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

摘要：

目的 整合国内关于新入职护士从学生向临床护士转型冲击体验的研究结果，为其平稳渡过转型期、缓解转型冲击体验提供参考。方法 计算机检索PubMed、Embase、Web of Science、CINAHL、Cochrane Library、中国知网、维普数据库、万方数据库、中国生物医学文献数据库、中华医学期刊全文数据库中关于国内新入职护士转型冲击体验的质性研究，检索时限为2016年1月1日—2025年7月1日。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准评价纳入文献的质量，采用汇集性整合方法进行Meta整合。结果 共纳入11篇文献，提炼出51个研究结果。将相似结果归纳为8个新类别，形成3个整合结果：①多维冲击与挑战，包括心理情绪困扰、生理及躯体症状、社会适应困难、职业能力不足；②困境应对策略，包括自我调适与主动应对、外部环境支持；③信心重建与职业蜕变，包括能力提升与信心重塑、职业整合与自我实现。结论 新入职护士在从学生向临床护士转型过程中会面临多方面的挑战。护理管理者应关注新入职护士转型过程中的感受，并制订针对性的支持方案，助力其平稳渡过转型期。

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