Background: Nursing interns often experience transition shock during clinical adaptation, which reduces their work efficiency, damages health, and hinders the transition to professional nurse role. However, most studies have overlooked the individual characteristics of nursing interns, the differences in the level of transition shock and factors causing these differences. Purpose: To identify the latent profiles of nursing interns' transition shock and to analyze their influencing factors. Methods: A convenience sample of 330 nursing interns from a Chinese Medical University in Zhejiang province, China, was surveyed between June and July 2024. Data were collected using a sociodemographic questionnaire, the Transition Shock Scale, and the Connor-Davidson Resilience Scale. Latent profile analysis (LPA) was conducted to identify the subtypes of transition shock, and multivariate logistic regression was used to analyze their influencing factors. Results: Transition shock among nursing interns was categorized into three latent profiles: high shock group, moderate shock group, and low shock group. The results showed that psychological resilience, nursing professional attitudes, and workplace violence experiences significantly influenced these transition shock profiles. Conclusion: Based on the identified transition shock profiles, this study suggests formulating personalized intervention strategies for nursing interns to address clinical transition challenges, thereby enhancing the quality of their internship experiences. © 2025 Elsevier Inc.
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