The Effects of Reality Shock on Job Stress and Turnover Intention in Newly Graduated Nurses

Abstract

Aim: This study aims to identify whether reality shock experienced by newly graduated nurses affects job stress, and turnover intention. Method: A descriptive, multi-center and cross-sectional study. The study was conducted with 238 newly graduated nurses. Data were collected between January 2023 and April 2023 using the Reality Shock, Job Stress and Intention to Turnover Scales. Results: The reality shock levels of nurses who worked in another institution were lower than those who did not, and nurses who received clinical guidance, in-house orientation and in-unit orientation training were lower than those who did not, and it was statistically significant (p<0.05). The turnover intention and job stress scores of nurses who received clinical guidance were lower compared to those who did not receive clinical guidance, and were statistically significant (p<0.05). The responsibilities sub-dimension of reality shock scale explained 10.5% of the total variance in intention to turnover (F=3.347, p<0.01). The relationships and cooperation sub-dimension and the responsibilities sub-dimension of the reality shock scale explain 24.9% of the total variance in job stress. (F=10.906, p<0.01). Conclusion: The reality shock experienced by newly graduated nurses in the transition process should be reduced, and strategies should be developed to provide a more effective transition.

Keywords

• job stress
• nursing practice
• nursing theory
• turnover