Občutek koherence in delovna zmožnost pri medicinskih sestrah

Smrekar, Martina (author), Franko, Alenka (mentor), Zaletel Kragelj, Lijana (co-mentor)

Background. Research findings demonstrated that sense of coherence (SOC) is a protective factor against stressors in the work environment. SOC could be seen as a resource that can help nurses preserve and maintain workability (WA). Aim. Aiming at preparing the basis for planning the evidence-based public health measures for the preservation/improvement of nurses' WA, the objectives of research were to assess the strength of SOC among nurses and the relationship between WA and SOC. Methods. The data were collected from December 2017 to June 2018 at the University Hospital Center Sisters of Mercy (UHCSM) in Zagreb, Croatia. The overall research design was cross-sectional. A total of 713 nurses participated in the study. The data were collected using Sense of Coherence – Orientation to Life Questionnaire – 29 items (SOC-29), Work Ability Index Questionnaire (WAIQ), and a Sociodemographic, health-related, and work-related questionnaire. Linear regression was used to assess the strength of association between SOC score (SOCS), and sociodemographic and work-related factors, and binary logistic regression to assess association between poor WA index (PWAI) and SOCS, adjusted for possible confounders. Results. The SOC-29-CRO and WAIQ-CRO instruments successfully fulfilled the necessary psychometric criteria. The results of the multivariate linear regression revealed statistically significant positive associations between SOCS, and age (>40 years) (b=9.219, 95% CI 2.028–16.410, p=0.012); level of education (master of nursing (b=10.515, 95% CI 1.917–19.114, p=0.017); bachelor of nursing (b=4.393, 95% CI 0.889–7.898, p=0.014)); transportation mode by car (b=5.941, 95% CI 2.466–9.417, p<0.001).The results of multivariate logistic analysis showed a strong statistically significant negative association between SOCS and PWAI (OR=0.966, 95% CI 0.954 – 0.977, p<0.001) when adjusted for confounders. Conclusions. This was the first study to examine the relationship between WA and SOC in the population of nurses. Our research suggested that SOC is an important health promoting personal resource of nurses which might offer protection regarding work-related stress. Weak SOC could be an important explanatory factor for poor WA.

• Language: Slovenian
• Keywords: sense of coherence, workability, nurses
• Work type: Doctoral dissertation
• Organization: MF - Faculty of Medicine
• Year: 2022
• PID: 20.500.12556/RUL-143400
• COBISS.SI-ID: 134110467
• Publication date in RUL: 20.12.2022

Secondary language

• Language: English
• Title: Sense of Coherence and Work Ability Among Nurses

Abstract

Izhodišče. Izsledki raziskav so pokazali, da je občutek koherence (ang. Sense of Coherence – SOC) zaščitni dejavnik pred stresorji v delovnem okolju. SOC lahko razumemo kot orodje, ki medicinskim sestram lahko pomaga ohranjati in vzdrževati delazmožnost (ang. Workability – WA). Namen in cilji. Namen raziskave je bil pripraviti temelje za načrtovanje z dokazi podprtih javnozdravstvenih ukrepov za ohranitev/izboljšanje WA med medicinskimi sestrami, pri čemer so bili cilji oceniti moč SOC med medicinskimi sestrami ter povezavo med močjo SOC in sociodemografski dejavniki ter dejavniki, povezanimi z delom, in oceniti odnos med WA in SOC. Metode. Podatke smo zbirali v obdobju od decembra 2017 do junija 2018 v Univerzitetnem bolnišničnem centru, Hrvaška (UBC). Presečna raziskava je bila opravljena leta 2018 na vzorcu 713 hrvaških medicinskih sester. Za zbiranje podatkov smo uporabili naslednje vprašalnike: Občutek koherence – usmerjenost k življenju – 29 elementov; vprašalnik Indeks delazmožnosti; Sociodemografski, z zdravjem in delom povezan vprašalnik. Povezava med SOC in sociodemografski in z delom povezanimi dejavniki je bila ocenjena z uporabo linearne regresijske metode. Povezava med slabim (ang.poor) WAI (PWAI) in lestvico SOC (SOCS) je bila ocenjena z uporabo binarne logistične regresije. Rezultati. Vprašalnika SOC-29-CRO in WAIQ-CRO vključujeta zadovoljive psihometrične značilnosti. Rezultati multivariatne linearne regresije so pokazali statistično pomembno pozitivno povezavo med SOCS in starostjo (>40let) (b=9,219, 95% CI 2,028–16,410, p=0,012); stopnjo izobrazbe (magistrica zdravstvene nege (b=10,515, 95% CI 1,917–19,114, p=0,017); diplomirana medicinska sestra (b=4,393, 95% CI 0,889–7,898, p=0,014)); prevozom na delo z avtomobilom (b=5,941, 95% CI 2,466–9,417, p<0,001). Rezultati multivariatne logistične analize so pokazali negativno statistično pomembno povezavo med SOCS in PWAI (OR=0,966, 95% CI 0,954–0,977, p<0,001). Zaključki: Kolikor nam je znano, vpliv SOC na WA pri medicinskih sestrah do sedaj ni bil raziskan. SOC je pomemben in vpliven osebni vir promocije zdravja medicinskih sester in bi lahko predstavljal zaščito pred stresom, povezanim z delom. Nizek SOC je lahko pomemben utemeljitveni dejavnik za slabo WA.

• Keywords: občutek koherence, delazmožnost, medicinske sestre