Abstract:

Objective To investigate the current status of transition shock，toxic leadership behaviors of managers，and intolerance of uncertainty among newly graduated nurses，and to further explore the relationships between these factors and intolerance of uncertainty，in order to develop more targeted intervention plans in the future，stabilize the clinical nursing team and reduce talent loss，and provide reference for the construction of the clinical nursing team. Methods From November to December 2024，a convenience sampling method was used to survey 227 newly graduated nurses from six grade-A tertiary hospitals in Guizhou Province. Data were collected using a general information questionnaire，the transition shock scale，the toxic leadership behaviors of nurse managers scale，and the short intolerance of uncertainty scale，and were then analyzed. Results The mean scores for transition shock，toxic leadership behaviors of managers，and intolerance of uncertainty among newly graduated nurses were （89.28±6.39），（83.99±9.31），and （36.75±5.10）points，respectively. The transition shock and toxic leadership behaviors of managers were both positively correlated with intolerance of uncertainty（r=0.474，0.491，both P<0.05）. The nurse's gender，income satisfaction，number of night shifts，transition shock，and toxic leadership behaviors of managers were all influencing factors for intolerance of uncertainty（all P<0.05）. Conclusion The gender，income satisfaction，number of night shifts，transition shock，and toxic leadership behaviors of managers are all influencing factors for intolerance of uncertainty of 227 newly graduated nurses. Management should develop targeted intervention strategies to enhance newly graduated nurses' tolerance of uncertainty and reduce the turnover of nursing talent.

Key words: Newly graduated nurses, Transition shock, Toxic leadership behaviors of managers, Intolerance of uncertainty, Correlation analysis