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Moderating Effect of Professional Identity on the Relationship Between Transition Shock and Career Intention Among
Yudan Wu1, Zhiyao Luo, Feifei Huang
1Author Affiliations: School of Nursing, Fudan University, Shanghai, China (Ms Wu, Mr Luo, Ms Fan, Dr Lin, Dr Li, and Dr Wang); School of Nursing, Fujian Medical University, Fuzhou, China (Dr Huang); and School of Nursing, Peking Union Medical College, Beijing, China (Ms Rao).
Background:
Nursing interns (fourth-year undergraduate nursing students in their clinical practicum) often report low career intention, closely linked to transition shock during role transition.
Purpose:
To examine how transition shock affects career intention and the moderating role of professional identity using ecological momentary assessment.
Methods:
The study tracked 1162 nested observations of 83 nursing interns over 14 days. Data were analyzed using a 2-level Hierarchical Linear Modeling.
Results:
Transition shock was relatively high (69.22 ± 25.17) and varied significantly (P < .01), while career intention remained moderate and stable (2.42 ± 0.82). Sociocultural and development shock negatively predicted career intention (β = .02, P < .01). Professional identity showed a direct protective effect (β = -.01, P < .01) but no moderating role.
Conclusions:
Nursing interns show fluctuating shock but stable career intention. Sociocultural challenges lower intention, while professional identity buffers it. Strengthening professional identity mitigates shock, and better adaptation supports internship success.
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