Current status of reality shock among new nurses and its influencing factors
10.3760/cma.j.cn211501-20240820-02256
- VernacularTitle:新护士现实冲击现状及影响因素分析
- Author:
Shan ZHANG
1
;
Ying WU
;
Xinyi WANG
;
Yan YU
;
Pan WEI
Author Information
1. 中国人民解放军陆军第九五○医院门诊部，叶城 844900
- Publication Type:Journal Article
- Keywords:
New nurses;
Reality shock;
Influencing factors;
Feedback-seeking behaviour;
Role clarity
- From:
Chinese Journal of Practical Nursing
2025;41(16):1261-1266
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To survey the current status of reality shock among new nurses and to explore its influencing factors, and provide reference for promoting the workplace adaptability of new nurses.Methods:New nurses from 9 tertiary Grade A hospitals in Shaanxi Province were selected by convenience sampling method from February to May 2024. General data questionnaire, the Reality Shock Scale, the Feedback-Seeking Behaviour Scale, and the Role Clarity Scale were used to conduct a cross-sectional investigation, and multiple linear regression was used to analyze the influencing factors of new nurses′reality shock.Results:A total of 362 valid questionnaires were collected, including 68 males and 294 females. The scores of reality shock, feedback-seeking behaviour, and role clarity were (70.12 ± 20.18), (54.25 ± 10.65) and (31.94 ± 4.45) points respectively. Reality shock was negatively correlated with feedback-seeking behaviour and role clarity ( r=-0.583, -0.785, both P<0.01), feedback-seeking behaviour was positively correlated with role clarity ( r=0.652, P<0.01). Gender, only-child status, entry time, feedback-seeking behaviour and role clarity were the influencing factors of reality shock ( t values were -15.60-2.23, all P<0.05), accounted for 63.6% of the total variation. Conclusions:The reality shock of new nurses is above the medium level, and nursing managers should be aware of the problems and sense of gap that new nurses may encounter in the process of role transformation. In addition, pay more attention to the emotional needs and mental health status of new nurses who are male, only child, with short entry time, and have low feedback-seeking behavior and role clarity. Diversified training programs and targeted intervention strategies should be developed to help new nurses reduce reality shock.
