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Effects of Changes in Reality Shock among New Nurses on Turnover Intention in South Korea

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KMID : 0123520220290010060
¹ÚÇöÈñ ( Park Hyun-Hee ) - National Health Insurance Service Ilsan Hospital Operation Nursing

À̱¤¿Á ( Lee Kwang-Ok ) - Sangmyung University Department of Nursing

Abstract

Purpose: This study aimed to investigate the changes in reality shock among new nurses and their influencing factorsto identify turnover reduction methods.

Methods: A total of 146 new nurses from 6 general hospitals participated in thesurvey. The survey data were collected from August 5 to November 10, 2015.

Results: The mean scores for factors relatedto turn over were 2.75 for nurse practice environment, 2.84 (4point scale) for reality shock, and 3.08 (5point scale) forturnover intention. A significant difference in the impact of reality shock was observed depending on whether the nursesselected their work unit (F=6.24, p=.003) and whether they could take the possibility of holiday on the desired day at will(t=-2.57, p=.013). Changes in reality shock correlated with turnover intention, with the 'increased reality shock' groupdemonstrating an odds ratio of 2.37 (CI: 1.41~3.98) for turnover intention.

Conclusion: The current findings indicate theneed for lowering reality shock and turnover intention by considering nurses' work-related characteristics and improvingtheir practice environments. To further study the changes in reality shock new nurses experienced, additional researchis warranted while homogenizing the participants in terms of preceptorship duration and timing of independence.
KeyWords

Reality shock, Turnover, Intention
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