Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
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Influence of Nurses' Sense of Coherence on Their Stress and Quality of Life

간호사의 통합성이 스트레스와 삶의 질에 미치는 영향

  • Kim, Kyeong-Sug (Department of Nursing, Samsung Medical Center) ;
  • Choi, Smi (College of Nursing, Seoul National University, The Research Institute of Nursing Science)
  • 김경숙 (삼성서울병원 간호본부, 서울대학교 대학원) ;
  • 최스미 (서울대학교 간호대학 간호과학연구소)
  • Received : 2011.09.11
  • Accepted : 2011.11.18
  • Published : 2011.12.30
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Abstract

Purpose: The aim of this study was to investigate the effect of sense of coherence (SOC) on occupational stress, psychosocial stress and quality of life (QOL) of nurses working in a hospital. Methods: The participants were 401 nurses working in S hospital in Seoul. A stratified random sampling was performed for the all nurses in S hospital which were grouped by age and work unit. Data were collected by a self-report survey. Data analyses included descriptive statistics, t-test, Pearson correlations, multiple linear regressions, and ANOVA. Results: This study showed nurses' occupational stress was at high risk and their psychosocial stress, at low risk. It also showed that those two types of stress are mutual predictors for each other and that SOC was a predictor for both types of stress. For QOL, SOC was also a predictor in SF-36 and MCS (Mental Component Summary). Therefore, SOC may be considered as a major controlling factor for stress and QOL. Conclusion: The results indicate the need to develop programs that enhances nurses' SOC, programs that could be utilized as an intervention to reduce nurses' stress and to promote nurses' QOL.

Keywords

References

  1. Antonovsky, A. (1987). Unraveling the mystery of health: how people manage stress and stay well. Jossey-Bass, San Francisco.
  2. Basinska, M. A., Andruszkiewicz, A., & Grabowska, M. (2011). Nurses' sense of coherence and their work related patterns of behaviour. International Journal of Occupational Medicine and Environmental Health, 24(3), 256-266. https://doi.org/10.2478/S13382-011-0031-1
  3. Bengtsson-Tops, A., & Hansson, L. (2001). The validity of Antonovsky's sense of coherence measure in a sample of schizophrenic patients living in the community. Journal of Advanced Nursing, 33(4), 432-438. https://doi.org/10.1046/j.1365-2648.2001.01692.x
  4. Binkowska-Bury, M., & Januszewicz, P. (2010). Sense of coherence and health-related behaviour among university students-a questionnaire survey. Central European Journal of Public Health, 18(3), 145-150.
  5. Chang, E. M., Bidewell, J. W., Huntington, A. D., Daly, J., Johnson, A., Wilson, H., et al. (2007). A survey of role stress, coping and health in Australian and New Zealand hospital nurses. International Journal of Nursing Studies, 44(8), 1354-1362. https://doi.org/10.1016/j.ijnurstu.2006.06.003
  6. Chang, S. J. (2000). Standardization of collection and measurement of health statistics data. The Korean Society for Preventive Medicine, Seoul, Korea. 92-143.
  7. Chang, S. J., Koh, S. B., Kang, D. M., Kim S. A., Kang, M. G., Lee, C. G., et al. (2005). Developing an occupational stress scale for Korean employees. Korean Journal of Occupational and Environmental Medicine, 17(4), 297-317.
  8. Delgado, C. (2007). Sense of coherence, spirituality, stress and quality of life in chronic illness. Journal of Nursing Scholarship, 39(3), 229-234. https://doi.org/10.1111/j.1547-5069.2007.00173.x
  9. Eriksson, M., & Lindstrom, B. (2005). Validity of Antonovsky's sense of coherence scale: a systematic review. Journal of Epidemiology and Community Health, 59(6), 460-466. https://doi.org/10.1136/jech.2003.018085
  10. Eriksson, M., & Lindström, B. (2008). A salutogenic interpretation of the Ottawa charter. Health Promotion International, 23(2), 190-199. https://doi.org/10.1093/heapro/dan014
  11. Erim, Y., Beckmann, M., Kroencke, S., Schulz, K. H., Tagay, S. Valentin-Gamazo, C., et al. (2008). Sense of coherence and social support predict living liver donors' emotional stress prior to living-donor liver transplantation. Clinical Transplantation, 22(3), 273-280.
  12. Flensborg-Madsen, T., Ventegodt, S. & Merrick, J. (2005). Why is Antonovsky's sense of coherence not correlated to physical health? analysing Antonovsky's 29-item sense of coherence scale(SOC-29). Scientific World Journal, 14(5), 767-76.
  13. Fok, S. K., Chair, S. Y., & Lopez, V. (2005). Sense of coherence, coping and quality of life following a critical illness. Journal of Advanced Nursing, 49(2), 173-181. https://doi.org/10.1111/j.1365-2648.2004.03277.x
  14. Haas, B. K. (1999). A multidisciplinary concept analysis of quality of life. Western Journal of Nursing Research, 21(6), 728-742. https://doi.org/10.1177/01939459922044153
  15. Haoka, T., Sasahara, S., Tomotsune, Y., Yoshino, S., Maeno, T., & Matsuzaki, I. (2010). The effect of stress-related factors on mental health status among resident doctors in Japan. Medical Education, 44(8), 826-834. https://doi.org/10.1111/j.1365-2923.2010.03725.x
  16. Kim, H. C., Kwon, K. S., Koh, D. H., Leem, J. H., Park, S. G., Shin, J. Y., et al. (2005). The relationship between job stress and psychosocial stress among nurses at a university hospital. Korean Journal of Occupational and Environmental Medicine, 18(1), 25-34
  17. Kim, S. S., Park, J. S., & Roh, Y. S. (2005). The relationship of individual characteristics, perceived health status, body image, and health promoting behavior in hospital nurses. Journal of Korean Academy of Adult Nursing, 17(1), 88-99.
  18. Koh, S. B., Son, M. A., Kong, J. O., Lee, C. G., Chang, S. J., Cha, B. S. (2004). Job characteristics and psychosocial distress of atypical workers. Korean Journal of Occupational and Environmental Medicine, 16(1), 103-113.
  19. Lerdal, A., Andenaes, R., Bjornsborg, E., Bonsaksen, T., Borge, L., Christiansen, B., et al. (2011). Personal factors associated with health-related quality of life in persons with morbid obesity on treatment waiting lists in Norway. Quality of Life Research: an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 20(8), 1187-1196. https://doi.org/10.1007/s11136-011-9865-z
  20. Lee, E. H., Chang, S. J., Kim, H. O., Roh, J. H., Park, E. J. & Won, J. U. (2007). Relationship between job stress and turnover of registered nurses in a university hospital. Korean Journal of Occupational and Environmental Medicine, 19(2), 93-103.
  21. NIOSH. (1999). Stress at work. DHHS (NIOSH) Publication No. 99-101. America.
  22. Norekval, T. M., Fridlund, B., Moons, P., Nordrehaug, J. E., Saevareid, H. I., Wentzel -Larsen, T., et al. (2010). Sense of coherence-a determinant of quality of life over time in older female acute myocardial infarction survivors. Journal of Clinical Nursing, 19(5-6), 820-831. https://doi.org/10.1111/j.1365-2702.2009.02858.x
  23. Park, J. S. (2002). Factors influencing on burnout experience in working nurses at hospital. Korean Journal of Women Health Nursing, 8(4), 550-558.
  24. Park, J. S., Seo, I. S., Oh, J. A., & Choi, E. S. (2001). Sense of coherence and coping resources of working Nurses at hospital. Korean Journal of Women Health Nursing, 7(3), 348-358.
  25. Seo, I. S. (2002). A study on the sense of coherence and compliance in patients with diabetes mellitus. Unpublished master's thesis, Catholic University, Seoul.
  26. Ware, J. E., Kosinski, M., & Dewey, J. E. (2000). How to score version 2 of the SF-36 health survey(Standard & Acute forms). Lincoln, RI: QualityMetric Incorporated.
  27. Yoon, C. K., & Lee, H. N. (2003). A study on the job stress of nurses in hospital. Journal of Korean Society of Health Statistics, 28(2), 95-109.
  28. Yoon, G. S., & Kim, S. Y. (2010). Influence of job stress and burnout on turnover intention of nurses. Journal of Korean Academy of Nursing Administration, 16(4), 507-516. https://doi.org/10.11111/jkana.2010.16.4.507
  29. Yoon, H. S., & Cho, Y. C. (2007). Relationship between job stress contents, psychosocial factors and mental health status among university hospital nurses in Korea. Journal of Preventive Medicine and Public Health, 40(5), 351-362. https://doi.org/10.3961/jpmph.2007.40.5.351
  30. Yoon, S. H. (2009). Occupational stress and depression in clinical uurses-using Korean occupational stress scales-. Journal of Korean Academy of Nursing Administration, 15(3), 463-470.