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Background <p>This study aimed to examine the relationship between career adaptability and transition shock among novice nursing interns in China, with a focus on the chain-mediating role of affective domain ability and feedback-seeking behaviour.</p> Methods <p>This was a multicentre, cross-sectional survey. Between June and September 2024, we employed a multistage stratified cluster sampling approach to recruit 1,461 novice nursing interns from nine higher education institutions in Hubei Province. Data on demographic characteristics, the Transition Shock Scale, the Career Adapt-Abilities Scale, the Revised Affective Domain Ability Scale, and the Feedback-Seeking Behaviour Scale were collected using standardised instruments. Descriptive analysis, Pearson’s correlation tests, and a structural equation model were constructed in AMOS to analyse the chain-mediated roles of affective domain ability and feedback-seeking behaviour in the relationship between career adaptability and transition shock.</p> Results <p>Transition shock had a significant negative correlation with career adaptability, affective domain ability, and feedback-seeking behaviour (all <i>p</i>&lt;0.05). Career adaptability exerted both direct and indirect effects on transition shock, with the total indirect effect representing 44.55% of the total effect. This indirect effect operates through three pathways: the sole mediating role of affective domain ability, the sole mediating role of feedback-seeking behaviour, and the chain mediating role formed by both together, explaining 15.27%, 21.09%, and 8.18% of the total effect, respectively.</p> Conclusion <p>The findings validate a resource-gain spiral underpinned by the Conservation of Resource theory, revealing a chain mediating role whereby career adaptability influences transition shock through affective domain ability and feedback-seeking behaviour. This provides theoretical grounding and empirical support for optimising nursing talent development and alleviating novice nurses’ transitional stress within China’s hierarchically structured clinical environment.</p>

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Serial mediation of affective domain ability and feedback-seeking behaviour in the relationship between career adaptability and transition shock among novice nursing interns: a multicentre cross-sectional study

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  • 出版模式：

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  • 发表日期：

    2026年3月14日

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  • Yao Lei,
  • Rong Cheng,
  • Chuqin Xiong,
  • Qiuxia Chen,
  • Zhixia Zhang,
  • Hongjuan Chang

摘要

Background

This study aimed to examine the relationship between career adaptability and transition shock among novice nursing interns in China, with a focus on the chain-mediating role of affective domain ability and feedback-seeking behaviour.

Methods

This was a multicentre, cross-sectional survey. Between June and September 2024, we employed a multistage stratified cluster sampling approach to recruit 1,461 novice nursing interns from nine higher education institutions in Hubei Province. Data on demographic characteristics, the Transition Shock Scale, the Career Adapt-Abilities Scale, the Revised Affective Domain Ability Scale, and the Feedback-Seeking Behaviour Scale were collected using standardised instruments. Descriptive analysis, Pearson’s correlation tests, and a structural equation model were constructed in AMOS to analyse the chain-mediated roles of affective domain ability and feedback-seeking behaviour in the relationship between career adaptability and transition shock.

Results

Transition shock had a significant negative correlation with career adaptability, affective domain ability, and feedback-seeking behaviour (all p<0.05). Career adaptability exerted both direct and indirect effects on transition shock, with the total indirect effect representing 44.55% of the total effect. This indirect effect operates through three pathways: the sole mediating role of affective domain ability, the sole mediating role of feedback-seeking behaviour, and the chain mediating role formed by both together, explaining 15.27%, 21.09%, and 8.18% of the total effect, respectively.

Conclusion

The findings validate a resource-gain spiral underpinned by the Conservation of Resource theory, revealing a chain mediating role whereby career adaptability influences transition shock through affective domain ability and feedback-seeking behaviour. This provides theoretical grounding and empirical support for optimising nursing talent development and alleviating novice nurses’ transitional stress within China’s hierarchically structured clinical environment.