J Korean Acad Nurs.  2017 Oct;47(5):589-599. 10.4040/jkan.2017.47.5.589.

Development of the Transition Shock Scale for Newly Graduated Nurses

• Kim EY
• Yeo JH
• Yi KI

• KMID: 2394254
• DOI: http://doi.org/10.4040/jkan.2017.47.5.589

Abstract

PURPOSE
The purpose of this study was to develop a scale to assess the transition shock experienced by newly graduated nurses, and test the validity and reliability of the scale.
METHODS
The initial items were identified through a review of literature and in-depth interviews with nine newly graduated nurses. Content validation of the items was evaluated by five nurse professors and three nurses. Participants were 269 newly graduated nurses who worked at six acute care hospitals in Busan, Ulsan, and Yangsan, South Korea. Data were analyzed using item analysis, exploratory and confirmatory factor analysis, criterion related validity, and internal consistency.
RESULTS
The final scale consisted of 18 items and six factors (conflict between theory and practice, overwhelming workload, loss of social support, shrinking relationship with co-workers, confusion in professional nursing values, and incongruity in work and personal life), which explained 71.3% of the total variance. The six subscale model was validated by confirmatory factor analysis. Cronbach's alpha for the total items was. 89. Convergent validity was evaluated by analyzing total correlation with burnout (r=.71, p<.001) and turnover intention (t=5.84, p<.001).
CONCLUSION
This scale can be used in the development of nursing interventions to reduce the transition shock experienced by newly graduated nurses.

Keyword

Professional practice gaps; Reproducibility of results; Factor analysis; Psychometrics

MeSH Terms

Busan
Factor Analysis, Statistical
Gyeongsangnam-do
Humans
Intention
Korea
Nursing
Psychometrics
Reproducibility of Results
Shock*
Ulsan

Reference

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