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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Psychosocial job characteristics, social support, and sense of coherence as determinants of mental health among nurses

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Institute of Cardiology
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Department of Internal Diseases, Kaunas University of Medicine
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Kaunas 2nd Clinical Hospital
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Lithuanian Academy of Physical Education, Lithuania
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Author to whom correspondence should be addressed.
Medicina 2009, 45(11), 910; https://doi.org/10.3390/medicina45110117
Received: 30 June 2009 / Accepted: 5 November 2009 / Published: 10 November 2009
Objective. Employment in human service occupations as nursing is reported to display high risk for mental health, and occupational stress has been found to be one of the major work-related health problems. The objective of the study was to explore the associations between psychosocial job characteristics, social support, and internal resources as determinants of mental health status in a sample of Kaunas district nurses.
Material and methods
. A survey was conducted among the nurses of Kaunas district community in 2008–2009. A total of 638 nurses were randomly selected, and 372 filled in the questionnaire (response rate, 58.3%). Mental distress was measured using the Goldberg 12-item General Health Questionnaire and psychosocial job characteristics using the Swedish version of the Karasek Demand-Control questionnaire. Sense of coherence was measured by the three-item version questionnaire. The logistic regression was performed.
Results
. Less than one-third (23.0%) of nurses had symptoms of mental distress; 31.9% of nurses had weak sense of coherence. High job demands were associated with mental distress after adjustment for age, smoking, alcohol consumption, physical activity, job control, social support, sense of coherence, family crisis, self-rated health as compared to one year ago (OR=2.15; 95% CI, 1.07–4.30), low job control (OR=1.22; 95% CI, 0.64–2.31), job strain-low social support at work (OR=3.78; 95% CI, 2.08–6.87).
Conclusions
. Mental distress among the nurses of Kaunas district was associated with adverse psychosocial job characteristics. Job strain-low social support at work was the strongest risk factor for mental distress among nurses. Strong sense of coherence as personal characteristic served as a buffer, protecting nurses against the development of mental health problems.
Keywords: mental health; nurses; psychosocial job characteristics; social support; sense of coherence mental health; nurses; psychosocial job characteristics; social support; sense of coherence
MDPI and ACS Style

Malinauskienė, V.; Leišytė, P.; Malinauskas, R. Psychosocial job characteristics, social support, and sense of coherence as determinants of mental health among nurses. Medicina 2009, 45, 910.

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