Purpose: This study aimed to develop and validate a multidimensional role transition scale for new graduate nurses (RTS-NGN) that captures both the theoretical perspectives and contextual characteristics of Korean clinical settings. Methods: An initial item pool was generated through an extensive literature review and then refined through expert content validation and pilot testing. Psychometric evaluation was performed using two separate samples. Exploratory factor analysis identified the underlying structure, while confirmatory factor analysis verified construct validity. Convergent validity was examined using the average variance extracted (AVE) and composite reliability (CR), and discriminant validity was confirmed by comparing the square root of AVE with inter-factor correlations. Concurrent validity was assessed using a Transition Shock scale. The reliability was assessed using Cronbach’s alpha and CR. Results: A six-factor structure comprising the following 35 items was finalized: clinical competence, communication competence, professionalism, self-efficacy, stress management, and organizational adaptation. The model demonstrated a good fit (comparative fit index >.90, Tucker–Lewis index >.90, root mean square error of approximation <.08). The AVE and CR supported convergent validity, and discriminant validity was confirmed for all factors. A moderate negative correlation with the Transition Shock scale provided evidence of concurrent validity. The internal consistency reliability was excellent across all subscales. Conclusion The RTS-NGN is a psychometrically sound instrument that captures the positive and multifaceted aspects of role transition among new graduate nurses. It can be used to assess transition readiness, evaluate educational and residency programs, and guide organizational strategies to support early career nurses.

Purpose: This study aimed to identify the effects of preceptors' teaching behavior, resilience, and organizational socialization on new graduate nurses' intention to stay. Methods: Data were collected from 167 new graduate nurses working at a university hospital for a period of three months to one year and analyzed using SPSS 24.0, PROCESS Macro ver. 3.5. Results: The results show that preceptors' teaching behavior, resilience, and organizational socialization had strong correlations with new graduate nurses' intention to stay. Preceptors' teaching behavior directly affected new graduate nurses' resilience and intention to stay. However, the results showed that preceptors' teaching behavior did not affect organizational socialization. Resilience directly affected organizational socialization and intention to stay, and had a simple mediation effect between preceptors' teaching behavior and intention to stay.Moreover, resilience and organizational socialization were found to be significant mediators between preceptors' teaching behavior and intention to stay. Conclusion The results suggest that preceptors' teaching behavior is a key factor that strengthens new graduate nurses' intention to stay, as it promotes successful organizational socialization by improving their resilience and helping them overcome transition shock.

Postprandial hypotension (PPH) has not been described as a cause of hypotension after the return of spontaneous circulation (ROSC) in the intensive care unit (ICU). A 74 year old man underwent cardiopulmonary resuscitation (CPR) due to monomorphic ventricular tachycardia. After the ROSC, inotropic agents were not reduced but increased. PPH had occurred, according to the flow sheet, so a provocation test was performed. We noted hypotension but no serum hypoglycemia or tachycardia. The hypotension was diagnosed as PPH. We chose acarbose for treatment; thus, the inotropic agents were discontinued. This is the first case in which hypotension occurred in a patient recovering after CPR in the ICU and that the PPH was treated with acarbose. PPH should be considered and treated to manage hypotension in elderly patients in the ICU.
Acarbose ; Aged ; Cardiopulmonary Resuscitation ; Humans ; Hypoglycemia ; Hypotension ; Critical Care ; Intensive Care Units ; Postprandial Period ; Tachycardia ; Tachycardia, Ventricular