Impact of healthy work environments on new graduate nurses' environmental reality shock

West J Nurs Res. 2013 Mar;35(3):348-83. doi: 10.1177/0193945911403939. Epub 2011 Apr 15.


Do healthy work environments (HWEs) facilitate new graduate transition into professional practice in hospitals? Are such environments related to a decrease in Environmental Reality Shock? Experienced nurses in 17 Magnet hospitals completed the Essentials of Magnetism II(©) (EOMII(©)) instrument that measures health of unit work environments. New graduates (N = 468) were then tracked with modified versions of the EOMII(©) from immediate post hire to 4, 8, and 12 months post hire to ascertain degree of Environmental Reality Shock. New graduate nurses have extremely high anticipations of unit work environments that would enable delivery of quality patient care. HWE is the most-significant variable in Environmental Reality Shock, number of related Issues and Concerns, and perceptions of quality of patient care. Suggestions of how to improve quality of unit work environments are offered.

MeSH terms

  • Humans
  • Job Satisfaction*
  • Nursing Staff, Hospital / psychology*
  • Workplace*