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Structural Equation Modeling on Health Status in Hospital Nurses: Based on the Theory of Salutogenesis With Bio Behavioral Approach

병원간호사의 건강상태 구조 모형: 생행동학적 요인과 건강생성이론 기반으로

  • Kim, Kyeong Sug (Department of Nursing, Samsung Medical Center) ;
  • Choi-Kwon, Smi (College of Nursing, Seoul National University, The Research Institute of Nursing Science) ;
  • Han, Kihye (College of Nursing, Chung Ang University)
  • 김경숙 (삼성서울병원 간호본부) ;
  • 최스미 (서울대학교 간호대학.서울대학교 간호과학 연구소) ;
  • 한기혜 (중앙대학교 간호대학)
  • Received : 2014.12.28
  • Accepted : 2015.01.25
  • Published : 2015.02.28

Abstract

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.

Keywords

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