Factors associated with New Graduate Nurses' Reality Shock

Kyung Mi Sin; Jeong Ok Kwon; Eun-Young Kim

doi:10.11111/jkana.2014.20.3.292

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Factors associated with New Graduate Nurses' Reality Shock

Kyung Mi Sin¹, Jeong Ok Kwon¹, Eun-Young Kim²

Journal of Korean Academy of Nursing Administration 2014;20(3):292-301.
Published online: June 30, 2014

DOI: https://doi.org/10.11111/jkana.2014.20.3.292

¹Graduate School, Department of Nursing, Dong-A University, Korea.

²Department of Nursing, Dong-A University, Korea.

Corresponding author: Kim, Eun-Young. Department of Nursing, Dong-A University, Dongdaeshin-dong 3, Seo-gu, Busan 602-714, Korea. Tel: +82-51-240-2785, Fax: +82-51-240-2947, eykim@dau.ac.kr

• Received: March 13, 2014 • Revised: April 17, 2014 • Accepted: May 9, 2014

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
Article Information
REFERENCES

Abstract

Purpose
The purpose of this study was to identify factors that affect reality shock in new nurses.
Methods
Participants were 216 newly graduated nurses with less than 1 year experience in 5 university and 10 general hospitals in Busan, Ulsan and Gyeongnam, A self-report questionnaire was completed by the nurses between November 18 and December 25, 2013. Data were analyzed using t-test, ANOVA and hierarchial multiple regression analysis with the SPSS/WIN 21.0 Program.
Results
Average scores for work environment and environmental reality shock were 2.63±0.33 and 2.66±0.43 points respectively. Regression analysis showed that with the nurses' demographic and work characteristics controlled, work environment explained 4.2% of the reality shock. Factors significantly affecting reality shock included nurses' changing residence because of job (β=.21, p=.001), whether they were able to work on the unit of their choice (β=-.13, p=.031) and whether they had a choice in days off (β=-.14, p=.038).
Conclusion
When these factors are considered, reduction in nurses' reality shock requires improvement in work environment, placing new nurses in a department of their choice and allowing them a choice in off-duty days. These measures would also help achieve organizational goals and develop the new nurses as professional nurses.
Key Words: New graduate nurse; Nurse practice environment; Reality shock

Article Information

This work was supported by the Dong-A University research fund.

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Article

Table 1

General Characteristics of Participants (N=216)

RN=Registered nurse.

Table 2

Nurse Practice Environment (N=216)

Table 3

New Graduate Nurses' Reality Shock (N=216)

Table 4

Reality Shock by General Characteristics of New Nurse & Work Characteristics (N=216)

RN=Registered nurse.

Table 5

Predictors of Nurses' Reality Shock

^*Dummy variables: Education level (Diploma=1, Bachelor=0); Change in residence for job (Yes=1, No=0); Whether the work unit was chosen (Yes=1, No=0); Day off when they choose (Yes=1, No=0); Number of beds (<700=1,≥700=0); University hospital (Yes=1, No=0).

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Factors associated with New Graduate Nurses' Reality Shock

J Korean Acad Nurs Adm. 2014;20(3):292-301. Published online June 30, 2014

DOI: https://doi.org/10.11111/jkana.2014.20.3.292

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Factors associated with New Graduate Nurses' Reality Shock

J Korean Acad Nurs Adm. 2014;20(3):292-301. Published online June 30, 2014

DOI: https://doi.org/10.11111/jkana.2014.20.3.292

Factors associated with New Graduate Nurses' Reality Shock

Table 1

General Characteristics of Participants (N=216)

RN=Registered nurse.

Table 2

Nurse Practice Environment (N=216)

Table 3

New Graduate Nurses' Reality Shock (N=216)

Table 4

Reality Shock by General Characteristics of New Nurse & Work Characteristics (N=216)

RN=Registered nurse.

Table 5

Predictors of Nurses' Reality Shock

Table 1 General Characteristics of Participants (N=216)

RN=Registered nurse.

Table 2 Nurse Practice Environment (N=216)

Table 3 New Graduate Nurses' Reality Shock (N=216)

Table 4 Reality Shock by General Characteristics of New Nurse & Work Characteristics (N=216)

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