Effects of resilience, social support, and work environment on turnover intention in newly graduated nurses: The mediating role of transition shock

Aim: The aim of this work was to examine the mediating role of transition shock on the relationships between resilience, social support, work environment, and turnover intention in newly graduated nurses. Background: Reports assessing the associations between nurses' resilience, social support, work environment, and turnover intention, both directly and through the mediating effect of transition shock, are scarce. Methods: This was a cross-sectional study, which recruited 361 Chinese newly graduated nurses with <1 year of work experience. Results: Resilience, social support, and work environment directly and significantly predicted transition shock (direct effect -0.158 to -0.350, p <.01). Resilience, work environment, and transition shock directly and significantly affected turnover intention (direct effect -0.118 to -0.257, p <.05). Transition shock mediated the relationships between resilience, social support, work environment, and turnover intention indirectly and significantly (indirect effect -0.019 to -0.041, p <.05). Conclusions: The results suggest that nurse managers could enhance resilience and social support and establish a positive work environment to reduce transition shock and turnover intention. Implications for Nursing Management: Nurse managers could continuously provide resilience training and develop a supportive workplace climate for newly graduated nurses to facilitate smooth transition into clinical practice, could alleviate their transition shock and turnover intention.