{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T07:42:38Z","timestamp":1793173358169,"version":"4.5.0"},"reference-count":29,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"unspecified","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,8,11]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to examine newly graduated nurses\u2019 first-year work experiences, their coping processes in response to reality shock and their perceptions of professional adaptation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This study employed a descriptive phenomenological design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The study was conducted in a university hospital in Turkey between October 2024 and March 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>The participants consisted of 10 new graduate nurses working in clinical units including emergency departments, intensive care units and medical and surgical services. Participants were selected using purposive sampling based on predefined inclusion criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study identified three main themes: \u2018Reality Shock and Professional Challenges\u2019, \u2018Adaptation and Coping Process\u2019 and \u2018Professional Development and Job Satisfaction\u2019. Participants experienced reality shock due to the theory\u2013practice gap, heavy workload, fear of mistakes, communication problems and insufficient support. Support from experienced nurses, peer support and coping strategies facilitated adaptation, while increasing clinical experience improved professional competence, self-confidence and job satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>It is evident that the transition process for newly graduated nurses involves not only the development of clinical skills but also intense psychosocial adaptation processes. It is believed that structured orientation programmes, mentor support and supportive work environments can strengthen new graduate nurses\u2019 professional adaptation processes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2026-123340","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T11:05:35Z","timestamp":1787915135000},"page":"e123340","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Newly graduated nurses\u2019 first-year work experiences in Turkey: a qualitative study on reality shock and professional adaptation"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2231-4783","authenticated-orcid":false,"given":"Asena","family":"K\u00f6se","sequence":"first","affiliation":[{"name":"Department of Fundamentals of Nursing, Atat\u00fcrk University, Erzurum, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fclay","family":"\u0130pek \u00c7oban","sequence":"additional","affiliation":[{"name":"Department of Fundamentals of Nursing, Atat\u00fcrk University, Erzurum, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melisa","family":"Kapot","sequence":"additional","affiliation":[{"name":"Atat\u00fcrk University Research Hospital, Erzurum, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"key":"2026082804051411000_16.8.e123340.1","doi-asserted-by":"crossref","first-page":"155","DOI":"10.32598\/JNRCP.2505.1274","article-title":"Specialized nursing in complex care environments: A narrative review of emerging roles, ethical challenges, and workforce development across five critical domains","volume":"4","author":"Elmi","year":"2026","journal-title":"JNRCP"},{"key":"2026082804051411000_16.8.e123340.2","doi-asserted-by":"crossref","DOI":"10.1080\/17482631.2023.2164949","article-title":"Causes and effects of theory-practice gap during clinical practice: the lived experiences of baccalaureate nursing students","volume":"18","author":"Ngozika Ugwu","year":"2023","journal-title":"Int J Qual Stud Health Well-being"},{"key":"2026082804051411000_16.8.e123340.3","doi-asserted-by":"crossref","DOI":"10.1186\/s12912-023-01300-1","article-title":"Success factors in adaptation of newly graduated nurses: a scoping review","volume":"22","author":"Baharum","year":"2023","journal-title":"BMC Nurs"},{"key":"2026082804051411000_16.8.e123340.4","doi-asserted-by":"crossref","first-page":"468","DOI":"10.3390\/clinpract12040051","article-title":"What Quality of Care Means? 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