Chen Siman, Liu Weijuan, Li Yuan, Zhang Ping, Ye Huiling, Feng Xiaoyu, Li Pingdong, Ruan Liang, Wu Xiaobing
First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, China.
Nurs Open. 2025 Sep;12(9):e70297. doi: 10.1002/nop2.70297.
To examine the relationships between achievement motivation, clinical practice environment and nursing interns' transition shock.
A descriptive cross-sectional study with an online survey.
This study included 343 nursing interns from practice hospitals across six Chinese provinces. Data were collected via convenience sampling from June to September 2022. A researcher-designed sociodemographic questionnaire covering key demographic and internship-related characteristics was administered alongside three validated instruments: the Achievement Motivation Scale, the Clinical Practice Environment Scale and the Transition Shock Scale. Data were analysed through univariate analysis, correlation analysis and multiple linear regression analysis. The STROBE checklist was adhered to for reporting.
Conflict between theory and practice was the most prominent aspect of transition shock among nursing interns. Multiple linear regression analysis identified achievement motivation, clinical practice environment, attitudes towards the nursing profession, educational level and the average number of overtime hours per week since internship as influencing factors of nursing interns' transition shock, explaining 30% of the total variance.
This study underscores the critical role of strong achievement motivation and a supportive clinical practice environment in mitigating transition shock among nursing interns.
Nursing interns often experience transition shock due to the mismatch between theory and practice, which hinders their readiness for professional nursing roles. Our findings provide important insights for nursing educators and administrators in developing tailored interventions to reduce transition shock. Nursing educators and administrators should incorporate guidelines to boost nursing interns' achievement motivation into education programmes and develop a clinical environment improvement plan that focuses on creating a harmonious and positive learning and working environment through continuous consultation.
Throughout the data collection procedure, nursing interns' feedback was used to help evaluate study techniques and interpret findings.
探讨成就动机、临床实践环境与护理实习生转型冲击之间的关系。
一项采用在线调查的描述性横断面研究。
本研究纳入了来自中国六个省份实习医院的343名护理实习生。于2022年6月至9月通过便利抽样收集数据。除一份由研究者设计的涵盖关键人口统计学和实习相关特征的社会人口学问卷外，还使用了三个经过验证的工具：成就动机量表、临床实践环境量表和转型冲击量表。通过单因素分析、相关性分析和多元线性回归分析对数据进行分析。报告遵循STROBE清单。
理论与实践的冲突是护理实习生转型冲击最突出的方面。多元线性回归分析确定成就动机、临床实践环境、对护理专业的态度、教育水平以及实习以来每周平均加班时长是护理实习生转型冲击的影响因素，解释了总方差的30%。
本研究强调了强烈的成就动机和支持性的临床实践环境在减轻护理实习生转型冲击方面的关键作用。
护理实习生常因理论与实践不匹配而经历转型冲击，这阻碍了他们为专业护理角色做好准备。我们的研究结果为护理教育工作者和管理人员制定针对性干预措施以减少转型冲击提供了重要见解。护理教育工作者和管理人员应将提高护理实习生成就动机的指导方针纳入教育计划，并制定临床环境改善计划，该计划侧重于通过持续协商营造和谐、积极的学习和工作环境。
在整个数据收集过程中，护理实习生的反馈被用于帮助评估研究技术和解释研究结果。
