DOI QR코드

DOI QR Code

Effect of Transition Shock on Intention to Stay in Newly Graduated Nurses : The Mediating Effect of Positive Psychological Capital

신규간호사의 전환충격이 재직의도에 미치는 영향: 긍정심리자본의 매개효과

  • Received : 2023.11.17
  • Accepted : 2024.06.26
  • Published : 2024.10.31

Abstract

Purpose : This study was conducted to identify the relationship between transition shock and intention to stay among newly graduated nurses and the mediating effect of positive psychological capital. Methods: This was a cross-sectional study that included a total of 155 newly graduated nurses at one hospital, recruited from June to September 2023. The data were analyzed using SPSS 27.0 and SPSS PROCESS macro model 4. Results: There were significant relationships between transition shock and intention to stay (r=-.47, p <.001), transition shock and positive psychological capital (r=-.64, p <.001), and positive psychological capital and intention to stay (r=.51, p <.001). Positive psychological capital showed a mediating effect in the relationship between transition shock and intention to stay among newly graduated nurses. Conclusion: These results indicated that transition shock directly affected newly graduated nurses' intention to stay, indirectly affecting it through positive psychological capital. Therefore, programs and strategies to reduce transition shock and increase positive psychological capital are needed in order to improve newly graduated nurses' intention to stay.

Keywords

References

  1. Kim E, Kim J. Literature review of structural equation models for hospital nurses' turnover intention in Korea. Perspectives in Nursing Science. 2014;11(2):109-22. https://doi.org/10.16952/pns.2014.11.2.109 
  2. Health Insurance Review & Assessment Service. Current status of medical resources (personnel/facility/equipment) (before 2018), number of medical workers by type [Internet]. Wonju: Health Insurance Review & Assessment Service; 2022 [cited 2022 February 16]. Available from: https://opendata.hira.or.kr/op/opc/olapMdclRcStatsInfoTab1.do?docNo=02-001. 
  3. Lee KY, Kwon EJ, Shim WH, Choi EJ, Choo YS, Ko MH. Survey on the status of hospital nursing personnel in 2022 project report. Business report. Seoul: Hospital Nurses Association; 2023. 
  4. Yoo MS, Jeong MR, Kim K, Lee Y. Factors influencing differences in turnover intention according to work periods for newly graduated nurses. Journal of Korean Academy of Nursing Administration. 2019;25(5):489-98. https://doi:10.11111/jkana.2019.25.5.489 
  5. Bae SH. Noneconomic and economic impacts of nurse turnover in hospitals: a systematic review. International Nursing Review. 2022;69:392-404. https://doi.org/10.1111/inr.12769 
  6. Aamir A, Hamid ABA, Haider M, Akhtar CS. Work-life balance, job satisfaction and nurses retention: moderating role of work volition. International Journal of Business Excellence, 2016;10(4):488-501. https://doi.org/10.1504/IJBEX.2016.079257 
  7. Lee EH, Cho KS, Son HM. A study of hospital nurse's intention to keep nursing job. Journal of Korean Clinical Nursing Research. 2014;20(1):15-27. https://doi.org/10.22650/JKCNR.2014.20.1.15 
  8. Yun HJ, Kwak EM, Kim HS. Focus group study on reality shock experiences of new graduate nurses. Journal of Qualitative Research. 2018;19(2):102-11. https://doi.org/10.22284/qr.2018.19.2.102 
  9. Duchscher J.B. Transition shock: the initial stage of role adaptation for newly graduated registered nurses. Journal of Advanced Nursing. 2009;65(5):1103-13. https://doi.org/10.1111/j.1365-2648.2008.04898.x 
  10. Ho SS, Stenhouse R, Snowden A. 'It was quite a shock': a qualitative study of the impact of organisational and personal factors on newly qualified nurses' experiences. Journal of Clinical Nursing. 2021;30(15-16):2373-85. https://doi.org/10.1111/jocn.15777 
  11. Kim EY, Yeo JH, Yi KI. Development of the transition shock scale for newly graduated nurses. Journal of Korean Academy of Nursing. 2017;47(5):589-99. https://doi.org/10.4040/jkan.2017.47.5.589 
  12. Kim JH, Shin HS. Exploring barriers and facilitators for successful transition in new graduate nurses: a mixed methods study. Journal of Professional Nursing. 2020;36(6):560-8. https://doi.org/10.1016/j.profnurs.2020.08.006 
  13. Duchscher JB, Windey M. Stages of transition and transition shock. Journal for Nurses in Professional Development. 2018;34(4):228-32. https://doi.org/10.1097/NND.0000000000000461 
  14. Park HH, Lee KO. Effects of changes in reality shock among new nurses on turnover intention in South Korea. Journal of Muscle and Joint Health. 2022;29(1):60-8. https://doi.org/10.5953/JMJH.2022.29.1.60 
  15. Luthans F, Luthans KW, Luthans BC. Positive psychological capital: beyond human and social capital. Business Horizons. 2004;47(1):45-50. https://doi.org/10.1016/j.bushor.2003.11.007 
  16. Lee BY, Jung HM. Factors related to positive psychological capital among Korean clinical nurses: a systematic review and meta-analysis. Journal of Korean Clinical Nursing Research. 2019;25(3):221-36. https://doi.org/10.22650/JKCNR.2019.25.3.221 
  17. Lee SN, Kim JA. Prediction model for nursing work outcome of nurses-focused on positive psychological capital. Journal of Korean Academy of Nursing. 2020;50(1):1-13. https://doi.org/10.4040/jkan.2020.50.1.1 
  18. Lee Y, Kang J. Related factors of turnover intention among Korean hospital nurses: a systematic review and meta-analysis. Korean Journal of Adult Nursing. 2018;30(1):1-17. https://doi.org/10.7475/kjan.2018.30.1.1 
  19. Jung MR, Jeong E. Effects of nursing practice environment and positive psychological capital in clinical nurses on turnover intention. Journal of Digital Convergence. 2018;16(2):277-85. https://doi.org/10.14400/JDC.2018.16.2.277 
  20. Yim HY, Seo HJ, Cho Y, Kim J. Mediating role of psychological capital in relationship between occupational stress and turnover intention among nurses at veterans administration hospitals in Korea. Asian Nursing Research. 2017;11(1):6-12. https://doi.org/10.1016/j.anr.2017.01.002 
  21. Yao X, Lin Y, Zhang C, Wang X, Zhao F. Does psychological capital mediate occupational stress and coping among nurses in ICU. Western Journal of Nursing Research, 2022;44(7):675-83. https://doi.org/10.1177/01939459211014426 
  22. Lim, JY. Shin JA, Kim S, Lee E, Kim S. Influencing factors on nurse's intention to stay: systematic review and meta correlation analysis. Journal of Korean Academic Society of Home Health Care Nursing. 2019;26(3):265-77. https://doi.org/10.22705/jkashcn.2019.26.3.265 
  23. Luthans F, Avolio BJ, Avey JB, Norman SM. Positive psychological capital: measurement and relationship with performance and satisfaction. Personnel Psychology. 2007;60(3):541-72. https://doi.org/10.1111/j.1744-6570.2007.00083.x 
  24. Lee DS, Choi YD. A study on antecedents and consequences of positive psychological capital in organizations. Korean Management Review. 2010;39(1):1-28. 
  25. Cowin L. The effects of nurses' job satisfaction on retention: an Australian perspective. The Journal of Nursing Administration. 2002;32(5):283-91. 
  26. Kim MJ. The effect of nursing organizational culture on nurses' intention of retention [master's thesis]. Seoul: Hanyang University; 2006. p. 20. 
  27. Kim EY, Yeo JH. Effects of pre-graduation characteristics and working environments on transition shock of newly graduated nurses: A longitudinal study. Nurse Education Today. 2019;78:32-6. https://doi.org/10.1016/j.nedt.2019.04.002 
  28. Moon KJ, Cho MY. Factors influencing the transition shock of newly-graduated nurses. The Journal of Korean Academic Society of Nursing Education. 2022;8(2):156-66. https://doi.org/10.5977/jkasne.2022.28.2.156 
  29. Kim SY, Kim SH. The effect of new nurse's reality shock, workplace bullying, and positive psychological capital on turnover intention. The Journal of Korean Nursing Research. 2023;7(2):55-70. https://doi.org/10.34089/jknr.2023.7.2.55 
  30. Kim IS, Seo RB, Kim BN, Min AR. The effects of positive psychological capital, organizational commitment, customer orientation in clinical nurses. Journal of Korean Academy of Nursing Administration. 2015;21(1):10-9. http://doi.org/10.11111/jkana.2015.21.1.10 
  31. Park MK, Kim WH. The effect of grit on the work engagement of nurses: the mediating effects of positive psychological capital and burnout. The Journal of Korean Academic Society of Nursing Education. 2023;29(2):161-9. https://doi.org/10.5977/jkasne.2023.29.2.161 
  32. An M, Shin ES, Choi MY, Lee Y, Hwang YY, Kim M. Positive psychological capital mediates the association between burnout and nursing performance outcomes among hospital nurses. International Journal of Environmental Research and Public Health. 2020;17(16):5988. https://doi.org/10.3390/ijerph17165988 
  33. Ju EA, Park MH, Kim IH, Back JS, Ban JY. Changes in positive psychological capital, organizational commitment and burnout for newly graduated nurses. Journal of Korean Clinical Nursing Research. 2020;26(3):327-36. https://doi.org/10.22650/JKCNR.2020.26.3.327 
  34. Lee EA, Ha Y. Effects of positive psychological capital, job crafting and job satisfaction on intention of retention in hospital nurses. Journal of Korean Academy of Nursing Administration. 2022;28(5):586-95. https://doi.org/10.11111/jkana.2022.28.5.586 
  35. Kim MY, Seo HE, Lee J, Park JH. Relationships between meaning of work, organizational commitment, professional self-image, and retention intention among new nurses. Journal of Korean Clinical Nursing Research. 2022;28(1):54-65. https://doi.org/10.22650/JKCNR.2022.28.1.54 
  36. Kim EG, Jung MS, Kim JK, You SJ. Factors affecting new graduate nurses' intention on retention in hospitals: focused on nursing organizational culture, empowering leadership and organizational socialization. Journal of Korean Academy of Nursing Administration. 2020;26(1):31-41. https://doi.org/10.11111/jkana.2020.26.1.31 
  37. Lim HJ, Lee EK. Factors associated with new graduate nurses' intention of retention. Korean Journal of Health Communication. 2023;18(1):15-23. https://doi.org/10.15715/kjhcom.2023.18.1.15 
  38. Kim M, Shin S, Lee I. Education programs for newly graduated nurses in hospitals: a scoping review. Korean Journal of Adult Nursing. 2020;32(5):440-54. https://doi.org/10.7475/kjan.2020.32.5.440 
  39. Rush KL, Janke R, Duchscher JE, Phillips R, Kaur S. Best practices of formal new graduate transition programs: an integrative review. International Journal of Nursing Studies. 2019;94:139-58. https://doi.org/10.1016/j.ijnurstu.2019.02.010 
  40. Edwards D, Hawker C, Carrier J, Rees C. A systematic review of the effectiveness of strategies and interventions to improve the transition from student to newly qualified nurse. International Journal of Nursing Studies. 2015;52(7):1254-68. https://doi.org/10.1016/j.ijnurstu.2015.03.007 
  41. Lee YJ, Yeo JH. Effects of self-resilience and social support on reality shock among new graduate nurses. Journal of East-West Nursing Research. 2017;23(1):45-52. https://doi.org/10.14370/jewnr.2017.23.1.45 
  42. Kim EY, Yeo JH. Transition shock and job satisfaction changes among newly graduated nurses in their first year of work: a prospective longitudinal study. Journal of Nursing Management. 2021;29(3):451-8. https://doi.org/10.1111/jonm.13164 
  43. Yim HY, Seo HJ, Cho Y, Kim JH. Mediating role of psychological capital in relationship between occupational stress and turnover intention among nurses at veterans administration hospitals in Korea. Asian Nursing Research. 2017;11(1):6-12. https://doi.org/10.1016/j.anr.2017.01.002 
  44. Luthans F, Avey JB, Patera JL. Experimental analysis of a web-based training intervention to develop positive psychological capital. Academy of Management Learning & Education. 2008;7(2):209-21. 
  45. Jo YS. Development of program to improve the positive psychology capital of university student' and its effects. Journal of the Korea Academia-Industrial Cooperation Society. 2016;17(4):529-46. http://doi.org/10.5762/KAIS.2016.17.4.529 
  46. Kim J. The effects of positive psychology-based group counseling program on the positive psychological capital of college students. The Journal of Humanities and Social Science. 2019;10(6):1323-32. https://dx.doi.org/10.22143/HSS21.10.6.98 
  47. Lim MR. Development of positive psychological capital improvement program for long-term care hospital nurses. [dissertation]. Daegu: Keimyung University; 2019. p. 44-50. 
  48. Luthans F, Youssef-Morgan CM. Psychological capital: an evidence-based positive approach. Annual Review of Organizational Psychology and Organizational Behavior. 2017;4:339-66. https://doi.org/10.1146/annurev-orgpsych-032516-113324 
  49. Ryu EJ, Jeon MY. Development and evaluation of the effect of a happiness self-coaching program for new graduate nurses working in cancer care unit. Journal of Korean Clinical Nursing Research. 2019;25(2):161-9. https://doi.org/10.22650/JKCNR.2019.25.2.161 
  50. Ryu K, Kim JK. Effect of emotional coaching program for clinical nurses on resilience, emotional labor, and self-efficacy. Journal of Korean Academy of Nursing. 2020;50(3):419-30. https://doi.org/10.4040/jkan.19194