关键词: 护士, 转型冲击, 职业适应, 质性研究, 循证护理学, 护理管理研究

Abstract:

Objective This study aims to integrate the research findings on the transition shock experiences of newly graduated registered nurses in China as they shift from nursing students to clinical nurses，so as to provide references for them to smoothly go through the transition period and alleviate transition shock. Methods Electronic searches were performed in PubMed，Embase，Web of Science，CINAHL，the Cochrane Library，CNKI，VIP Database，WanFang Data，CBM（Chinese Biomedical Literature Database），and the Chinese Medical Journal Full-Text Database to identify qualitative studies exploring the transition shock experiences of newly graduated registered nurses in China，with the search period ranging from January 1，2016，to July 1，2025. Study quality was assessed using the JBI Critical Appraisal Checklist for Qualitative Research. Meta-aggregation was employed for evidence synthesis. Results A total of 11 studies（51 findings） were included. Findings were aggregated into 8 categories and synthesized into 3 integrated themes：①multidimensional shocks and challenges，including psychological and emotional distress，physiological and physical manifestations，social adaptation difficulties，and professional competence insufficiency；②dilemma coping strategies，including self-adjustment and proactive response，as well as external environmental support；③confidence reconstruction and career transformation，including capability enhancement and confidence reshaping，as well as professional integration and self-actualization. Conclusion Newly graduated registered nurses face various challenges during the transition from nursing students to clinical nurses. Nursing managers should pay attention to the feelings of newly graduated registered nurses during this transition and develop targeted support plans to help them smoothly navigate this period.

Key words: Nurses, Transition Shock, Occupational Adaptation, Qualitative Research, Evidence-Based Nursing, Nursing Administration Research