PURPOSE: This study was performed to identify the impact of aggressiveness of patients and a sense of coherence on posttraumatic stress in psychiatric nurses. METHODS: After collecting data from 162 psychiatric nurses, we carried out a t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using IBM SPSS Statistics 19.0. RESULTS: The mean score of posttraumatic stress was 20.75±16.59 points. Verbal aggression, aggressiveness about property, aggression toward oneself, and aggression toward others had a positive correlation with posttraumatic stress, while a sense of coherence had a negative correlation with post-traumatic stress. It was concluded that the significant predictors of posttraumatic stress in psychiatric nurses were aggression toward oneself, a sense of coherence, and aggression toward others, all of which accounted for 38.9% of the variability. CONCLUSION: The results of this study indicate that the factors influencing posttraumatic stress in psychiatric nurses were aggression toward oneself, aggression toward others, and a sense of coherence. Therefore, education programs should be developed in consideration of the fact that aggressive behavior against the patient himself and against others intensify the posttraumatic stress of the psychiatric nurse, but the integration force mitigates it.
Aggression ; Education ; Humans ; Sense of Coherence

The central concept of the Salutogenic Model is sense of coherence, which is defined as a global orientation that expresses the extent to which one has a feeling of confidence that one's internal and external environments are comprehensible, manageable, and meaningful. Sense of coherence is proposed as a determinant of positive health consequences and successful coping. The purpose of this article is to review Antonovsky's Salutogenic Model, the concept of sense of coherence, and its central components and sources. For conceptual clarity, sense of coherence is compared and contrasted with the concept of hardiness. The empirical research findings are integrated to better understand sense of coherence and to enhance future implications for nursing researching and practice.
Empirical Research ; Nursing Research ; Sense of Coherence*

PURPOSE: The purpose of this study was to determine the relationship among concepts of the salutogenic model - sense of coherence, occupational stress, and health status in clinical nurses. METHODS: Participants were recruited from a hospital in Seoul using a stratified random sampling. A total of 349 nurses participated in the study and data were collected using a self-administered questionnaire. The structural equation model was used to assess the relationships among the variables. RESULTS: The results of the study showed that occupational stress and health behavior were significant factors, directly explaining the health status of nurses. Factors explaining occupational stress were: sense of coherence, and social support. Sense of coherence showed higher effects on occupational stress than those of social support. Sense of coherence and the work conditions (work experience and shift work) of nurses had a significant and direct effect on health behavior. Sense of coherence and social support had a significant and indirect effect on health status through occupational stress and health behavior. CONCLUSION: Strategies to enhance sense of coherence and social support are necessary for successful health promotion programs for nurses.
Health Behavior ; Health Promotion ; Sense of Coherence ; Seoul

The purpose of this study was to understand the comprehensive relationship among sense of coherence, clinical practice stress, and major satisfaction of students in the department of dental hygiene. From four local universities, departments of dental hygiene were selected: two departments represented a three-year curriculum system and two represented a four-year curriculum system. Data from the final questionnaires of 319 students were analyzed. Differences between variables were analyzed using t-tests and ANOVAs, and correlations were checked using Pearson's correlation coefficients. Path analysis was conducted to analyze the relationship among clinical practice stress, sense of coherence, and major satisfaction. The results indicated that clinical practice stress had a negative influential relationship with both sense of coherence, and major satisfaction. In addition, sense of coherence had a positive influential relationship with major satisfaction. The direct and indirect effects among factors displayed significant differences, indicating that clinical practice stress has a partial mediation effect on sense of coherence and major satisfaction. Therefore, major satisfaction can be increased by developing and implementing programs to improve sense of coherence.
Curriculum ; Humans ; Negotiating ; Oral Hygiene* ; Sense of Coherence*

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.
Linear Models ; Quality of Life ; Sense of Coherence ; Statistics as Topic

This study was designed to examine the factors that influence the burnout of nurses practice healthcare in a hospital setting. Subjects for this study were 245 nurses working at University K hospital in Seoul, Korea. Data for this study was collected from 15 to 27 April, 2002. The data collection instruments used for this study are as follows: Maslach Burnout Inventory(1981), Orientation to Life Question- naire(Sense of Coherence, SOC) by Antonovsky (1987) and Modified Coping Resources Inventory developed by author. The analysis of the data was completed using the descriptive, ANOVA, Pearson correlation analysis, and stepwise multiple regression using the SAS program software. The results of this study were as follows: 1. Total mean score of burnout was 4.0. Mean scores of the subscales were; emotional exhausion 4.7, personalization 3.7, and personal accomplishment 3.4.2. Significant statistical differences according to demographic characteristics of the subjects were found in the variables of age, job position, years of working, perceived job stress, and burnout. 3. Burnout was negatively related to sense of coherence(r= -.65) and coping resources (r= -.40); subscales of SOC of comprehensibility(r= -.57), manageability (r= -.55), and meaningfulness(r= -.52); subscales of coping of self-care(r= -.36), and cognitive coping(r= -.39).4. Job stress was the highest factor influence burnout. Sixty-one percent of the total variance of burnout was experienced by variables of comprehensibility, meaning- fulness, age, self-care, manageability and leisure activities including job stress. In conclusion, it was found that a low level of burnout was related to high scores of SOC and coping resources. Job stress, manageability, and meaningfulness were the highest factors influencing the level of subscale of emotional exhausion, depersonalization, and personal accomplishment. Therefore, it is necessary to search for strategies to promote SOC and coping resources for reducing the level of burnout of nurses.
Data Collection ; Delivery of Health Care ; Depersonalization ; Humans ; Korea ; Leisure Activities ; Self Care ; Sense of Coherence ; Seoul

The Resilience is described as the personal capacity which brings psychosocial comeback. The role of nursing is to do its best to rehabilitate patients and to explore the individual in order to promote patients psychosocial change. However, as the current nursing is heavily physical nursing oriented, the identity of the nursing would be lost. Therefore this researcher reviewed if the concept of resilience can be applied to the nursing after examining the concept of resilience by Documents and Fieldwork. The methodology of this research is Hybrid Model developed by Schwartz-Bracott and Kim for the concept development and analysis. The process and procedure consist of The Theoretical Phase, The Fieldwork Phase and The Final Analytical Phase in accordance with the Hybrid Model. The followings the summary of the Research. 1. The Concept of Resilience Finally Analyzed by Documents and Fieldwork. (1) The Redefinition of Resilience. The resilience is the latent psychological capacity which minimize the negative emotion and promote the adaptation under adversity. Resilience appears as cognitive, emotional and behavioral response in the course of changing from negative response to positive response through the interaction of the individual and the environments in a given time. Resilience changes and decreases according to time and situation and it can be nurtured. Resilience is the higher concept including hardiness, sense of coherence and self-strength which maintain the health under stress. (2) The Attribute of Resilience. The attribute of resilience was divided into psychological and social dimension. In psychological attributes, there are admission of reality of situation, denial of negative emotion, desire to live, responsibility, confidence, courage, hope, pursuit of positive meaning, identification and pursuit of goal, self-esteem, reception, spontaneity, planning, positiveness, will power, flexibility and creativity. In social attributes, there are a sense of belonging, perception of social support and active social relations. (3) The Process of Resilience. There are 4 resilience phases which were the process minimizing the possibility of the negative chain reactions under adversity, the process minimizing the negative emotion, under adversity, the process gaining the desire to live and the process exposing the active social relations. 2. The Application Possibility of Resilience Concept to Nursing. The resilience concept is the psychosoical capacity with which an individual manages adversity. As many nursing scientists have developed nursing theory based on this capacity and the identification of nursing has been established in this field, resilience is not the new conception in nursing. However, since resilience appears in the attributes related with the resilience process concretely, it would help a lot when nurses execute psychosocial nursing.
Creativity ; Denial (Psychology) ; Fertilization ; Hope ; Humans ; Nursing ; Nursing Theory ; Pliability ; Sense of Coherence

PURPOSE: The objective of this study was to determine the effects of self-efficacy and depression on the sense of family coherence in both cancer patients and their caregivers using the Actor-Partner Interdependence Model (APIM) analysis.METHODS: A total of 274 patients were registered in the study, including 137 cancer patients who were undergoing chemotherapy in a day care ward and 137 primary caregivers. The data was collected from December 30, 2017 to July 30, 2018. Data were analyzed by the data analysis method using SPSS/WIN 20.0 (SPSS Korea Data Solution Inc) and AMOS 21.0 (SPSS Korea Data Solution Inc).RESULTS: Self-efficacy of cancer patients had a direct effect on patient depression (β=−.24, p=.008). Self-efficacy of primary caregivers also had a direct effect on patient depression (β=−.51, p < .001). Factors significantly affecting cancer patient FSOC were cancer patient self-efficacy (β=.34, p < .001) and cancer patient depression (β=−.42, p < .001). Factors significantly affecting primary caregiver FSOC (Family Sense of Coherence) were cancer patient self-efficacy (β=.13, p=.026) and caregiver depression (β=−.29, p=.008).CONCLUSION: It is thought that self-efficacy and depression should be controlled to improve the family cohesion of cancer patients and their primary caregivers.
Caregivers ; Day Care, Medical ; Depression ; Drug Therapy ; Humans ; Korea ; Methods ; Sense of Coherence ; Statistics as Topic

PURPOSE: The aim of the study is to evaluate the health-related quality of life, psychological symptoms, distress, and sense of coherence in adult haematopoietic stem cell transplantation survivors. METHODS: Fifty two survivors completed four questionnaires after the transplantation. The questionnaires were the Functional Assessment of Cancer Therapy-BMT Scale, the National Cancer Center Psychological Symptom Inventory, the Distress Thermometer, and the Sense of Coherence scale. RESULTS: Quality of life was positively correlated with sense of coherence, whereas sense of coherence was negatively correlated with all psychological symptoms and distress. Hierarchical regression analyses revealed that sense of coherence was the only significant predictor of quality of life after controlling for sex and age at transplantation. Model 2 explained 33.2% of the total variance of quality of life. CONCLUSION: Supporting patients towards improving comprehensibility, manageability and meaningfulness, the three components of sense of coherence, may be beneficial and improve outcomes. Individually pre-transplant and post-transplant assessments of sense of coherence may be of clinical importance, in order to identify patients with unmet needs and to provide rolonged support.
Adult* ; Hematopoietic Stem Cell Transplantation ; Humans ; Quality of Life* ; Sense of Coherence ; Stem Cell Transplantation* ; Stem Cells* ; Survivors* ; Symptom Assessment ; Thermometers

PURPOSE: The purpose of this study was to identify the patterns of activities of daily living (ADL) functional status and to examine the relationships between sense of coherence (SOC), depression, and uncertainty in gynecologic cancer patients who were receiving chemotherapy. METHOD: A prospective, longitudinal design with repeated measures was utilized. Women reported depression, SOC, and uncertainty at the beginning of the first cycle of chemotherapy, and they recorded ADL functional status everyday for two consecutive treatment cycles. the The instruments used were the Karnofsky Performance Status Index, Orientation to Life Questionnaire, Beck Depression Inventory, and Mishel Uncertainty in Illness Scale-Adult Form. RESULT: Data from 42 women showed that the ADL functional status during the second cycle was better than that of the first cycle with significant improvement each week. However, it did not completely recover to the baseline level even three weeks after the treatment ended in both cycles. SOC was correlated with depression (r=-.64, p< .001) and uncertainty (r=-.62, p< .001). Uncertainty was related to depression (r=.66, p< .001) and to functional status during the second cycle (r=-.45, p< .05), while the scores of the functional status during the two cycles were not related. CONCLUSION: Changing patterns and level of functional status during the treatment phase would be useful information for cancer patients to prepare coping strategies for positive health outcomes.
Activities of Daily Living ; Depression ; Drug Therapy* ; Female ; Humans ; Karnofsky Performance Status ; Prospective Studies ; Surveys and Questionnaires ; Sense of Coherence ; Uncertainty