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"Transition shock"

Original Articles
Purpose
This study aimed to confirm the mediating effects of transition shock on the relationships among grit, social support, and retention intention of new graduate nurses.
Methods
A total of 174 new graduate nurses were recruited from a university hospital and a general hospital. The data were collected between November and December 2022 and analyzed using descriptive statistics, independent t-test, one-way analysis of variance, Scheffé test, Pearson’s correlation coefficient, Baron and Kenny’s three-step regression analysis, and the PROCESS Macro Model 4.
Results
Nurses’ retention intention was positively correlated with grit (r=.56, p<.001) and social support (r=.48, p<.001) and negatively correlated with transition shock (r=-.56, p<.001). The mediating analysis revealed that transition shock mediated the relationship between grit and retention intention as well as between social support and retention intention.
Conclusion
Based on the findings, an intervention program should be developed to reduce transition shock in new graduate nurses to increase their intention of retention.
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Effects of Resilience, Nursing Managers’ Empowering Leadership on Turnover Intention among New Nurses: Mediating role of Transition Shock
Hyun Jin Jung, Hyun Kyung Kim, Seok Hee Jeong
J Korean Acad Nurs Adm 2024;30(3):212-223.   Published online June 30, 2024
DOI: https://doi.org/10.11111/jkana.2024.30.3.212
Purpose
This study aimed to identify the effects of resilience and nursing managers’ empowering leadership on turnover intention among new nurses, as well as the mediating role of transition shock.
Methods
This was a descriptive, cross-sectional study. Data were collected from 167 new nurses working in tertiary hospitals in Korea between July 1st and July 13, 2022. The relationships among the variables were analyzed using Pearson’s correlation coefficients, and the factors affecting turnover intention were identified using PROCESS macro analysis.
Results
Resilience (direct effect=-0.02, p=.781) and nursing managers’ empowering leadership (direct effect=-0.00, p=.992) did not directly affect new nurses’ turnover intention. Transition shock had mediating role in the relationship between resilience and turnover intention (indirect effect=-0.12, 95% Boot confidence interval=-0.23~-0.04) and between nursing managers’ empowering leadership and turnover intention (indirect effect=-0.14, 95% Boot confidence interval=-0.23~-0.06).
Conclusion
Resilience and nursing managers’ empowering leadership indirectly influence turnover intention through transition shock among new nurses. To reduce turnover intention among new nurses, programs for preventing or mitigating their transition shock should be provided. In addition, improving the resilience of new nurses and nursing managers’ empowering leadership may contribute to reducing turnover intention among new nurses by mitigating their transition shock.
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