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Current Trends in Nursing I01:28

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Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
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Related Experiment Videos

Transition Shock Among Chinese New Nurses: A Systematic Review and Meta-Analysis.

Jiexuan Xu1, Jianqin Huang2, Yu Zhai3

  • 1Nursing Administration Department, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China, gzhmc.edu.cn.

Journal of Nursing Management
|January 16, 2026
PubMed
Summary
This summary is machine-generated.

New nurses in China experience significant transition shock, influenced by personal and work factors. Addressing these issues is crucial for retaining nurses and improving care quality.

Keywords:
current statusinfluencing factorsmeta-analysisnew nursestransition shock

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Area of Science:

  • Nursing Research
  • Healthcare Workforce Studies
  • Occupational Psychology

Background:

  • New nurses in China face considerable transition shock, increasing burnout and turnover risks.
  • A systematic analysis is vital to understand the current status and influencing factors of this phenomenon.
  • Enhancing new nurses' well-being is key to stabilizing the nursing workforce.

Purpose of the Study:

  • To investigate the prevalence and influencing factors of transition shock among newly graduated nurses in China.

Main Methods:

  • A comprehensive literature search was conducted across Chinese and international databases.
  • Included 30 studies involving 12,459 new nurses in China.
  • Meta-analysis was performed using Stata 17.0 and RevMan 5.3 software.

Main Results:

  • The overall transition shock score was 93.08 (95% CI: 87.28-98.89), indicating a moderate-to-high level.
  • Identified 20 influencing factors, categorized into personal (e.g., gender, origin, professional identity) and external (e.g., employment type, income, work hours, support).
  • Key factors included female gender, non-local origin, lower education, lack of interest in the department, low professional identity, poor resilience, infrequent feedback seeking, short service length, non-standard employment, low income, excessive night shifts, and insufficient family/social support.

Conclusions:

  • Transition shock among Chinese new nurses is at a moderate-to-high level.
  • Multiple personal and work-related factors significantly influence this transition shock.
  • Targeted interventions by nursing managers are recommended to alleviate shock, boost career satisfaction, and improve nursing service quality.