The Relationship among Sense of Coherence （SOC）， Workplace Support, and Reality Shock in Newly Graduated Nurses

Abstract

This cross-sectional study was conducted by questionnaire survey of newly graduated nurses, and aimed to clarify factors associated with reality shock.

A questionnaire consisting of basic attributes （8 items）， SOC scale （13 items）， scale of support from others at work （56 items），and reality shock scale （62 items） was distributed to 472 new nurses. Three hundred eighteen valid questionnaires were received and analyzed.

On multiple regression analysis with the stepwise method with reality shock as the dependent variable, the SOC total score （β＝－0.53）， mental support from a senior nurse （β＝－0.27）， business support from a superior （β＝－0.16）， the highest educational background of nursing vocational school （based at a nursing university）（β ＝－0.11）， and whether the assignment ward was as desired （β＝－0.07） were factors associated with reality shock. The adjusted determination coefficient for multiple regression analysis was 0.61.

SOC had the greatest impact on reality shock, and it was thought that nurses with low SOC require intervention for reality shock and support for improving SOC.