Stages of Transition and Transition Shock

Duchscher, Judy Boychuk; Windey, Maryann

doi:10.1097/nnd.0000000000000461

Cited by 98 publications

(97 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of the 18 nurse residents who left their jobs prior to completing our study, 14 resigned within the first 3 months. Although we have no data for the levels of anxiety and work stress of the 14 participants who left, Duchscher and Windey (2018) found that the initial few months of employment are the most stressful for newly employed nurses, and they suggested for additional personal and professional support to be provided to ease the stress of transition (Duchscher & Windey, 2018). Evidently, mindfulness-based stress reduction (MBSR) programmes (Karaca & Şişman, 2019) and online peer support (Webster, Jenkins, Oyebode, Bentham, & Smythe, 2019) timepoints, which afforded a finer-grained (and therefore different) account of the trajectory.…”

Section: Discussionmentioning

confidence: 97%

Anxiety and work stress among newly employed nurses during the first year of a residency programme: A longitudinal study

et al. 2020

View full text Add to dashboard Cite

The global shortage of nurses severely affects the stability of hospitals and quality of patient care. New nurses tend to change jobs or leave the nursing profession within their first year, and this turnover compounds the nursing shortage (Zhang, Wu, Fang, Zhang, & Wong, 2017). Stress is a primary reason behind this turnover for new nurses (Bryant, 2017; Dwyer & Revell, 2016). Nurses still feel stress despite the great efforts of health educators in reducing new nurses' stress levels through improving their working environment

show abstract

Section: Discussionmentioning

confidence: 97%

Anxiety and work stress among newly employed nurses during the first year of a residency programme: A longitudinal study

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Three stages of reality shock have been proposed: 'Doing', 'Being' and 'Knowing'. The final stage of 'Knowing' is synonymous with 'being able to answer questions instead of always asking them and finding the time and energy to assist others with workloads, instead of being consumed solely with one's own signs of progress (Duchscher & Windey, 2018;p. 231).…”

Section: Discussionmentioning

confidence: 99%

Exploring newly qualified nurses’ experiences of support and perceptions of peer support online: A qualitative study

Jenkins

Oyebode

Bicknell

et al. 2021

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and Objectives: To explore newly qualified nurses' support needs and their perceptions of online peer support. Background:The experience of being a newly qualified nurse is stressful and isolating. Support from colleagues and peers can enhance perceptions of competence and confidence in newly qualified nurses, improve well-being and aid retention. However, despite initiatives such as preceptorship, support needs may remain unmet in busy clinical environments. Online support has potential to offer a partial solution to professional isolation, but there is a lack of research into how technology can support nurses' emotional and social well-being.Design: A qualitative exploratory study was designed, employing semi-structured focus groups, analysed using thematic analysis. The study is reported in accordance with the COnsolidated criteria for REporting Qualitative research checklist.Methods: Eight focus groups, supplemented by one individual interview, were conducted with newly qualified nurses between June 2018-January 2019.Findings: Two main themes arose. The first was Drowning, a lot of the time with two subthemes: (i) Feelings and emotions about being a Newly Qualified Nurse: 'Absolutely terrified' and (ii) Support within the role: 'Somebody you can count on'. The second was Potential advantages and disadvantages of online modality: 'Somebody is going to get in that phone!' which included three sub-themes (i) Potential advantages, (ii) Potential disadvantages and (iii) Preferences and recommendations. Conclusions:This study demonstrates that if barriers can be overcome, then online support has potential to contribute to newly qualified nurses' well-being. Further research is needed to explore technical and ethical issues around online support and evaluate its effectiveness for newly qualified nurses. Relevance to clinical practice:Online support has the potential to add to existing strategies to support nurses during stressful times. This may be particularly relevant when many staff are working under increased pressure due to the COVID-19 pandemic. | 2925 JENKINS Et al.

show abstract

“…Therefore, if transition to professional practice is not successful, newly licensed nurses may experience difficulties in nursing performance, as well as role conflicts, which, in turn, could prolong the adaptation period and negatively influence their intention to stay in the profession (Liang et al, 2018; Walker et al, 2017). This requires a better understanding of transition shock and its associated factors in newly licensed nurses (Duchscher & Windey, 2018).…”

Section: Introductionmentioning

confidence: 99%

Association of work environment and resilience with transition shock in newly licensed nurses: A cross‐sectional study

Kim

2021

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To examine transition shock in newly licensed nurses and the association of work environment and resilience with nurses' transition shock. Background Although work environment is related to transition shock in newly licensed nurses, little is known about the factors of nursing work environment associated with transition shock. Furthermore, resilience is known to help nurses positively face workplace challenges; however, there is little evidence on the associations between resilience and transition shock in new nurses. Design A cross‐sectional, descriptive study. Methods Data from 163 new nurses with <12 months of work experience in the current hospital since graduation were analysed. Participants' characteristics, work environment, nurse resilience and transition shock were self‐reported. Multivariable linear regressions were performed in three steps (following the STROBE checklist). Results The highest mean score of transition shock was obtained for the item ‘I perceive the limitations of my professional knowledge in nursing care'. In the regression analysis adjusted for all variables, two factors of work environment—‘nurse staffing and resource adequacy’ and ‘collegial nurse‐physician relationships’—were associated with transition shock. Meanwhile, resilience was not related to transition shock. Conclusions The gap between newly licensed nurses' theoretical and practical knowledge continues to exist. Adequate nurse staffing and a positive relationship with physicians, rather than nurse resilience, were more likely to associate with new nurses' transition shock. Relevance to clinical practice Hospitals need to provide ward‐based simulations and case‐based learning methods to enhance nurses' transition to professional practice. For nurses' transition, hospitals should make efforts to provide adequate nurse staffing and resources. Furthermore, hospitals should provide communication opportunities to build a positive collaborative culture between nurses and physicians. Unit nurse managers need to assess newly licensed nurses' perception of nurse–physician professional relationship and create an atmosphere of respect and understanding for each other.

show abstract

Stages of Transition and Transition Shock

Cited by 98 publications

References 1 publication

Anxiety and work stress among newly employed nurses during the first year of a residency programme: A longitudinal study

Anxiety and work stress among newly employed nurses during the first year of a residency programme: A longitudinal study

Exploring newly qualified nurses’ experiences of support and perceptions of peer support online: A qualitative study

Association of work environment and resilience with transition shock in newly licensed nurses: A cross‐sectional study

Contact Info

Product

Resources

About