Factors Predicting Work-Related Sense of Coherence of Nurses in Affiliated Hospitals of Kunming Medical University, China


  • Lin He Faculty of Nursing, Chiang Mai University
  • Thitinut Akkadechanunt Faculty of Nursing, Chiang Mai University
  • Somjai Sirakamon Faculty of Nursing, Chiang Mai University


Work-related sense of coherence, Predicting factors


Work-related sense of coherence (Work-SoC) is an important factor for promoting nurses’ health and well-being. This predictive study aims to describe the level of Work-SoC and determine the predictability of Work-SoC can be explained by age, income, education, social support, resilience, and work engagement. The sample included 270 nurses, randomly selected from two affiliated hospitals of Kunming Medical University in China. The research instruments included the demographic data form, the Work-related Sense of Coherence Scale (Work-SoC Scale), the Personal Resources Questionnaire (PRQ2000), the Connor-Davidson Resilience Scale (CD-RIS), and the 9-item Utrecht Work Engagement Scale (UWES-9). Cronbach’s alpha coefficients for the Work-SoC Scale, PRQ2000, CD-RIS and UWES-9 were .87, .93, .98, and .94, respectively. Descriptive statistics and multinomial logistic regression were used to analyze the data.

            The results of this study were: 

  1. The overall score of Work-SoC was at a moderate level.
  2. Social support and income were significant predictors of Work-SoC for nurses who perceived moderate levels of Work-SoC when compared to nurses who perceived low levels of Work-SoC (OR = 1.72, 95% CI = 1.15 to 2.58, p < .01 and OR = .19, 95% CI = .05 to .71, p < .05). In addition, social support and work engagement were significant predictors of Work-SoC for nurses who perceived high levels of Work-SoC when compared to nurses who perceived low levels of Work-SoC (OR = 4.02, 95% CI = 1.86 to 8.70, p < .01 and OR = 2.01, 95% CI = 1.24 to 3.23, p < .01).

            The results of this study provide basic information for hospitals and nurse administrators to develop strategies or interventions to improve social support and work engagement which will enhance Work-SoC among Chinese nurses in affiliated hospitals of Kunming Medical University.


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