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http://dx.doi.org/10.11111/jkana.2014.20.3.292

Factors associated with New Graduate Nurses' Reality Shock  

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)
Publication Information
Journal of Korean Academy of Nursing Administration / v.20, no.3, 2014 , pp. 292-301 More about this Journal
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
New graduate nurse; Nurse practice environment; Reality shock;
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