新入职护士转型冲击与自我调节疲劳的网络分析
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女,硕士,主管护师

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四川省医学科学院·四川省人民医院院科研基金资助项目(24JXGG010)


Network analysis of transition shock and self-regulatory fatigue among newly employed nurses
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    摘要:

    目的 采用网络分析方法,探讨新入职护士转型冲击与自我调节疲劳之间的复杂关联,识别网络核心节点与桥梁节点,为制订针对性干预方案提供科学依据。方法 采用便利抽样法,选取四川省3所三级甲等医院的429名新入职护士为研究对象,使用一般资料调查表、新毕业护士转型冲击量表与自我调节疲劳量表进行横断面调查。采用基于正则化高斯图模型的网络分析构建两变量各维度的关联网络。结果 新入职护士转型冲击与自我调节疲劳得分分别为(83.37±18.21)分、(44.55±9.82)分,二者呈显著正相关(r=0.456,P<0.05)。网络分析显示,情绪维度的强度、中介度及预期影响均居首位,为核心枢纽节点;社会文化与发展维度紧密度最高,且与情绪维度同为桥梁强度最高节点(桥梁强度=0.240);心理维度与认知维度构成次级桥梁通路(桥梁强度=0.137)。结论 新入职护士转型冲击与自我调节疲劳的复杂关联,情绪为核心枢纽、社会文化与发展为快速传导节点,且二者共同构成连接双变量的关键桥梁,提示对新入职护士应加强情绪控制与缓解社会文化适应冲击的干预策略。

    Abstract:

    Objective To explore the complex associations between transition shock and self-regulatory fatigue among newly employed nurses using network analysis, to identify core and bridge nodes within the network, and to provide a scientific basis for developing targeted intervention strategies.Methods A convenience sample of 429 newly employed nurses from three tertiary hospitals in Sichuan Province was recruited for this cross-sectional study. Data were collected using a general information questionnaire, the Transition Shock Scale for Newly Employed Nurses, and the Self-Regulatory Fatigue Scale. A network analysis based on the regularized Gaussian Graphical Model was constructed to map the associations among the dimensions of the two variables. Results The scores of transition shock and self-regulatory fatigue among newly employed nurses were (83.37±18.21)、(44.55±9.82) respectively, with a significant positive correlation between them (r=0.456, P<0.05). Network analysis revealed that the emotional dimension ranked highest in strength, betweenness, and expected influence, identifying it as the core hub node;the sociocultural & developmental dimension had the highest closeness centrality and, together with the emotional dimension, were the nodes with the highest bridge strength (bridge strength=0.240); the psychological dimension and the cognitive dimension formed a secondary bridge pathway (bridge strength=0.137). Conclusion There is a complex link between transition shock and self-regulatory fatigue among new nurses, where emotion acts as the central hub and sociocultural/developmental factors function as rapid transmission points. As these factors bridge the two systems, interventions should prioritize emotional regulation and support for sociocultural adaptation.

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陈晓容,刘旭艳,冯柳,唐芳,张娟.新入职护士转型冲击与自我调节疲劳的网络分析[J].护理学杂志,2026,41(10):72-76

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  • 收稿日期:2025-12-11
  • 最后修改日期:2026-02-18
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  • 在线发布日期: 2026-06-15