Analysis of the current situation and influencing factors of the reality impact of newly employed nurses in grade-A tertiary hospitals in Tianjin

Abstract

Abstract: Objective To understand the current situation of the reality impact of newly recruited nurses in grade-A tertiary hospitals in Tianjin,and analyze its influencing factors,so as to provide reference for clinical nursing management. Methods From July to September 2023,a convenience sampling method was used to select 462 nurses from 5 grade-A tertiary hospitals in Tianjin as the research subjects. A questionnaire survey was conducted using a general information questionnaire,reality shock scale（RSS）,occupational adaptability scale（OAS）,and occupational resilience scale,and the data were analyzed. Results The total score of the reality impact scale for newly recruited nurses in grade-A tertiary hospitals in Tianjin was （78.76±28.45）points,indicating a below-average level. Scores for the different dimensions include job performance（6.66±2.49）points,competence（12.04±5.25）points,professional knowledge（21.09±8.61）points,and relationship cooperation（38.95±14.64）points. Age,current department,average weekly working hours,average weekly overtime hours,occupational adaptability,and occupational resilience entered the regression equation（all P<0.01）,explaining 65% of the total variance. Conclusion The level of reality impact of newly recruited nurses in grade-A tertiary hospitals in Tianjin is below average,with age,current department,average weekly working hours,average weekly overtime hours,occupational adaptability,and occupational resilience identified as independent risk factors. It is recommended that hospital managers pay attention to the impact of the reality impact of newly recruited nurses,take measures to improve their occupational resilience and occupational adaptability,and thereby reduce the reality impact of newly recruited nurses.

Key words: Nurse, Reality impact, Occupational resilience, Occupational adaptability

CLC Number:

R192.6

ZOU Yi, ZHANG Yajun, MA Hongmei. Analysis of the current situation and influencing factors of the reality impact of newly employed nurses in grade-A tertiary hospitals in Tianjin. [J]OCCUPATION AND HEALTH, 2025, 41(13): 1776-1780.

References

[1] PARK K O,KIM J K,et al.A study on experience of transition from new clinical nurse to competent step[J].J Korean Acad Soc Nurs Educ, 2013,19(4):594-605.
[2] MK B,MARTHA S,WILDER R U,et al.An exploration of new graduate nurses' transition to specialty practice[J].J Nurses Prof Dev,2020, 37(2):93-100.
[3] STACEY G,HARDY P.Challenging the shock of reality through digital storytelling[J].Nurse Educ Pract,2010,11(2):159-164.
[4] MI K S,YOUNG E K.A concept analysis on reality shock in newly graduated nurses using the hybrid model[J].Korean J Occup Health Nurs, 2017,26(1):19-29.
[5] XIAOYI C,JIN L,SHU G.The relationships of both transition shock,empathy,resilience and coping strategies with professional quality of life in newly graduated nurses[J].BMC Nurs,2021,20(1):65.
[6] KENDAL M.Multivaraiate anlysis[M].London:Charles Grifin & Company Limited,1975:54-57.
[7] ÇIRIS Y C,ERGÜN Y.Development and psychometric testing of the Reality Shock Scale for newly graduated nurses[J].J Adv Nurs,2021, 77(12):4950-4962.
[8] 吴敏,吴冬梅,张雪辉.新入职护士现实冲击量表的汉化及信效度检验[J].护理学杂志,2023,38(12):76-79.
[9] 王益富,王丽丽,张建人,等.员工职业适应能力量表的编制及初步应用[J].中国临床心理学杂志,2016,24(6):1021-1028.
[10] 罗懋,杨泽,欧阳文瑞,等.新护士职业适应能力现状及其影响因素[J].职业与健康,2018,34(22):3079-3082.
[11] 王巧铃. 知识型员工职业挫折感对工作投入的影响:职业韧性的调节作用[D].南京:南京师范大学,2016.
[12] 陶秀秀,张晶,廖芳,等.新护士转型冲击现状及影响因素研究[J].护理管理杂志,2023,23(7):594-596.
[13] DUCHSCHE J B.A process of becoming:The stages of new nursing graduate professional role transition[J].J Contin Educ Nurs,2008,39(10):441-480.
[14] 薛婷,姜文彬,陈强,等.亚健康状况在新护士职业适应能力与留职意愿间的中介效应分析[J].护理学报,2021,28(9):48-53.
[15] 刘美艳,薛婷,姜永梅,等.人文管理视角下新护士职业适应能力现状及影响因素分析[J].全科护理,2023,21(10):1301-1305.
[16] 王艳平,王万军,祖晓军.急诊科护士自我职业生涯管理及核心自我评价对职业弹性的影响[J].护理学杂志,2019,34(12):61-64.
[17] 汤小丽,陈利敏,董芬,等.职业韧性在工作负荷与护士情绪衰竭间的调节作用[J].中华全科医学,2022,20(5):890-893.
[18] 罗懋,罗曼,杨泽,等.长沙市358名新护士职业适应能力与总体幸福感的相关性分析[J].工业卫生与职业病,2020,46(4):283-286.
[19] 周梦. 新入职护士职业韧性与职业生涯成功和工作生活质量的相关性研究[D].吉林:吉林大学,2018.
[20] 和青森,曹珊,周雨洁.职业韧性在临床护士职场友谊与工作绩效间的中介作用[J].护理学杂志,2023,38(19):48-51.
[21] 崔晟,张丽君,杨洪智,等.临床护士心理弹性在觉知压力与职业倦怠间的中介作用[J].护理研究,2019,33(7):1244-1247.
[22] 宋美璇,王玉香,李显蓉.心理弹性对外科护理人员工作压力与职业倦怠的中介效应[J].职业与健康,2021,37(7):888-892.