Transition shock and job satisfaction changes among newly graduated nurses in their first year of work: A prospective longitudinal study.

AIMS This study aimed to identify changes in transition shock and job satisfaction among newly graduated nurses during their first year and examine factors affecting these changes. BACKGROUND Newly graduated nurses' high turnover is related to transition shock and job satisfaction. However, insufficient information exists on changes in these variables among such nurses. METHODS A prospective longitudinal design was used. Participants were nurses newly graduated from nursing schools and working in hospitals in South Korea. There were 312, 195, and 120 participants at 4, 8, and 12 months respectively. RESULTS Transition shock and job satisfaction decreased as working period increased; transition shock was lower and job satisfaction was higher in positive work environments. Linear mixed models revealed work environment as the only factor significantly related to transition shock and job satisfaction changes. CONCLUSION The nurses' transition shock and job satisfaction varied as per working period and work environment, which was the most important factor of these changes. IMPLICATIONS FOR NURSING MANAGEMENT Nurse managers can be aware of transition shock and job satisfaction changes, assess their severity, and implement solutions in their hospitals. Thus, retention strategies should differ according to the changing needs of nurses at different stages of their career.