ArticleBMC psychology2025
From student to nurse: exploring transition shock through stress, locus of control, and coping strategies in newly graduated nurses.
Article in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Latent Profiles of Professional Quality of Life and Transition Shock Among Nursing Students: A Cross-Sectional Study.Nursing open · 2026Article
- Professional Recognition, Reality Shock and Nurses' Well-Being After the Bologna Reform in Spain: A Qualitative Study of Key Informants' Perspectives.Healthcare (Basel, Switzerland) · 2026Article
- Locus of control and sense of coherence as predictors of academic achievement among medical and nursing students: a cross-sectional study.BMC medical education · 2026Article
- The role of cognitive approaches in nursing students' learning experiences: a quasi-experimental study cognitive learning approaches in nursing.BMC nursing · 2026Article
- Personal mastery and its predictors among pediatric nurses: a cross-sectional study.Scientific reports · 2026Article
- Latent profiles of career locus of control and associated factors among undergraduate nursing students in China: a cross-sectional study.BMC nursing · 2026Article
- Perceived stress, coping behaviors, and environmental-relational stressors during first clinical placement among nursing students.Frontiers in psychology · 2026Article
- The impact of job stress on job performance among college interns: the mediating roles of psychological contract and perceived organizational support, and the moderating role of physical and mental health.Frontiers in psychology · 2026Article
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12 authors.
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Abstract
backgroundNewly graduated nurses often face a difficult transition from academic training to clinical practice, commonly experiencing "transition shock." This period is characterized by heightened occupational stress, reduced coping capacity, and uncertainty about role identity.
aimThis study aimed to investigate the effects of occupational stress, coping strategies, and work locus of control on transition shock among newly graduated nurses. It also examined how marital status and clinical unit (critical vs. non-critical care) moderate these relationships.
methodsA cross-sectional and descriptive correlational design was adopted. The study was conducted in governmental and private hospitals in Cairo, Egypt. A total of 395 newly graduated nurses (with less than one year of clinical experience) participated. Data were collected using a demographic questionnaire and four validated instruments: the Transition Shock Scale, the Occupational Stress Scale, the Trait Coping Style Questionnaire, and the Work Locus of Control Scale. Data analysis was performed using SPSS and AMOS software. Statistical techniques included Pearson correlation, multiple linear regression, and a moderated mediation analysis. Occupational stress was tested as a mediator, and marital status and unit of assignment were examined as moderators.
resultsTransition shock showed a strong positive correlation with occupational stress (r = 0.66, p < 0.01) and external WLOC (r = 0.40, p < 0.01) and a negative correlation with positive coping (r = -0.39, p < 0.01). Mediation and moderation models confirmed occupational stress as a mediator and marital status and unit assignment as moderators of stress-to-shock pathways. The model explained 64.6% of the variance in transition shock (R² = 0.646).
conclusionEnhancing positive coping and internal locus of control, while reducing stress, can help mitigate transition shock. Supportive workplace programs are essential for nurse retention and well-being.
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