Purpose This study investigated the effects of newly graduated nurses’ perceived readiness for nursing practice, resilience, and preceptors’ teaching behaviors on turnover intention.
Methods A survey was conducted among 168 newly graduated nurses between August 7 and 31, 2023. The data were analyzed using descriptive statistics, t-tests, one-way ANOVA, Pearson's correlation, and hierarchical multiple regression analysis.
Results The factors that significantly affected turnover intention included preceptors' teaching behavior (β=-.29, p=.001) and resilience (β=-.21, p=.026). This model explained 32.0% of the variance.
Conclusion Newly graduated nurses’ resilience and their initial training environment are key factors influencing turnover intention. Therefore, nursing managers should develop strategies to enhance the resilience of newly graduated nurses and improve training systems. Additionally, efforts should be made to promote positive teaching behaviors among the educators responsible for training newly graduated nurses.
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Purpose This study aims to identify the moderating effect of nursing organizational culture on the relationship between resilience and clinical competence among new graduate nurses. Methods A survey was conducted from March 14 to July 14, 2023, targeting 210 new nurses with 3 to 12 months of experience, working in three general hospitals in Seoul and Gyeonggi-do. Data from 193 respondents were analyzed using descriptive statistics, correlation, and hierarchical regression. Results The resilience of new graduate nurses was moderate and their clinical competence was rated as good. They perceived a strong hierarchy-oriented culture, followed by a relationship-oriented culture, an innovation-oriented culture, and lastly, a task-oriented culture. Clinical competence was higher with greater resilience (β=.40, p<.001) and stronger perception of hierarchy-oriented culture (β=.16, p=.013). The interaction between resilience and innovation-oriented culture (β=.22, p=.012) was statistically significant, indicating that the effect of resilience on clinical competence was significantly higher when the innovation-oriented culture was strongly perceived. Conclusion To improve the clinical competence of new graduate nurses, it is essential to enhance their personal resilience and, at an organizational level, to strengthen the positive aspects of hierarchy-oriented and innovation-oriented cultures.
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Resilience and Social Support Protect Nurses from Anxiety and Depressive Symptoms: Evidence from a Cross-Sectional Study in the Post-COVID-19 Era Aglaia Katsiroumpa, Ioannis Moisoglou, Ioanna V. Papathanasiou, Maria Malliarou, Pavlos Sarafis, Parisis Gallos, Olympia Konstantakopoulou, Fotios Rizos, Petros Galanis Healthcare.2025; 13(6): 582. CrossRef
Purpose This study aimed to identify the effects of resilience and nursing managers’ empowering leadership on turnover intention among new nurses, as well as the mediating role of transition shock. Methods This was a descriptive, cross-sectional study. Data were collected from 167 new nurses working in tertiary hospitals in Korea between July 1st and July 13, 2022. The relationships among the variables were analyzed using Pearson’s correlation coefficients, and the factors affecting turnover intention were identified using PROCESS macro analysis. Results Resilience (direct effect=-0.02, p=.781) and nursing managers’ empowering leadership (direct effect=-0.00, p=.992) did not directly affect new nurses’ turnover intention. Transition shock had mediating role in the relationship between resilience and turnover intention (indirect effect=-0.12, 95% Boot confidence interval=-0.23~-0.04) and between nursing managers’ empowering leadership and turnover intention (indirect effect=-0.14, 95% Boot confidence interval=-0.23~-0.06). Conclusion Resilience and nursing managers’ empowering leadership indirectly influence turnover intention through transition shock among new nurses. To reduce turnover intention among new nurses, programs for preventing or mitigating their transition shock should be provided. In addition, improving the resilience of new nurses and nursing managers’ empowering leadership may contribute to reducing turnover intention among new nurses by mitigating their transition shock.
Purpose To examine the effects of a remote videoconferencing-based expressive writing program on the posttraumatic stress, resilience, and posttraumatic growth among traumatized nurses. Methods A randomized controlled group study with a pretest-posttest design was adopted. Data were collected between August 18 and November 6, 2020 from 48 nurses who experienced trauma working at a hospital in Jeonbuk Province (24 participants each in the experimental and the control groups). The experimental group participated in six sessions of the expressive writing program following the principles of Pennebaker’s expressive writing. Sessions (duration 90 minutes) were conducted twice a week for three weeks. Results Compared with the control group, the experimental group exhibited a statistically significant difference in posttraumatic stress (F=135.41, p<.001), resilience (F=94.88, p<.001), and post-traumatic growth scores (F=109.28, p<.001) immediately following intervention, and these scores were maintained at the 3-week follow-up. Conclusion The findings suggest that the expressive writing program can be effectively used for the prevention and management of posttraumatic stress in nurses at a risk of trauma.
Purpose This study aimed to identify the mediating effects of self-leadership and resilience on the relationship between preceptors’ clinical teaching behavior and field adaptation of new graduate nurses. Methods Data were collected from 184 new graduate nurses working at two advanced general hospitals. The research model was designed based on PROCESS macro (model 6) proposed by Hayes and analyzed using SPSS 26.0 program. Results The results showed a positive correlation between preceptors’ clinical teaching behavior and self-leadership, resilience, and field adaptation. Preceptors’ clinical teaching behavior (β=.18, p<.001) and resilience (β=.14, p=.030) had a direct effect on the field adaptation of new graduate nurses. Self-leadership and resilience had a serial double mediating effect. Preceptors’ clinical teaching behavior had a significant effect on the field adaptation of new graduate nurses through self-leadership and resilience. Conclusion To improve the field adaptation of new graduate nurses, the government should expand the current education support project to provide sufficient manpower.
Moreover, medical institutions and nursing organizations should develop and apply programs to strengthen preceptor’s clinical teaching behavior.
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Purpose This study investigated the effects of job embeddedness and resilience on the relationship between job rotation stress and nursing work performance among clinical nurses. Methods: We conducted a nationwide online survey with 205 nurses employed at advanced general or general hospitals. Data were collected from August 17 to October 5, 2021. We analyzed the data using various descriptive statistics, independent t-tests, one-way analysis of variance, Scheffé test, Welch test, Games-Howell test, Pearson's correlation coefficients, multiple regression, and the PROCESS macro with a 95% bias-corrected bootstrap confidence interval. These analyses were conducted using SPSS Windows Software version 23.0 and SPSS PROCESS macro version 3.5.2. Results: Nurses' job embeddedness mediated the relationship between job rotation stress and nursing work performance (B=-0.02, p<.05). Furthermore, their resilience moderated this mediated relationship, also known as moderated mediation, with job embeddedness as the mediating factor (B=-0.02, p<.05). Conclusion: These findings imply that, when devising a strategy to improve the nursing work performance of nurses undergoing job rotation, their resilience levels should be considered. Reducing job rotation stress while concurrently enhancing job embeddedness is essential for enhancing the nursing work performance of nurses with high levels of resilience.
Purpose A descriptive survey-based study was undertaken to determine how emotional intelligence mediates the relationship between social support and resilience by clinical nurses, thereby providing primary data for improving resilience. Methods This study involved a descriptive survey of 202 nurses working in four general hospitals. Using SPSS/WIN 26.0, frequency analysis, descriptive statistics, and multiple regression analyses were conducted. Results Social support had a statistically significant positive correlation with emotional intelligence (β=.49, p<.001) and resilience (β=.47, p<.001). Emotional intelligence showed a statistically significant positive correlation with resilience (β=.66, p<.001). Emotional intelligence was found to have a partial mediation effect on the relationship between social support and resilience (z=5.76, p<.001). Conclusion The study also discovered that social support and emotional intelligence are factors influencing clinical nurses' resilience. Furthermore, it evident that emotional intelligence has a partial mediating effect on the relationship between social support and resilience. Therefore, it is necessary to consider nurses’ emotional intelligence at the individual level to effectively improve resilience through social support.
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Purpose This study investigated the influence of nursing practice readiness and, resilience on the nursing performance of new nurses.
Methods: Participants were 234 new nurses with 6-24 months of working experience at the wards in university and general hospitals in the B area and C areas. The collected data were analyzed using SPSS/Win 24.0, and frequency percentage, mean, and standard deviation were calculated, Mann-Whitney U test, Kruskal-Wallis test, analysis of variance, Pearson's correlation coefficients, and multiple regression analyses were performed, and the variable selection method was set as stepwise.
Results: Nursing performance significantly differed by weekly job-related education (Z=10.01, p=.007) and salary satisfaction (Z=13.04, p=.001). The nursing performance of new nurses was positively correlated with nursing practice (r=.70, p<.001) and resilience (r=.51, p<.001). The significant predictors of nursing performance were nursing practice readiness (β=.61, p<.001), resilience (β=.16, p=.003), and job training hours (β=.11, p=.02). The explanatory power of these factors was 52.0% of the variance.
Conclusion: To enhance the nursing performance of new nurses, it is necessary to improve nursing practice readiness, provide job training, and strengthen resilience. In addition, it is necessary to support programs at the institutional level for nursing performance.
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Purpose This study aimed to identify the effects of preceptors' teaching behavior, resilience, and organizational socialization on new graduate nurses' intention to stay.
Methods: Data were collected from 167 new graduate nurses working at a university hospital for a period of three months to one year and analyzed using SPSS 24.0, PROCESS Macro ver. 3.5.
Results: The results show that preceptors' teaching behavior, resilience, and organizational socialization had strong correlations with new graduate nurses' intention to stay. Preceptors' teaching behavior directly affected new graduate nurses' resilience and intention to stay. However, the results showed that preceptors' teaching behavior did not affect organizational socialization. Resilience directly affected organizational socialization and intention to stay, and had a simple mediation effect between preceptors' teaching behavior and intention to stay.
Moreover, resilience and organizational socialization were found to be significant mediators between preceptors' teaching behavior and intention to stay.
Conclusion: The results suggest that preceptors' teaching behavior is a key factor that strengthens new graduate nurses' intention to stay, as it promotes successful organizational socialization by improving their resilience and helping them overcome transition shock.
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PURPOSE This study was done to evaluate the effects of group art and music therapy on decreasing job stress and increasing resilience of newly hired nurses. METHODS A mixed method design was used. Quantitative data (N=35) were collected through questionnaires from November 2 to December, 5, 2016 and were analyzed using a one-tailed paired t-test by SPSS/WIN 22.0 program. Qualitative data (N=18) were collected through group and individual interviews from November 10, 2016 to February 3, 2017 and were analyzed using a qualitative thematic analysis. RESULTS The first hypothesis “participants will have lower job stress after the art and music therapy†was not statistically supported (t=−1.12, p=.270). The second hypothesis, “participants will have higher resilience after the art and music therapy†was supported (t=−2.13, p=.041). Four main themes were derived from the interviews: ‘looking into myself’, ‘feeling a camaraderie’, ‘healing of my mind and body’, ‘change in the intimidated self,’ CONCLUSION: The findings indicate that art and music therapy for newly hired nurses may positively influence resilience. Hospital organizations should utilize the therapy for newly hired nurses to improve their resilience so that they can realize their own values and increase positive emotion despite job stress.
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PURPOSE The purpose of this study was to investigate the effects of ego-resilience and stress coping styles on college adaptation in nursing students. METHOD The sample for this study consisted of 1st and 2nd year students from 3 colleges of nursing, one each, in Jeolla, Chungcheong, and Gyeongsang Provinces. The data were collected from November 5 to 22, 2010. The data were analyzed using t-test, ANOVA, Pearson correlation and multiple regression with SPSS 18.0. RESULTS A positive correlation was found for college adaptation with stress coping styles and ego-resilience. The strongest predictor of college adaptation was an optimistic attitude. In addition optimistic attitude, satisfaction with nursing as a major, confidence, academic scores, age, emotional control, and gender accounted for 63.3% of variance in college adaptation. CONCLUSIONS The results of this study suggest that development of stress coping and ego-resilience in nursing students is important to college adaptation. Further research in improving ego-resilience and stress coping is warranted.
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