Nursing Department, Faculty of Nursing, University of Girona, Girona, Spain.
Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain.
J Nurs Manag. 2019 Nov;27(8):1620-1630. doi: 10.1111/jonm.12848. Epub 2019 Oct 16.
To examine the sense of coherence among registered nurses and its relationship with health and work engagement.
Sense of coherence is a global orientation to view life as structured, manageable and meaningful and have the capacity to cope with stressful situations. A high sense of coherence score indicates that an individual can understand, manage and attribute meaning to events in his or her life as well as in the work environment. Registered nurses face many workplace stressors that may be easier to manage with a strong sense of coherence; however, the effect of this score on their self-reported health status and work engagement remains unknown.
In a cross-sectional study, 109 registered nurses working in a long-term care setting responded to a self-administered questionnaire. Social support, work-related family conflicts, sense of coherence, self-reported health status and work engagement variables were analysed using multiple linear regression models.
Nurses with a high sense of coherence score reported no work-related family conflicts (mean difference -6.91; 95% CI -10.65 to -3.18; p = .000), better health (r = .408) and greater work engagement (r = .223), compared to their peers with lower sense of coherence. The association between sense of coherence and self-reported health was confirmed by linear regression modelling (β = .276, p = .003).
Nurses with a higher sense of coherence had better health and greater work engagement. The work engagement variable showing the highest association with sense of coherence was dedication.
Implementing interventions that increase sense of coherence among nurses can increase commitment to their work, to the institution and to building more engaged teams.
探讨注册护士的综合感及其与健康和工作投入的关系。
综合感是一种全局取向，认为生活是有组织的、可管理的和有意义的，并具有应对紧张局势的能力。较高的综合感得分表明，个体能够理解、管理和赋予其生活中的事件以及工作环境中的意义。注册护士面临许多工作场所压力源，如果具有强烈的综合感，这些压力源可能更容易管理；然而，这种评分对他们自我报告的健康状况和工作投入的影响尚不清楚。
在一项横断面研究中，109 名在长期护理环境中工作的注册护士对自我管理的问卷做出了回应。使用多元线性回归模型分析社会支持、与工作相关的家庭冲突、综合感、自我报告的健康状况和工作投入变量。
与综合感得分较低的同行相比，综合感得分较高的护士报告没有与工作相关的家庭冲突（平均差异-6.91；95%CI-10.65 至-3.18；p=0.000），健康状况更好（r=0.408），工作投入度更高（r=0.223）。线性回归模型证实了综合感与自我报告的健康之间的关联（β=0.276，p=0.003）。
综合感较高的护士健康状况更好，工作投入度更高。与综合感关联度最高的工作投入变量是奉献精神。
实施能提高护士综合感的干预措施，可以增加他们对工作、机构和更投入团队的承诺。
