Evidence map›Paper›PMID 41540997›Full record

SynthesisJournal of nursing management2026

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

Jiexuan Xu, Jianqin Huang, Yu Zhai, Murong Lu, Xuemei Liu, Hongjing Yu

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jiexuan XuNursing Administration Department, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China, gzhmc.edu.cn.ORCID https://orcid.org/0009-0002-9775-1267
Jianqin HuangIntensive Care Unit, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China, gzhmc.edu.cn.ORCID https://orcid.org/0009-0002-9457-2511
Yu ZhaiDepartment of Cardiovascular Medicine, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China, gzhmc.edu.cn.
Murong LuIntensive Care Unit, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China, gzhmc.edu.cn.
Xuemei LiuNursing Administration Department, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China, gzhmc.edu.cn.
Hongjing YuNursing Administration Department, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China, gzhmc.edu.cn.ORCID https://orcid.org/0000-0003-0547-5921

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To investigate the current level and influencing factors of transition shock among new nurses in China. Background: New nurses in China face multiple transition shock, which make them prone to burnout and more likely to leave the profession. A systematic analysis of their current status and influencing factors is needed to enhance their occupational well-being and stabilize the nursing workforce. Methods: Computer searches were conducted to retrieve the literature on the current status and factors affecting the impact of the transition of new nurses in China from Chinese databases including China National Knowledge Infrastructure (CNKI), Wanfang Database, and China Biomedical Literature Database (CBM), as well as international databases including PubMed, Embase, Scopus, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL). Meta-analysis was performed by using Stata 17.0 and RevMan 5.3 software. Results: A total of 30 articles involving 12,459 Chinese new nurses were included, and 20 influencing factors were extracted. Meta-analysis results showed that the transition shock score was 93.08 (95% CI: 87.28-98.89). The influencing factors of transition shock among new nurses in China include both personal factors (female, nonlocal origin, college degree or below, disliking or feeling neutral toward their department, choosing the nursing profession due to nonpersonal interests, low professional identity, poor psychological resilience, infrequent feedback-seeking behavior, and service length ≤ 6 months) and external factors (nonestablishment employment type, monthly income ≤ 5000 RMB, > 7 night shifts per month, lack of family support for nursing work, and low social support) ( Conclusion: The transition shock of new nurses in China is at a moderate-to-high level and is influenced by multiple personal and work-related factors. Nursing managers should develop targeted interventions based on these influencing factors to alleviate transition shock, improve new nurses' career satisfaction, and enhance the quality of nursing services.

Indexed as

Burnout, ProfessionalNursesChinaHumansJob Satisfactioncurrent statusinfluencing factorsmeta-analysisnew nursestransition shock

Identifiers

PMID41540997
PMCPMC12801397

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.