ArticleFrontiers in psychology2026
The relationship between transition shock and professional identity of nursing interns in China: a moderated mediation effect analysis.
Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Nursing interns often experience transition shock upon entering clinical practice, which may diminish their professional identity and potentially lead to future turnover. Self-efficacy and feedback-seeking behavior are positive psychological resources for coping with occupational stressors and may be associated with a stronger sense of professional identity. This study aimed to investigate the relationship between transition shock and professional identity among nursing interns and to examine the mediating role of feedback-seeking behavior and the moderating role of self-efficacy in this process. Methods: A cross-sectional survey was conducted among 450 clinical nursing interns in China using an online questionnaire. The survey comprised the Transition Shock Scale for Undergraduate Nursing Students, the General Self-efficacy Scale, the Feedback-seeking Behavior Scale, and the Professional Identity Questionnaire for Nurse Students. The R package "mediation" and the bootstrap method were used to examine the mediating effect. The R package "lavaan" was further used to test the moderated mediation model. A two-sided Results: Transition shock was negatively correlated with professional identity ( Conclusion: Transition shock has a direct negative association with nursing interns' professional identity, and feedback-seeking behavior acts as a partial mediator in this relationship. Self-efficacy plays a significant moderating role by buffering the negative association of transition shock with feedback-seeking behavior. These findings provide an empirical basis for hospitals and nursing schools to develop effective strategies aimed at mitigating the impact of transition shock, thereby potentially enhancing professional identity and contributing to the stabilization of the nursing workforce.
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