Hou Jiayi, Li Mengjie, Pan Yuxiang, Fang Yuhui, Fu Manyi, Shi Ming, He Guijuan
School of Nursing, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
School of Nursing, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China; Jiaxing Maternal and Child Health Center, Jiaxing, Zhejiang, China.
J Prof Nurs. 2025 Jul-Aug;59:170-177. doi: 10.1016/j.profnurs.2025.05.010. Epub 2025 May 26.
Nursing interns often experience transition shock during clinical adaptation, which reduces their work efficiency, damages health, and hinders the transition to professional nurse role. However, most studies have overlooked the individual characteristics of nursing interns, the differences in the level of transition shock and factors causing these differences.
To identify the latent profiles of nursing interns' transition shock and to analyze their influencing factors.
A convenience sample of 330 nursing interns from a Chinese Medical University in Zhejiang province, China, was surveyed between June and July 2024. Data were collected using a sociodemographic questionnaire, the Transition Shock Scale, and the Connor-Davidson Resilience Scale. Latent profile analysis (LPA) was conducted to identify the subtypes of transition shock, and multivariate logistic regression was used to analyze their influencing factors.
Transition shock among nursing interns was categorized into three latent profiles: high shock group, moderate shock group, and low shock group. The results showed that psychological resilience, nursing professional attitudes, and workplace violence experiences significantly influenced these transition shock profiles.
Based on the identified transition shock profiles, this study suggests formulating personalized intervention strategies for nursing interns to address clinical transition challenges, thereby enhancing the quality of their internship experiences.
护理实习生在临床适应过程中常经历转型冲击，这会降低他们的工作效率、损害健康并阻碍向专业护士角色的转变。然而，大多数研究忽视了护理实习生的个体特征、转型冲击水平的差异以及导致这些差异的因素。
识别护理实习生转型冲击的潜在类型并分析其影响因素。
2024年6月至7月间，对来自中国浙江省某医科大学的330名护理实习生进行便利抽样调查。使用社会人口学问卷、转型冲击量表和康纳-戴维森韧性量表收集数据。进行潜在剖面分析（LPA）以识别转型冲击的亚型，并使用多因素逻辑回归分析其影响因素。
护理实习生的转型冲击分为三个潜在类型：高冲击组、中度冲击组和低冲击组。结果表明，心理韧性、护理专业态度和工作场所暴力经历显著影响这些转型冲击类型。
基于所识别的转型冲击类型，本研究建议为护理实习生制定个性化干预策略，以应对临床转型挑战，从而提高他们实习经历的质量。
