Yeni Mezun Hem�irelerde Ger�eklik �okunun �� Stresi ve ��ten Ayr�lma Niyeti �zerine Etkisi

¹�stanbul Ayd�n �niversitesi, Sa�l�k Bilimleri Fak�ltesi, Hem�irelik B�l�m�, �stanbul, T�rkiye
²Sa�l�k Bilimleri �niversitesi, Hamidiye Sa�l�k Bilimleri Fak�ltesi, Ebelik B�l�m�, �stanbul, T�rkiye
³Ba�ak�ehir �am ve Sakura �ehir Hastanesi, Sa�l�k Hizmetleri M�d�r Yard�mc�s�, �stanbul, T�rkiye
⁴�stanbul Prof. Dr. Cemil Ta��o�lu �ehir Hastanesi, Acil Servis, �stanbul, T�rkiye

Ama�: Bu �al��ma, yeni mezun hem�irelerin ya�ad�� ger�eklik �okunun i� stresini ve i�ten ayr�lma niyetini etkileyip etkilemedi�ini belirlemeyi ama�lamaktad�r.
Y�ntem: Tan�mlay�c�, �ok merkezli ve kesitsel bir �al��ma. �al��ma, 238 yeni mezun hem�ire ile ger�ekle�tirilmi�tir. Veriler Ocak 2023 ile Nisan 2023 tarihleri aras�nda �Ger�eklik �oku, �� Stresi ve Ayr�lma Niyeti �l�ekleri� kullan�larak toplanm��t�r.
Bulgular: Ba�ka bir kurumda �al��m�� olan hem�irelerin, �al��mayanlara oranla, klinik rehberlik, kurum i�i uyum ve birim i�i uyum e�itimi alan hem�irelerin almayanlara oranla ger�eklik �oku d�zeyleri daha d��k olup istatistiksel olarak anlaml� bulunmu�tur (p<0,05). Klinik rehberlik alan hem�irelerin, almayanlara oranla i�ten ayr�lma niyeti ve i� stresi puan� daha d��k olup istatistiksel olarak anlaml� belirlenmi�tir (p<0,05). Ger�eklik �oku �l�e�inin sorumluluklar alt boyutu, i�ten ayr�lma niyetindeki toplam varyans�n %10,5'ini a��klam��t�r (F=3,347, p<0,01). Ger�eklik �oku �l�e�inin ili�kiler ve i� birli�i alt boyutu ile sorumluluklar alt boyutu i� stresindeki toplam varyans�n %24,9'unu a��klam��t�r (F=10,906, p<0,01).
Sonu�: Yeni mezun hem�irelerin ge�i� s�recinde ya�ad�klar� ger�eklik �oku azalt�lmal�, daha etkili bir ge�i� sa�layacak stratejiler geli�tirilmelidir.

Anahtar Kelimeler:

The Effects of Reality Shock on Job Stress and Turnover Intention in Newly Graduated Nurses

¹�stanbul Aydin University, Faculty of Health Sciences, Department of Nursing, �stanbul, T�rkiye
²University of Health Sciences, Hamidiye Faculty of Health Sciences, Department of Midwifery, �stanbul, T�rkiye
³Ba�ak�ehir �am and Sakura City Hospital, Deputy Director of Health Services, �stanbul, T�rkiye
⁴�stanbul Prof. Dr. Cemil Ta��o�lu City Hospital, Emergency Service, �stanbul, T�rkiye

Aim: This study aims to identify whether reality shock experienced by newly graduated nurses affects job stress, and turnover intention.
Method: A descriptive, multi-center and cross-sectional study. The study was conducted with 238 newly graduated nurses. Data were collected between January 2023 and April 2023 using the Reality Shock, Job Stress and Intention to Turnover Scales.
Results: The reality shock levels of nurses who worked in another institution were lower than those who did not, and nurses who received clinical guidance, in-house orientation and in-unit orientation training were lower than those who did not, and it was statistically significant (p<0.05). The turnover intention and job stress scores of nurses who received clinical guidance were lower compared to those who did not receive clinical guidance, and were statistically significant (p<0.05). The responsibilities sub-dimension of reality shock scale explained 10.5% of the total variance in intention to turnover (F=3.347, p<0.01). The relationships and cooperation sub-dimension and the responsibilities sub-dimension of the reality shock scale explain 24.9% of the total variance in job stress. (F=10.906, p<0.01).
Conclusion: The reality shock experienced by newly graduated nurses in the transition process should be reduced, and strategies should be developed to provide a more effective transition.

Keywords:

Cennet �iri� Y�ld�z, Dilek Y�ld�r�m, Emine Ergin, Ece Uysal Kasap, �rem Korkmaz. The Effects of Reality Shock on Job Stress and Turnover Intention in Newly Graduated Nurses. Journal of Health and Nursing Management. 2024; 11(2): 383-392

Sorumlu Yazar: Cennet �iri� Y�ld�z, T�rkiye