Development of a role transition scale for new graduate nurses

Purpose: This study aimed to develop and validate a multidimensional role transition scale for new graduate nurses (RTS-NGN) that captures both the theoretical perspectives and contextual characteristics of Korean clinical settings.Methods: An initial item pool was generated through an extensive literature review and then refined through expert content validation and pilot testing. Psychometric evaluation was performed using two separate samples. Exploratory factor analysis identified the underlying structure, while confirmatory factor analysis verified construct validity. Convergent validity was examined using the average variance extracted (AVE) and composite reliability (CR), and discriminant validity was confirmed by comparing the square root of AVE with inter-factor correlations. Concurrent validity was assessed using a Transition Shock scale. The reliability was assessed using Cronbach’s alpha and CR.Results: A six-factor structure comprising the following 35 items was finalized: clinical competence, communication competence, professionalism, self-efficacy, stress management, and organizational adaptation. The model demonstrated a good fit (comparative fit index >.90, Tucker–Lewis index >.90, root mean square error of approximation