The mediating effect of job embeddedness on the nursing work environment and transition shock among new nurses: A cross-sectional study

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2024-07-01 DOI:10.1016/j.nepr.2024.104034

Siqi Zhou , Jun Ma , Sisi Fan , Honghong Wang , Wenhong An , Lu Li , Tao Xiao

{"title":"The mediating effect of job embeddedness on the nursing work environment and transition shock among new nurses: A cross-sectional study","authors":"Siqi Zhou , Jun Ma , Sisi Fan , Honghong Wang , Wenhong An , Lu Li , Tao Xiao","doi":"10.1016/j.nepr.2024.104034","DOIUrl":null,"url":null,"abstract":"<div><h3>Aims</h3><p>This study aims to investigate the status of transition shock and test the mediating effect of job embeddedness on the nursing work environment and transition shock among new nurses.</p></div><div><h3>Background</h3><p>Transition shock, primarily experienced during the first two years of employment, manifests itself as an unsettling or discordant experience among new nurses, which is caused by the gap between theoretical learning and clinical practice.</p></div><div><h3>Design</h3><p>This is a cross-sectional survey study, following the STROBE guidelines.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted among 435 new nurses from November to December 2022 in Hunan Province, China. The participants were recruited to complete a sociodemographic information questionnaire and rank 3 standardized scales of transition shock (Cronbach's alpha = 0.918), job embeddedness (Cronbach's alpha = 0.890) and nursing work environment (Cronbach's alpha = 0.946). Then, the data were analysed by SPSS 26.0 and mediation testing was performed using Hayes’ PROCESS macro (Model 4). A <em>p</em> value of < 0.05 was deemed statistically significant.</p></div><div><h3>Results</h3><p>The mean score with standard deviation of the transition shock scale in new nurses was 88.86 (22.50). The place of origin, working months and weekly working hours were the significant sociodemographic factors that affected the transition shock score in new nurses. Transition shock was found to be negatively related to both job embeddedness (<em>r</em> = −0.468, <em>p</em> < 0.001) and nursing work environment (<em>r</em> = −0.416, <em>p</em> < 0.001), while job embeddedness mediated the relationship between transition shock and nursing work environment (<em>R</em><sup><em>2</em></sup> = 0.262, <em>F</em> = 30.455, <em>p</em> < 0.001).</p></div><div><h3>Conclusions</h3><p>New nurses from rural areas and with longer weekly working hours are more prone to transition shock. Those with 6–12 months of employment experience more pronounced transition shock than those with less than 6 months. In addition, the nursing work environment can not only directly influence transition shock for new nurses but also indirectly influence it through job embeddedness. These findings provide a basis for hospitals to develop strategies to effectively address transition shock in new nurses and ultimately solve the nursing shortage issue.</p></div>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":null,"pages":null},"PeriodicalIF":3.3000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nurse Education in Practice","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S147159532400163X","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Aims

This study aims to investigate the status of transition shock and test the mediating effect of job embeddedness on the nursing work environment and transition shock among new nurses.

Background

Transition shock, primarily experienced during the first two years of employment, manifests itself as an unsettling or discordant experience among new nurses, which is caused by the gap between theoretical learning and clinical practice.

Design

This is a cross-sectional survey study, following the STROBE guidelines.

Methods

A cross-sectional study was conducted among 435 new nurses from November to December 2022 in Hunan Province, China. The participants were recruited to complete a sociodemographic information questionnaire and rank 3 standardized scales of transition shock (Cronbach's alpha = 0.918), job embeddedness (Cronbach's alpha = 0.890) and nursing work environment (Cronbach's alpha = 0.946). Then, the data were analysed by SPSS 26.0 and mediation testing was performed using Hayes’ PROCESS macro (Model 4). A p value of < 0.05 was deemed statistically significant.

Results

The mean score with standard deviation of the transition shock scale in new nurses was 88.86 (22.50). The place of origin, working months and weekly working hours were the significant sociodemographic factors that affected the transition shock score in new nurses. Transition shock was found to be negatively related to both job embeddedness (r = −0.468, p < 0.001) and nursing work environment (r = −0.416, p < 0.001), while job embeddedness mediated the relationship between transition shock and nursing work environment (R² = 0.262, F = 30.455, p < 0.001).

Conclusions

New nurses from rural areas and with longer weekly working hours are more prone to transition shock. Those with 6–12 months of employment experience more pronounced transition shock than those with less than 6 months. In addition, the nursing work environment can not only directly influence transition shock for new nurses but also indirectly influence it through job embeddedness. These findings provide a basis for hospitals to develop strategies to effectively address transition shock in new nurses and ultimately solve the nursing shortage issue.

查看原文本刊更多论文

工作嵌入性对护理工作环境和新护士转型冲击的中介效应：一项横断面研究。

目的：本研究旨在调查新入职护士过渡震荡的状况，并检验工作嵌入性对护理工作环境和过渡震荡的中介效应：背景：转型冲击主要发生在入职头两年，表现为新护士因理论学习与临床实践脱节而产生的不安或不和谐体验：这是一项横断面调查研究，遵循 STROBE 指南：方法：2022 年 11 月至 12 月在湖南省对 435 名新入职护士进行了横断面研究。被试填写了一份社会人口学信息问卷，并对过渡冲击（Cronbach's alpha = 0.918）、工作嵌入感（Cronbach's alpha = 0.890）和护理工作环境（Cronbach's alpha = 0.946）3个标准化量表进行了排序。然后，使用 SPSS 26.0 对数据进行分析，并使用 Hayes 的 PROCESS 宏（模型 4）进行中介检验。P 值小于 0.05 即为具有统计学意义：新护士过渡期冲击量表的平均分和标准差为 88.86（22.50）分。原籍地、工作月份和每周工作时间是影响新护士过渡震荡得分的重要社会人口因素。研究发现，转型冲击与工作嵌入度（r = -0.468，p < 0.001）和护理工作环境（r = -0.416，p < 0.001）均呈负相关，而工作嵌入度在转型冲击与护理工作环境之间起中介作用（R2 = 0.262，F = 30.455，p < 0.001）：结论：来自农村地区、每周工作时间较长的新护士更容易受到转型冲击。工作 6-12 个月的新护士比工作少于 6 个月的新护士更容易受到转型冲击。此外，护理工作环境不仅会直接影响新护士的转型冲击，还会通过工作嵌入性间接影响新护士的转型冲击。这些研究结果为医院制定有效解决新护士转型冲击的策略，最终解决护士短缺问题提供了依据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.