Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
권호 표지
DOI QR코드

DOI QR Code

Factors associated with New Graduate Nurses' Reality Shock

신규간호사의 현실충격과 영향요인

  • Sin, Kyung Mi (Graduate School, Department of Nursing, Dong-A University) ;
  • Kwon, Jeong Ok (Graduate School, Department of Nursing, Dong-A University) ;
  • Kim, Eun-Young (Department of Nursing, Dong-A University)
  • Received : 2014.03.13
  • Accepted : 2014.05.09
  • Published : 2014.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

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 $2.63{\pm}0.33$ and $2.66{\pm}0.43$ 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 (${\beta}$=.21, p=.001), whether they were able to work on the unit of their choice (${\beta}$=-.13, p=.031) and whether they had a choice in days off (${\beta}$=-.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.

Keywords

References

  1. Bowles C, Candela L. First job experiences of recent RN graduate: Improving the work environment. Journal of Nursing Administration. 2005;35(3):130-137.
  2. Kramer M. Reality shock; why nurses leave nursing. Saint Louis, CV Mosby; 1974.
  3. Kim H. A study of reality shock and teacher efficacy among inservice teachers: Focus on early childhood and elementary school teachers. Journal of Korea Open Association for Early Childhood Education. 2012;17(2):151-173.
  4. Zapf D, Gross C. Conflict escalation and coping with workplace bullying: A replication and extension. European Journal of Work and Organization Psychology. 2001;10(4):497-522. http://dx.doi.org/10.1080/13594320143000834
  5. Moran CM. Preceptor programs [Internet]. King of Prussia, PA: ADVANCE Newsmagazines. 2002 [cited 2014 March 23]. Available form: http:// nursing.advanceweb.com/Article /Preceptor- Programs.aspx
  6. Knecht PA. New Grads: You Are not alone [Internet]. King of Prussia, PA: ADVANCE Newsmagazines. 2002 [cited 2014 March 23]. Available from: http://nursing.advanceweb.com/ Article/New-Grads-You-Are-Not-Alone.aspx
  7. Stacey G, Hardy P. Challenging the shock of reality through digital storytelling. Nurse Education in Practice. 2011;(2):159-164. http://dx.doi.org/10.1016/j.nepr.2010.08.003
  8. Yoon SH. A study on new graduate nurses' clinical experience of adaptation. Journal of Korean Nursing Administration Academic Society. 2002;8(1):55-72.
  9. Hospital Nurses Association. Hospital Nurses Association work report: Hospital Nurses staffing state survey. Seoul: Hospital Nurses Association; 2012.
  10. Yun HM, Kim JS. An analysis of the factors affecting turnover intention of new nurses. Global Health and Nursing. 2012;2 (2):52-61.
  11. Hwang SY, Lee EJ, Na DM, Lee GS, Sun GS, Lee CS. The Clinical experiences of newly-qualified nurses. Journal of Korean Nursing Administration Academic Society. 2002;8(2): 261-271.
  12. Kim JY, Kim IS. Experience of preceptorship for newly employed nurses. Journal of Korean Clinical Nursing Research. 2005;10(2):75-88.
  13. Park JH, Chun IS. The lived experience of newly employed nurses: Phenomenological study. Qualitative Research. 2008; 9(2):99-110.
  14. Kramer M, Brewer BB, Maguire P. Impact of healthy work environments on new graduate nurses' environmental reality shock. Western Journal of Nursing Research. 2013;35(3):348-383. http://dx.doi.org/10.1177/0193945911403939
  15. Kang YB. The effects analysis of the hospital organizational characteristics on organizational commitment and achievement. [master's thesis]. Gyungsan: Yeungnam University; 2010.
  16. Lee EH, Chang SJ, Kim HY, Roh JH, Park EJ, Won JU. Relationship between job stress and turnover of registered nurses in a university hospital. Annals of Occupational and Environmental Medicine. 2007;19(2):93-104.
  17. Christmas K. How work environment impacts retention. Nursing Economics. 2008;26:316-318.
  18. Lake ET. Development of the practice environment scale of the nursing work index. Research in Nursing & Health. 2002; 25(3):176-188. http://dx.doi.org/10.1002/nur.10032
  19. Baernholdt M, Mark BA. The nurse work environment, job satisfaction and turnover rates in rural and urban nursing units. Journal of Nursing Management. 2009;17:994-1001. http://dx.doi.org/10.1111/j.1365-2834.2009.01027.x
  20. Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing at the Institute of Medicine (IOM). The future of nursing: leading change, advancing health. Washington, DC: National Academies; 2011.
  21. Byun ES. Study on the relationship between newly graduated nurses' intention to turnover and job stress/satisfaction. [master's thesis]. Seoul: Yonsei University; 2009.
  22. Suh Y, Lee K. Lived experiences of new graduate nurses. Journal of Korean Academy of Nursing Administration. 2013; 19(2):227-238. http://dx.doi.org/10.11111/jkana.2013.19.2.227
  23. Cho E, Choi M, Kim EY, Yoo IY, Lee NJ. Construct validity and reliability of the Korean version of the Practice Environment Scale of Nursing Work Index for Korean nurses. Journal of Korean Academy of Nursing. 2011;41(3):325-332. http://dx.doi.org/10.4040/jkan.2011.41.3.325
  24. Lake ET, Friese CR. Variations in nursing practice environments: Relation to staffing and hospital characteristics. Nursing Research. 2006;55(1):1-9. https://doi.org/10.1097/00006199-200601000-00001
  25. Sung MH, Kim HW, Kim JW. A comparison of occupational stress and satisfaction between preceptors and new graduate nurses. Korean Journal Health Promotion Disease Prevention. 2007;7(2):131-138.
  26. Yang SG. Relationship on the stress and the satisfaction with the orientation program of new nurses. [master's thesis]. Sunchon: Sunchon National University; 2006.
  27. Lee SJ, Kang MK, Kwon SH, Song KH, Lee JH, Choi JR. et al. A study on job stress between experienced versus new nurse. Chung-Ang Journal of Nursing. 2002;6(1):89-99.
  28. Kwon KJ, Lee SH. Occupational stress and coping styles as factors affecting the burnout of clinical nurses. Journal of Korean Nursing Administration Academic Society. 2012;18 (4):383-393. http://dx.doi.org/10.11111/jkana.2012.18.4.383
  29. Lacey SR, Teasley S, Cox KS, Olney A, Kramer M, Schmalenberg C. Development and testing of an organizational job satisfaction tool: Increasing precision for strategic improvement. Journal of Nursing Administration. 2011;41:15-22. http://dx.doi.org/10.1097/NNA.0b013e3182002871
  30. Aiken LH, Clarke SP, Sloane DM, Lake ET, Cheney T. Effects of hospital care environment on patient mortality and nurse outcomes. The Journal of Nursing Administration. 2008;38 (5):223-229. http://dx.doi.org/10.1097/01.NNA.0000312773.42352.d7

Cited by

  1. Effect of Self-leadership Recognized by Newly-employed Nurses on Job Satisfaction: Mediating Effect of Organizational Commitment vol.23, pp.4, 2014, https://doi.org/10.12934/jkpmhn.2014.23.4.242
  2. The Effects of Fear of Negative Evaluation, Cognitive Emotional Regulation on Field Adaptation of New Graduate Nurses vol.16, pp.10, 2015, https://doi.org/10.5762/KAIS.2015.16.10.6895
  3. Effects of a Colonoscopy based Simulation Education Program on Knowledge and Clinical Performance in Nursing Students vol.27, pp.2, 2015, https://doi.org/10.7475/kjan.2015.27.2.135
  4. A Grounded Theory Approach on Nurses' Experience with Workplace Bullying vol.46, pp.2, 2016, https://doi.org/10.4040/jkan.2016.46.2.226
  5. Factors Affecting Turnover Intention for New Graduate Nurses in Three Transition Periods for Job and Work Environment Satisfaction vol.47, pp.3, 2016, https://doi.org/10.3928/00220124-20160218-08
  6. 한국 정신간호영역에서의 간호업무환경 측정도구의 타당화 연구 vol.21, pp.3, 2014, https://doi.org/10.5953/jmjh.2014.21.3.224
  7. 신규간호사의 현실충격 개념분석 vol.17, pp.11, 2016, https://doi.org/10.5762/kais.2016.17.11.376
  8. 혼종모형을 이용한 신규간호사의 현실충격에 대한 개념분석 vol.26, pp.1, 2014, https://doi.org/10.5807/kjohn.2017.26.1.19
  9. 신규간호사의 간호근무환경과 현실충격과의 관계에서 사회적 지지 및 자기효능감의 효과 vol.18, pp.4, 2017, https://doi.org/10.5762/kais.2017.18.4.317
  10. 신규간호사의 자아탄력성과 사회적 지지가 현실충격에 미치는 영향 vol.23, pp.1, 2017, https://doi.org/10.14370/jewnr.2017.23.1.45
  11. 간호수기 완전학습 프로그램 개발 및 평가 vol.47, pp.4, 2014, https://doi.org/10.4040/jkan.2017.47.4.526
  12. Newly Nurses’ Experience in Their First Year of Practice vol.18, pp.2, 2014, https://doi.org/10.22284/qr.2017.18.2.131
  13. The Influence of Psychological Capital and Work Engagement on Intention to Remain of New Graduate Nurses vol.48, pp.9, 2018, https://doi.org/10.1097/nna.0000000000000649
  14. 사회초년기 종합병원간호사의 감성지능과 융·복합 간호업무환경이 간호업무성과에 미치는 영향 vol.16, pp.5, 2014, https://doi.org/10.14400/jdc.2018.16.5.351
  15. 간호대학생의 임상실습에서 프리셉티 경험: "모자라지만 꿋꿋이 버텨 다듬어지기" vol.24, pp.2, 2014, https://doi.org/10.5977/jkasne.2018.24.2.168
  16. 간호조직문화가 신규간호사의 회복탄력성에 미치는 영향 vol.24, pp.2, 2014, https://doi.org/10.22650/jkcnr.2018.24.2.137
  17. 간호대학생의 임상실습 적응에 미치는 영향요인 vol.19, pp.9, 2014, https://doi.org/10.5762/kais.2018.19.9.234
  18. Factors Influencing Differences in Turnover Intention according to Work Periods for Newly Graduated Nurses vol.25, pp.5, 2014, https://doi.org/10.11111/jkana.2019.25.5.489
  19. Transition experiences of newly graduated Filipino nurses in a resource‐scarce rural health care setting: A qualitative study vol.54, pp.2, 2019, https://doi.org/10.1111/nuf.12330
  20. 졸업학년 간호대학생의 간호근무환경 인식과 진로장벽이 진로정체감에 미치는 영향 vol.17, pp.10, 2014, https://doi.org/10.14400/jdc.2019.17.10.037
  21. 졸업학년 간호대학생의 간호근무환경 인식과 진로장벽이 진로정체감에 미치는 영향 vol.17, pp.10, 2014, https://doi.org/10.14400/jdc.2019.17.10.037
  22. 한국어판 프리셉터 교육행동 평가도구의 타당도와 신뢰도 검증 vol.49, pp.5, 2019, https://doi.org/10.4040/jkan.2019.49.5.526
  23. 간호대학생의 전환충격과 임상실습적응의 관계에서 감성지능의 조절효과 vol.17, pp.11, 2014, https://doi.org/10.14400/jdc.2019.17.11.387
  24. Factors Affecting New Graduate Nurses' Intention on Retention in Hospitals: Focused on Nursing Organizational Culture, Empowering Leadership and Organizational Socialization vol.26, pp.1, 2014, https://doi.org/10.11111/jkana.2020.26.1.31
  25. New Nurses' Experience of Turnover: A Qualitative Meta-Synthesis vol.26, pp.2, 2020, https://doi.org/10.11111/jkana.2020.26.2.84
  26. 간호대학생의 진로의사결정유형, 진로자기조절, 셀프리더십이 진로적응력에 미치는 영향 vol.18, pp.4, 2014, https://doi.org/10.14400/jdc.2020.18.4.281
  27. 간호대학생의 자기효능감, 사회적지지 및 자아탄력성이 현실충격에 미치는 영향 vol.20, pp.4, 2014, https://doi.org/10.5392/jkca.2020.20.04.648
  28. 신규간호사의 이직의도에 영향을 미치는 요인 vol.21, pp.5, 2014, https://doi.org/10.5762/kais.2020.21.5.312
  29. 간호대학생의 사회적 상호작용 불안에 영향을 미치는 요인 vol.21, pp.6, 2020, https://doi.org/10.5762/kais.2020.21.6.417
  30. Transition shock and newly graduated nurses' job outcomes and select patient outcomes: A cross‐sectional study vol.28, pp.5, 2014, https://doi.org/10.1111/jonm.13033
  31. Association of work environment and resilience with transition shock in newly licensed nurses: A cross‐sectional study vol.30, pp.7, 2021, https://doi.org/10.1111/jocn.15649
  32. 토픽모델링을 활용한 신규간호사 관련 국내 연구동향 분석 vol.27, pp.3, 2014, https://doi.org/10.5977/jkasne.2021.27.3.240
  33. New Nurses’ Experience of Caring for COVID-19 Patients in South Korea vol.18, pp.18, 2014, https://doi.org/10.3390/ijerph18189471