Evidence map›Paper›PMID 42189808›Full record

Observational studyPloS one2026

Reality shock and its associated factors among newly graduated nurses in China: A cross-sectional study.

Liping Li, Zhangyi Wang, Xiaochun Tang, Jun Qu, Huifang Zhou, Lamei Chen, Hongxia Wu, Shuguang Tan, Mengsu Liu

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

9 authors.

Liping LiNursing Department, Gastrointestinal Surgery/ National Key Clinical Construction Specialist General Surgery, The Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, Hunan, China.
Zhangyi WangNursing Department, Gastrointestinal Surgery/ National Key Clinical Construction Specialist General Surgery, The Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, Hunan, China.ORCID https://orcid.org/0000-0001-6370-8848
Xiaochun TangNursing Department, Gastrointestinal Surgery/ National Key Clinical Construction Specialist General Surgery, The Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, Hunan, China.
Jun QuNursing Department, Gastrointestinal Surgery/ National Key Clinical Construction Specialist General Surgery, The Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, Hunan, China.
Huifang ZhouNursing Department, Gastrointestinal Surgery/ National Key Clinical Construction Specialist General Surgery, The Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, Hunan, China.
Lamei ChenNursing Department, Gastrointestinal Surgery/ National Key Clinical Construction Specialist General Surgery, The Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, Hunan, China.
Hongxia WuDepartment of Respiratory and Critical Care Medicine, Shanxi Provincial People's Hospital, Taiyuan, Shanxi, China.
Shuguang TanNursing Department, Gastrointestinal Surgery/ National Key Clinical Construction Specialist General Surgery, The Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, Hunan, China.
Mengsu LiuNursing Department, Gastrointestinal Surgery/ National Key Clinical Construction Specialist General Surgery, The Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, Hunan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNewly graduated nurses often experience a transition period marked by reality shock, which can adversely affect their professional retention and career development. However, the associated factors remain incompletely understood, and there is a notable gap in evidence regarding the role of the impostor phenomenon in this context.

objectivesTo investigate the reality shock among newly graduated nurses and identify its associated factors, with a specific focus on the impostor phenomenon.

methodsA cross-sectional design was implemented, and the high-quality reporting of the study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement. From July 2024 to January 2025, a total of 381 newly graduated nurses were recruited from 3 tertiary grade-A hospitals in China by convenience sampling. The inclusion criteria required nurses to hold a valid nurse qualification certificate, be registered at the hospital, have a clinical working time of < 1 year, and provide informed consent while cooperating with investigators. Exclusion criteria applied to hospital trainees, standardized training personnel, and personnel not on duty for various reasons. The Demographic Characteristics Questionnaire, Reality Shock Scale for Newly Graduated Nurses, and Clance Impostor Phenomenon Scale were used. The data was analyzed using descriptive statistics, univariate analyses, correlation, and multiple linear regression analysis.

resultsThe total scores for reality shock and impostor phenomenon were 93.66 ± 38.94 and 44.19 ± 16.94, respectively. Reality shock was positively correlated with the impostor phenomenon (r = 0.635, p < 0.01). Multiple linear regression analysis showed that educational level, monthly income, number of night shifts per month, and impostor phenomenon were the main factors affecting the reality shock among newly graduated nurses (all p < 0.01), accounting for 51.80% of the total variance.

conclusionThis study identified a moderately high level of reality shock among newly graduated nurses. Key determinants associated with this shock included educational level, monthly income, number of night shifts per month, and impostor phenomenon. Nursing management should develop targeted interventions addressing these modifiable factors, particularly impostor phenomenon, which may help mitigate reality shock and facilitate successful career adaptation among newly graduated nurses.

Indexed as

NursesNursing Staff, HospitalAdultChinaCross-Sectional StudiesFemaleHumansMaleSurveys and Questionnaires

Identifiers

PMID42189808
PMCPMC13210237

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.