A Study On Latent Transition And Influencing Factors Of Transition Shock Of Newly Graduated Registered Nurses

Objective The purpose of this study was to longitudinally explore subgroups of newly graduated registered nurse and their state shifts over time,and to reveal the dynamic change patterns of newly graduated registered nurses’ transition shock at the individual level.The impact of different demographic profiles and related variables on the state shifts of newly graduated registered nurses’ transition shock was analyzed to inform nursing managers’ targeted development of new nurse transition shock intervention programs.Methods A convenience sampling method was used to select 219 newly graduated registered nurse who were recruited in 2021 from seven hospitals in Anhui province.In the first month(T0),third month(T1),sixth month(T2),and one year of employment(T3),the socio-demographic data and health-related indicators of were collected using the General Information Questionnaire,the Transition Shock of Newly Graduated Nurses Scale(TSNGS)was used to assess the level of transition shock,the Nurse Professional identity Scale(PIS),Connor-Davidson Resilience Scale(CD-RISC),and Nurse Work Environment Scale(NWES)were used to assess the professional identity,resilience,and work environment,respectively.SPSS 23.0 statistical software was used for statistical description and analysis;Mplus 7.4 was used to analyze the potential categories and state transition of transition shock;cross tabulation analysis,one-way ANOVA,and multivariate logistic regression analysis were used to explore the factors the latent transition patterns of transition shock.Results 1.331 questionnaires were distributed in one month of employment;301questionnaires were returned in three months of employment(10.1% missing);257questionnaires were returned in six months of employment(14.6% missing);219questionnaires were returned in one year of employment(14.8% missing);finally,219 questionnaires were included for analysis.2.The transition shock of newly graduated registered nurses was heterogeneous,and each time point was divided into two categories,which were named as "low shock group" and "high shock group" according to the scores of the items.The dynamic trajectories of the four types of transition shocks were identified according to the latent transition patterns,and named as low shock stable transition pattern,low to high shock transition pattern,high to low shock transition pattern and high shock stable transition pattern.3.In T0-T1 stage,the number of newly graduated registered nurses transferred between the "low shock group" and the "high shock group" was high,with 47.7% of members of the "low shock group" transferred to the "high shock group" and 42.7% of members of the "high shock group" transferred to the "low shock group".In the T1-T2 stage,there was high stability in both the "low shock group"(75.3% retention)and the "high shock group"(77.5% retention),with fewer member transfers between the two profiles.In the T2-T3 stage,the "low shock group" and "high shock group" showed better stability.From the results of latent profile analysis and latent transition analysis,it can be found that the potential transition of transition shock within one year of newly graduated registered nurses showed an overall trend of transfer from the "low shock group" to the "high shock group",with the number of members of the "high shock group" increasing and the number of members of the "low shock group" decreasing.4.The results of multiple logistic regression analysis showed that holding back urine,sleep disturbance,resilience,and work environment played a significant role in predicting the transition pattern of transition shock in T0-T1 stage;holding back urine,sleep disturbance,sleep duration,resilience,and work environment played a significant role in predicting the shift pattern of transition shock among new nurses in T1-T2 stage;holding back urine,sleep disturbance,sleep duration,resilience,and work environment played a significant role in predicting the shift pattern of transition shock among new nurses in T2-T3 stage.Conclusions Newly graduated registered nurses’ transition shock showed different variability and stability at different stages;the probability of transfer between groups was higher in the "low shock group" and "high shock group" in T0-T1,while the "low shock group" and "high shock group" were more stable in T1-T2 and T2-T3.In addition,this study analyzed the factors of the transition pattern of newly graduated registered nurses in different stages,which can provide reference for nursing managers to adopt targeted management programs for new nurses in different stages of transition shock.