Transition and Challenges of Newly Employed Nurses

Introduction. The adaptation of newly graduatednurses to clinical practice is a complex process characterizedby the so-called transition shock, which occurswhen expectations of a new professional rolesignificantly differ from reality.Aim. This paper aims to identify the main challengesfaced by newly employed nurses during the transitionto clinical practice and to summarize strategiesused to facilitate adaptation.Methods. This study is based on a narrative review.The available literature was analyzed usinga combination of key terms related to topic, withoutimposing formal restrictions on specific databases.Keywords included: newly employed nurses,transition shock, nurse adaptation, challenges, andstrategies. Inclusion criteria: peer-reviewed articlesin English addressing experiences, challenges, orstrategies of newly employed nurses or nurses innew environments.Results. Key identified challenges include lack ofself-confidence, difficulties in collegial relationships,limited independence, demanding work environments,organizational challenges, and communicationwith physicians. Mitigation strategies includestructured orientation programmes, mentoring, ahealthy work environment, regular feedback, andstress management techniques. The literature alsoemphasizes that transition shock is experienced notonly by new nurses but also by experienced staffwhen they are exposed to new or stressful workingconditions.Conclusion. Lack of self-confidence, difficulties incollegial relationships, limited independence, demandingwork environments, organizational challenges,and communication with physicians werekey presented challenges. Structured support, mentorship,and feedback are crucial in reducing transitionshock, enhancing nurses’ confidence, andpromoting successful adaptation and retention inclinical practice.