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

Heidi Holtz, Amy McQueen, Guy Weissinger, Mary Alderfer, Deborah Swavely, Jennifer A. Sledge, Lihua Yu, Megan Pohlman, Thomas Adil, Rosemary Mugoya, Robin Minchhoff, Cynda Rushton

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

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.

Original languageEnglish
Pages (from-to)507-513
Number of pages7
JournalJournal of Nursing Administration
Volume54
Issue number9
DOIs
StatePublished - Sep 1 2024

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