865. doi: 10.1136/bmjopen-2023-082865.
To investigate how core competency and self-efficacy of newly graduated nurses affect their experience of transition shock, and to determine the relationship between these factors.
A cross-sectional study.
262 newly graduated nurses participated in a cross-sectional study by using demographic data, the transition shock scale, the competency inventory for registered nurses scale and the self-efficacy scale.
Among newly graduated nurses, the score of transition shock was 77.641±24.140, the score of core competency was 125 (109.5, 163.5) and the score of self-efficacy was 2.5 (2,3), all of which were at a moderate level. The core competency and self-efficacy of the newly graduated nurses had a negative impact on the transition shock (β=-0.151, p=0.026; β=-0.379, p<0.001). Additionally, self-efficacy played a mediating role in the relationship between core competency and transition shock, with a mediating effect accounting for 57.34% of the total effect.
The transition shock of newly graduated nurses was at a moderate level, with the highest level of transition shock occurring within the first year of employment. Self-efficacy plays a mediating role in the relationship between core competency and transition shock. Nursing managers should create standardised training for newly graduated nurses within the first year of employment to reduce their transition shock. This will help improve newly graduated nurses' core competency, enhance self-efficacy and support the graduates. This will alleviate the impact of transition shock on newly graduated nurses, helping them transition smoothly and successfully.
探讨新毕业护士的核心能力和自我效能感对其过渡震撼体验的影响,并确定这些因素之间的关系。
横断面研究。
采用人口统计学数据、过渡震撼量表、注册护士能力量表和自我效能感量表,对 262 名新毕业护士进行横断面研究。
新毕业护士过渡震撼得分(77.641±24.140)、核心能力得分(125(109.5,163.5))和自我效能感得分(2.5(2,3))均处于中等水平。新毕业护士的核心能力和自我效能感对过渡震撼有负向影响(β=-0.151,p=0.026;β=-0.379,p<0.001)。此外,自我效能感在核心能力与过渡震撼之间的关系中起中介作用,中介效应占总效应的 57.34%。
新毕业护士的过渡震撼处于中等水平,就业第一年的过渡震撼水平最高。自我效能感在核心能力与过渡震撼之间的关系中起中介作用。护理管理者应在新毕业护士就业的第一年为其制定标准化培训,以减少其过渡震撼。这将有助于提高新毕业护士的核心能力,增强自我效能感,支持毕业生。这将减轻过渡震撼对新毕业护士的影响,帮助他们顺利、成功地过渡。