TRANSITION SHOCK EXPERIENCED BY NEW NURSES: AN EXAMPLE FROM TURKEY

Yıl 2024, Cilt: 12 Sayı: 2, 538 - 555, 20.06.2024

Semiha Dertli , Seher Çevik Aktura

https://doi.org/10.33715/inonusaglik.1446333

Cited By: 1

Öz

This research was carried out to determine the transition shock to the profession in nurses. This descriptive study was conducted with 221 nurses who started to work in university hospitals in eastern Turkey between March and April 2022. Data were collected using the Introductory Information Form, and the Nursing Transition Shock Scale (NTSS). The mean score of the (NTSS) in Nursing was found to be 2.65±0.75 (moderate). The multiple linear regression model demonstrated that there was a statistically significant relationship between choosing the nursing department willingly, having an internship, receiving in-service training at the start of the profession, being self-confident in applying the knowledge and skills required by the nursing profession, having the communication skills required by the nursing profession and experiencing stress in transition from student role to profession and NTSS mean scores, and showed that these variables explained 20.7% of the total variance. In the study, it was found that the transition shock scores of the nurses were moderate. The research provides a perspective to nursing educators and managers in terms of showing the transition shock experienced by nurses who have just started to work and the factors affecting it.

Anahtar Kelimeler

Nursing, Occupational competence, Occupational role, Transition shock

Etik Beyan

This research was conducted with due regard to all ethical considerations.

Yeni Hemşirelerin Yaşadığı Geçiş Şoku: Türkiye’den Bir Örnek

Öz

Bu araştırma hemşirelerde mesleğe geçiş şokunu belirlemek amacıyla yapılmıştır. Tanımlayıcı tipte olan bu çalışma, Mart-Nisan 2022 tarihleri arasında Türkiye'nin doğusundaki üniversite hastanelerinde göreve başlayan 221 hemşire ile gerçekleştirilmiştir. Veriler, Tanıtıcı Bilgi Formu ve Hemşirelikte Geçiş Şoku Ölçeği (HŞGÖ) kullanılarak toplanmıştır. Hemşirelerin, (HŞGÖ) toplam puan ortalamasının 2.65±0.75 (orta düzeyde) olduğu bulunmuştur. Çoklu doğrusal regresyon modeli, hemşirelik bölümünü isteyerek seçme, staj yapma, mesleğe başlarken hizmet içi eğitim alma, hemşirelik mesleğinin gerektirdiği bilgi ve becerileri uygulamada kendine güvenme, hemşirelik mesleğinin gerektirdiği iletişim becerilerine sahip olma ve öğrencilikten mesleğe geçişte stres yaşama ile (HŞGÖ) puan ortalamaları arasında istatistiksel olarak anlamlı bir ilişki olduğunu ve bu değişkenlerin toplam varyansın %20.7’sini açıkladığını göstermiştir. Araştırmada hemşirelerin orta düzey geçiş şoku yaşadığı bulunmuştur. Araştırma, işe yeni başlayan hemşirelerin yaşadığı geçiş şokunu ve bunu etkileyen faktörleri göstermesi açısından hemşire eğitimcilerine ve hemşire yöneticilerine bir perspektif sunmaktadır.,

Anahtar Kelimeler

Geçiş şoku, Hemşirelik, Mesleki rol, Mesleki yeterlilik

Etik Beyan

Bu araştırma etik bütün hususlara dikkat edilerek yapılmıştır.

Kaynakça

• Cao, X., Li, J., & Gong, S. (2021). Effects of resilience, social support, and work environment on turnover intention in newly graduated nurses: The mediating role of transition shock. Journal of Nursing Management, 29(8), 2585–2593. https://doi.org/10.1111/JONM.13418
• Chen, F., Liu, Y., Wang, X., & Dong, H. (2021). Transition shock, preceptor support and nursing competency among newly graduated registered nurses: A cross-sectional study. Nurse Education Today, 102, 104891. https://doi.org/10.1016/J.NEDT.2021.104891
• Duchscher, J. E. B. (2009). Transition shock: The initial stage of role adaptation for newly graduated Registered Nurses. Journal of Advanced Nursing, 65(5), 1103–1113. https://doi.org/10.1111/j.1365-2648.2008.04898.x
• Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/BF03193146/METRICS
• Fitzpatrick, S., & Gripshover, J. (2016). Expert Nurse to Novice Nurse Practitioner: The Journey and How to Improve the Process. Journal for Nurse Practitioners, 12(10), e419–e421. https://doi.org/10.1016/j.nurpra.2016.05.012
• Hampton, K. B., Smeltzer, S. C., & Ross, J. G. (2021). The transition from nursing student to practicing nurse: An integrative review of transition to practice programs. Nurse Education in Practice (Vol. 52, p. 103031). Churchill Livingstone. https://doi.org/10.1016/j.nepr.2021.103031
• Herron, E. K., Professor, A., & Elizabeth Herron, C. K. (2018). New graduate nurses’ preparation for recognition and prevention of failure to rescue: A qualitative study. Journal of Clinical Nursing, 27(1–2), e390–e401. https://doi.org/10.1111/JOCN.14016
• Jeon, M.-K., & Kim, M.-S. (2017). Factors Influencing Satisfaction on Clinical Practice in Nursing Students. Journal of the Korea Academia-Industrial Cooperation Society, 18(1), 40–48. https://doi.org/10.5762/kais.2017.18.1.40
• Kaldal, M. H., Conroy, T., Feo, R., Grønkjær, M., & Voldbjerg, S. L. (2023). Umbrella review: Newly graduated nurses' experiences of providing direct care in hospital settings. Journal of Advanced Nursing, 79(6), 2058-2069. https://doi.org/10.1111/jan.15434
• Kim, E. Y., & Yeo, J. H. (2019). Effects of pre-graduation characteristics and working environments on transition shock of newly graduated nurses: A longitudinal study. Nurse Education Today, 78, 32–36. https://doi.org/10.1016/J.NEDT.2019.04.002
• Kim, E. Y., & Yeo, J. H. (2021). Transition shock and job satisfaction changes among newly graduated nurses in their first year of work: A prospective longitudinal study. Journal of Nursing Management, 29(3), 451–458. https://doi.org/10.1111/jonm.13164
• Kim, S. O., & Kim, J. S. (2021). Association of work environment and resilience with transition shock in newly licensed nurses: A cross-sectional study. Journal of Clinical Nursing, 30(7–8), 1037–1045. https://doi.org/10.1111/JOCN.15649
• Labrague, L. J., & De los Santos, J. A. A. (2020). Transition shock and newly graduated nurses’ job outcomes and select patient outcomes: A cross-sectional study. Journal of Nursing Management, 28(5), 1070–1079. https://doi.org/10.1111/JONM.13033
• Liu, X., Sun, M., & Liu, Y. (2018). Influence of new nurses′transformation shock and self-efficacy level on their work adaptation. Chinese Journal of Practical Nursing, 1846–1850. https://doi.org/10.3760/CMA.J.ISSN.1672-7088.2018.24.002
• Newton, J. M., & McKenna, L. (2007). The transitional journey through the graduate year: A focus group study. International Journal of Nursing Studies, 44(7), 1231–1237. https://doi.org/10.1016/J.IJNURSTU.2006.05.017
• Parker, V., Giles, M., Lantry, G., & McMillan, M. (2014). New graduate nurses’ experiences in their first year of practice. Nurse Education Today, 34(1), 150–156. https://doi.org/10.1016/j.nedt.2012.07.003
• Powers, K., Herron, E. K., & Pagel, J. (2019). Nurse Preceptor Role in New Graduate Nurses’ Transition to Practice. Dimensions of Critical Care Nursing, https://doi.org/10.1097/DCC.0000000000000354
• Reebals, C., Wood, T., & Markaki, A. (2022). Transition to practice for new nurse graduates: Barriers and mitigating strategies. Western Journal of Nursing Research, 44(4), 416-429. https://doi.org/10.1177/0193945921997925
• Su, Q., Jiang, M., Yun, B., Ma, Y., Zuo, Y., & Han, L. (2021). Effect of clinical teaching behaviours on transition shock in graduate nurses. Journal of Advanced Nursing, 77(2), 763–774. https://doi.org/10.1111/JAN.14635 Tarhan, M., & Yildirim, A. (2021). A scale development study: Nursing Transition Shock Scale. University of Health Sciences Journal of Nursing, 3(1), 7–14. https://doi.org/10.48071/sbuhemsirelik.818123 (Original work published in Turkish).
• Treiber, L. A., & Jones, J. H. (2018). After the medication error: Recent nursing graduates’ reflections on adequacy of education. Journal of Nursing Education, 57(5), 275–280. https://doi.org/10.3928/01484834-20180420-04
• Wenxia, Z., Feifei, C., Min, H., Li, C., Aihong, L., & Xingfeng, L. (2022). The status and associated factors of junior nurses’ transition shock: A cross-sectional study. Journal of Nursing Management, 30(3), 716–723. https://doi.org/10.1111/JONM.13543
• Windey, M., & Duchscher, J. B. (2018). Stages of Transition and transition shock. Journal for Nurses in Professional Development, 34(4), 228–232. https://doi.org/10.1097/NND.0000000000000461
• Woo, C. H., & Kim, C. (2022). Impact of incivility and psychological capital on nursing students’ transition shock. Collegian, 29(5), 621–627. https://doi.org/10.1016/j.colegn.2022.01.001
• Zheng, S., Yang, L., Zhou, N., & Zhu, H. (2023). New nurses' experience during a two year transition period to clinical practice: A phenomenological study. Nurse Education Today, 121, 105682. https://doi.org/10.1016/j.nedt.2022.105682