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Original Article

Factors associated with New Graduate Nurses' Reality Shock

Kyung Mi Sin1, Jeong Ok Kwon1, Eun-Young Kim2
Journal of Korean Academy of Nursing Administration 2014;20(3):292-301.
Published online: June 30, 2014

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Corresponding author: Kim, Eun-Young. Department of Nursing, Dong-A University, Dongdaeshin-dong 3, Seo-gu, Busan 602-714, Korea. Tel: +82-51-240-2785, Fax: +82-51-240-2947, eykim@dau.ac.kr
• Received: March 13, 2014   • Revised: April 17, 2014   • Accepted: May 9, 2014

Copyright © 2014 Korean Academy of Nursing Administration

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    The purpose of this study was to identify factors that affect reality shock in new nurses.
  • Methods
    Participants were 216 newly graduated nurses with less than 1 year experience in 5 university and 10 general hospitals in Busan, Ulsan and Gyeongnam, A self-report questionnaire was completed by the nurses between November 18 and December 25, 2013. Data were analyzed using t-test, ANOVA and hierarchial multiple regression analysis with the SPSS/WIN 21.0 Program.
  • Results
    Average scores for work environment and environmental reality shock were 2.63±0.33 and 2.66±0.43 points respectively. Regression analysis showed that with the nurses' demographic and work characteristics controlled, work environment explained 4.2% of the reality shock. Factors significantly affecting reality shock included nurses' changing residence because of job (β=.21, p=.001), whether they were able to work on the unit of their choice (β=-.13, p=.031) and whether they had a choice in days off (β=-.14, p=.038).
  • Conclusion
    When these factors are considered, reduction in nurses' reality shock requires improvement in work environment, placing new nurses in a department of their choice and allowing them a choice in off-duty days. These measures would also help achieve organizational goals and develop the new nurses as professional nurses.
  • Key Words: New graduate nurse; Nurse practice environment; Reality shock

This work was supported by the Dong-A University research fund.

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Table 1
General Characteristics of Participants (N=216)
jkana-20-292-i001.jpg

RN=Registered nurse.

Table 2
Nurse Practice Environment (N=216)
jkana-20-292-i002.jpg
Table 3
New Graduate Nurses' Reality Shock (N=216)
jkana-20-292-i003.jpg
Table 4
Reality Shock by General Characteristics of New Nurse & Work Characteristics (N=216)
jkana-20-292-i004.jpg

RN=Registered nurse.

Table 5
Predictors of Nurses' Reality Shock
jkana-20-292-i005.jpg

*Dummy variables: Education level (Diploma=1, Bachelor=0); Change in residence for job (Yes=1, No=0); Whether the work unit was chosen (Yes=1, No=0); Day off when they choose (Yes=1, No=0); Number of beds (<700=1,≥700=0); University hospital (Yes=1, No=0).

Figure & Data

References

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    Factors associated with New Graduate Nurses' Reality Shock
    J Korean Acad Nurs Adm. 2014;20(3):292-301.   Published online June 30, 2014
    DOI: https://doi.org/10.11111/jkana.2014.20.3.292
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    Factors associated with New Graduate Nurses' Reality Shock
    J Korean Acad Nurs Adm. 2014;20(3):292-301.   Published online June 30, 2014
    DOI: https://doi.org/10.11111/jkana.2014.20.3.292
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    Factors associated with New Graduate Nurses' Reality Shock
    Factors associated with New Graduate Nurses' Reality Shock

    General Characteristics of Participants (N=216)

    RN=Registered nurse.

    Nurse Practice Environment (N=216)

    New Graduate Nurses' Reality Shock (N=216)

    Reality Shock by General Characteristics of New Nurse & Work Characteristics (N=216)

    RN=Registered nurse.

    Predictors of Nurses' Reality Shock

    *Dummy variables: Education level (Diploma=1, Bachelor=0); Change in residence for job (Yes=1, No=0); Whether the work unit was chosen (Yes=1, No=0); Day off when they choose (Yes=1, No=0); Number of beds (<700=1,≥700=0); University hospital (Yes=1, No=0).
    Table 1 General Characteristics of Participants (N=216)

    RN=Registered nurse.

    Table 2 Nurse Practice Environment (N=216)

    Table 3 New Graduate Nurses' Reality Shock (N=216)

    Table 4 Reality Shock by General Characteristics of New Nurse & Work Characteristics (N=216)

    RN=Registered nurse.

    Table 5 Predictors of Nurses' Reality Shock

    *Dummy variables: Education level (Diploma=1, Bachelor=0); Change in residence for job (Yes=1, No=0); Whether the work unit was chosen (Yes=1, No=0); Day off when they choose (Yes=1, No=0); Number of beds (<700=1,≥700=0); University hospital (Yes=1, No=0).

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

    J Korean Acad Nurs Adm : Journal of Korean Academy of Nursing Administration

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