The Impact of Transitional Shock on Newer Nurses in a Contemporary Healthcare Environment

J Nurs Adm. 2024 Sep 1;54(9):507-513. doi: 10.1097/NNA.0000000000001468.

Abstract

Objective: The aim of this study was to understand newer nurses' perception and expectations of their work environment, professional and institutional satisfaction, and motivating/decision-making factors around nursing and intent to leave their positions.

Background: Studies have shown newly graduated nurses face many challenges transitioning from a student to an independently practicing nurse. The COVID pandemic complicated this transition and created new stressors resulting in discouragement and turnover for newer nurses.

Methods: This study used a qualitative approach through purposive sampling, semistructured qualitative interviews, and content analytic techniques. Transitional Shock Theory was used as the theoretical framework.

Results: Four themes emerged from the study: 1) confronting the reality; 2) betrayal/mistrust; 3) relational integrity; and 4) enablers of clinical competence.

Conclusions: The findings will help nurse leaders understand the importance of organizational-level supports to improve the transition of newer nurses in typical periods and in times of additional stress.

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • COVID-19*
  • Female
  • Humans
  • Job Satisfaction*
  • Male
  • Nursing Staff, Hospital* / psychology
  • Personnel Turnover / statistics & numerical data
  • Qualitative Research*
  • SARS-CoV-2
  • Workplace / psychology