Determinants of sense of coherence among managerial nursing Staff
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Department of Nursing Management, Division of Health Sciences, Medical University of Gdańsk, Poland
Medical University of Gdańsk, Poland
Corresponding author
Katarzyna Kretowicz   

Department of Nursing Management, Division of Health Sciences, Medical University of Gdańsk, Poland
Ann Agric Environ Med. 2015;22(4):713-717
The sense of coherence is a tool for confronting the challenges posed by life. It constitutes a general human orientation, which is expressed through the conviction that outside stimuli can be explained; there are resources allowing people to cope with the coming challenges which are perceived as a worthwhile involvement. The sense of coherence is created based on three correlated elements: a sense of comprehensibility, a sense of manageability, and a sense of meaningfulness.

The aim of this study is to establish the level of the sense of coherence among nursing managers, to compare the results with the sense of coherence found in other groups of nursing employees, and to define whether the independent variables under research influence the sense of coherence.

Material and Methods:
This research was conducted in 2010 – 2011 on a group of 310 functional nurses working for selected medical units in the Pomeranian area of Poland. Literature analysis, diagnostic questionnaires and evaluation methods using a self-assessment scale were used in this research. The author’s survey questionnaire and life-orientation questionnaire SOC-29 were applied.

Functional nurses have a higher sense of coherence than that seen within the majority of nursing groups. A change in the level of sense of coherence is possible through education: obtaining a Master’s Degree in Nursing substantially raises the global sense of coherence and the sense of meaningfulness, whereas undergoing qualification courses significantly improves the sense of manageability among the respondents.

Sense of coherence evaluation among future managers is a worthwhile solution. A high level of the sense of coherence among nurses can be created through their education.

Antonovsky A. Rozwikłanie tajemnicy zdrowia. Jak radzić sobie ze stresem i nie zachorować. [Unraveling the mystery of health. How to manage stress and stay well]. Instytut Psychiatrii i Neurologii, Warszawa 2005 (in Polish).
Dolińska-Zygmunt G. Orientacja salutogenetyczna w problematyce zdrowotnej. Model Antonovsky’ego. [Salutogenesis orientation in health issues. Antonovsky’s model]. In: Dolińska-Zygmunt G. (ed). Podstawy psychologii zdrowia. [Basics of health psychology]. Wydawnictwo Uniwersytetu Wrocławskiego, Wrocław 2001.p.19–33 (in Polish).
Heszen H, Sęk H. Psychologia zdrowia. [Health Psychology]. Wydawnictwo Naukowe PWN S.A., Warszawa 2007 (in Polish).
Antonovsky A. The structure and properties of the Sense of Coherence Scale. Soc Sci Med.1993; 36(6): 725–733.
Brzeźniak H, Rotter I, Żułtak-Bączkowska K, Jasińska M, Grochans E, Szych Z, Karakiewicz B. The influence of the chosen stress -inducing factors on the professional functioning of nurses depending on their age and job seniority. Zdr Publ. 2011; 121(1): 43–46.
Ablett JR, Jones RSP. Resilience and well-being in palliative care staff: A qualitative study of hospice nurses’ experience of work. Psychooncology 2007; 16(8): 733–740.
Zaczyk I. Occupational burnout and the sense of coherence among pediatric nurses. Zdr Publ. 2010; 120(4): 417–420.
Kurowska K, Maciaszek A, Haor B, Rezmerska L. Poczucie koherencji a wypalenie u czynnych zawodowo pielęgniarek. [Sense of coherence and burnout among professionally active nurses]. Pielęgniarstwo Chirurgiczne i Angiologiczne 2011; 1: 23–30 (in Polish).
Andruszkiewicz A. Poziom poczucia koherencji a typy zachowań związane z pracą w grupie pielęgniarek. [The level of sense of coherence and the types of behavior associated with work in a group of nurses]. Pielęgniarstwo Polskie 2005; 19(1): 58–62 (in Polish).
Tselebis A, Moulou A, Ilias I. Burnout versus depression and sense of coherence: Study of Greek nursing staff. Nurs Health Sci. 2001; 3: 69 –71.
Yam BMC, Shiu ATY. Perceived stress and sense of coherence among critical care nurses in Hong Kong: a pilot study. J Clin Nurs. 2003; 12: 144–146.
Takeuchi T, Yamazaki Y. Relationship between work – family conflict and a sense of coherence among Japanese registered nurses. Jpn J Nurs Sci. 2010; 7: 158–168.
Malinauskiene V, Leisyte P, Malinauskas R, Kirtiklyte K. Associations between self-rated health and psychosocial conditions, lifestyle factors and health resources among hospital nurses in Lithuania. J Adv Nurs. 2011; 67(11): 2383–2393.
Leino-Loison K, Gien LT, Katajisto J, Välimäki M. Sense of coherence among unemployed nurses. J Adv Nurs. 2004; 48(4): 413–422.
Nordang K, Hall-Lord ML, Farup PG. Burnout in health-care professionals during reorganizations and downsizing. A cohort study in nurses. BMC Nurs. 2010; 9(8): 1–7.
van der Colff JJ, Rothmann S. Occupational stress, sense of coherence, coping, burnout and work engagement of registered nurses in South Africa. SA J Industrial Psychology 2009; 35(1): 1–10.
Kalimo R, Pahkin K, Mutanen P, Toppinen-Tanner S. Staying well or burning out at work: work characteristics and personal resources as long-term predictors. Work Stress 2003; 17(2): 109–122.
Söderfeldt M, Söderfeldt B, Ohlson CG, Theorell T, Jones I. The impact of sense of coherence and high-demand/low-control job environment on self-reported health, burnout and psychophysiological stress indicators. Work Stress 2000; 14(1): 1–15.
Urbańska B, Kurowska K. Poczucie koherencji (SOC) a zachowania zdrowotne u pielęgniarek. [Sense of coherence (SOC) and health behaviors of nurses]. Pielęgniarstwo Chirurgiczne i Angiologiczne 2010; 3: 90–95 (in Polish).
Kocięcka A, Andruszkiewicz A, Wrońska I. Poczucie koherencji a stan zdrowia pielęgniarek czynnych zawodowo. [Sense of coherence and the state of health of professionally active nurses]. Problemy Pielęgniarstwa 2010; 18(2): 139–144 (in Polish).
Basińska M, Andruszkiewicz A, Grabowska M. Nurses’ sense of coherence and their work related patterns of behavior. Int J Occup Environ Med. 2011; 24(3): 256–266.
Kretowicz K, Grzegorczyk M, Gaworska-Krzemińska A, Świetlik D. The sense of coherence and resistance to stress among part-time nursing students doing a bachelor degree. In: Czajkowska-Ziobrowska D. (ed) Academic areas of scientific knowledge. Akademicki Instytut Naukowo-Wydawniczy Altus. Poznań 2011.p.125–140.
Antonovsky H, Sagy S. The Development of Sense of Coherence and Its Impact on Responses to Stress Situations. J Soc Psychol. 2001; 126(2): 213–225.
Smith PM, Breslin FC, Beaton DE. Questioning the stability of sense of coherence. Soc Psychiatry Psychiatr Epidemiol. 2003; 38: 475–484.
Mojs E. Stres i radzenie sobie jako umiejętności przywódcze. [Stress and coping as leadership skills]. In: Głowacka D. (ed). Zarządzanie zakładem opieki zdrowotnej. [Managing a health care facility]. Termedia Wydawnictwa Medyczne, Poznań 2004.p.243–248 (in Polish).
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