Variations in the mental health and sense of coherence (SOC) of new graduate nurses and the effects of SOC on variations in mental health


The current research conducted a longitudinal study of new graduate nurses at 3 times-prior to their employment as nurses and 3 months and 1 year afterward. This study yielded 3 findings. 1) The mental health of new graduate nurses significantly worsens 3 months after employment as a nurse and mental health 1 year after employment as a nurse was significantly worse than that before employment. 2) A sense of coherence (SOC) is the ability to cope with stressors, and the 3 components of SOC decreased significantly in the year after employment as a nurse. 3) The mental health of new graduate nurses was significantly affected by a low SOC and by previous diminishing of SOC. Findings suggested the importance of support to sustain and improve the mental health of new graduate nurses and the importance of approaches in the workplace to encourage the development of SOC.

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Takeuchi, T. , Togari, T. , Oe, M. , Takemura, Y. and Sanada, H. (2013) Variations in the mental health and sense of coherence (SOC) of new graduate nurses and the effects of SOC on variations in mental health. Open Journal of Nursing, 3, 122-129. doi: 10.4236/ojn.2013.31016.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Ministry of Health, Labour and Welfare (2010) Review panel report on the 7th nursing personnel supply and demand projections. (in Japanese)
[2] Mizuta, M., Kousaka, R., Tsuji, S., Nakano M. and Inoue J. (2004) New graduate nurses’ mental health and desire to leave the nursing profession. Nursing College Bulletin, Wakayama Medical University, 7, 21-27. (in Japanese)
[3] Kobayashi, C. and Nakamura, M. (2007) Occupational stress and coping behaviors of new graduate nurses. Yamanashi Nursing Journal, 7, 13-20. (in Japanese)
[4] Nakamura, R., Murata, C. and Takahashi, S. (2006) A study of support for new graduate nurses to adjust to the workplace. Nursing Bulletin of Hirosaki University, 1, 41-50. (in Japanese)
[5] Ohtsubo, T. and Kohda, R. (2003) Stress management for nursing: A psychiatrist’s view of stress management for nursing in Japan. International Nursing Review, 26, 47-51. (in Japanese)
[6] Morimoto, H., Mizuko, M., Minakami, K., Katayama, H. and Iwabuchi, C. (2005) Research on a nurse’s mental health. Journal of Kawasaki Medical Welfare Society, 15, 243-247.
[7] Onizawa, N. and Matsunaga, Y. (2011) Relationship between accumulate fatigue and willingness of occupation continuation. Journal of Japanese Nursing Research, 34, 45-53.
[8] Tei-Tominaga, M., Miki, A. and Fujimura, K. (2009) A cross-sectional study of factors associated with intensions to leave among newly graduated nurses in eight advanced treatment hospitals: Job stress, job readiness, and subjective health status. Japan Journal of Public Health, 56, 301-311.
[9] McNeely, E. (2005) The consequences of job stress for nurses’ health. Nursing Outlook, 53, 291-299. doi:10.1016/j.outlook.2005.10.001
[10] McVicar, A. (2003) Workplace stress in nursing: A literature review. Journal of Advanced Nursing, 44, 633-642. doi:10.1046/j.0309-2402.2003.02853.x
[11] Motoaki, H., Oeda, M. and Haruki, Y. (1991) Psychology of stress: Cognitive appraisal and coping research. Jitsumukyoiku-Shuppan, Tokyo.
[12] Sarid, O., Berger, R. and Segal-Engelchin, D. (2010) The impact of cognitive behavioral interventions on SOC, perceived stress and mood states of nurse. Procedia Social and Behavioral Sciences, 2, 928-932.
[13] Antonovsky, A. (1987) Unraveling the mystery of health: How people manage stress and stray well. Jossey-Bass Publishers, San Francisco.
[14] Yamazaki, Y., Togari, T. and Sakano, J., Eds. (2008) The ability to cope with stress: SOC. Yushindo, Tokyo. (in Japanese)
[15] Togari T. (2009) Developments in and topics of SOC research in nursing. Journal of the Japan Society of Nursing Research, 42, 491-503. (in Japanese)
[16] Iwatani, M., Watanabe, K. and Kunikata, H. (2008) A study on the mental health of critical care nurses: In relation to emotional labor, a sense of coherence, and stress response. Journal of the Japan Society of Nursing Research, 31, 87-93. (in Japanese)
[17] Eda, S., Tatsumi, Y. and Nomura, M. (2007) Association between emergency nurses’ sense of coherence and burnout due to stress. Journal of the Japanese Association for Emergency Nursing, 8, 32-42. (in Japanese)
[18] Watanabe, T., Shigehisa, K., Koiso, R. and Tokuse, Y. (2007) Association between nurses’ stress and work specialization. Japanese Journal of Nursing Management, 17, 871-876. (in Japanese)
[19] Nakanishi, M., Tsuge, Y. and Futatsumori, E. (2008) Relationship between the desire to stay in nursing of midlevel nurses at 5 affiliated hospitals and their job satisfaction and sense of coherence (SOC). Proceedings of the Japanese Nursing Association: Nursing Management, 38, 139-141. (in Japanese)
[20] Shiu, A.T. (1998) The significance of sense of coherence for the perceptions of task characteristics and stress during interrupting amongst a sample of public health nurses in Hong Kong. Public Health Nursing, 15, 273-280. doi:10.1111/j.1525-1446.1998.tb00350.x
[21] Takeuchi, T. and Yamazaki, Y. (2010) Relationship between work-family conflict and sense of coherence among Japanese registered nurses. Japan Journal of Nursing Science, 7, 158-168. doi:10.1111/j.1742-7924.2010.00154.x
[22] Takeuchi, T., Togari, T. and Yamazaki, Y. (2009) Nurses’ SOC and nature of the workplace. Journal of the Japan Society of Nursing Research, 42, 517-526. (in Japanese)
[23] Goldberg, D.P. and Blackwell, B. (1970) Psychiatric illness in general practice: A detailed study using a new method of case identification. British Medical Journal, 1, 439-443. doi:10.1136/bmj.2.5707.439
[24] Nakagawa, Y. and Daibo, I. (1985) Manual for the Japanese version of the GHQ. Nihon Bunka Kagakusha, Tokyo. (in Japanese)
[25] Niiro, M. and Mori, T. (2001) Examination of the reliability and validity of the Japanese version of the 12-item GHQ 12 (GHQ-12) based on a survey of corporate employees. Clinical Psychiatry, 43, 431-436. (in Japanese)
[26] Antonovsky, A. (1993) The structure and properties of the sense of coherence scale. Social Science and Medicine, 36, 275-733. doi:10.1016/0277-9536(93)90033-Z
[27] Yamazaki, Y. (1999) A new view of health provided by salutogenesis and a sense of coherence (SOC). Quality Nursing, 5, 825-832. (in Japanese)
[28] Shima, S., Shikano, T., Kitamura, T. and Asai, M. (1985) A new self-rating depression scale. Clinical Psychiatry, 27, 717-723. (in Japanese)
[29] Cooper-Thomas, H. and Anderson, N. (2002) Newcomer adjustment: The relationship between organizational socialization tactics, information acquisition and attitudes. Journal of Occupational and Organizational Psychology, 75, 423-437. doi:10.1348/096317902321119583
[30] Gilbar, O. (1998) Relationship between burnout and sense of coherence in health workers. Social Work in Health Care, 26, 39-49. doi:10.1300/J010v26n03_03
[31] Baker, M., North, D. and Smith, D.F. (1997) Burnout, sense of coherence and sources of salutogenesis in social workers. Journal of Human Behavior, 34, 22-66.
[32] Palsson, M.B., Hallberg, J.R., Norberg, A. and Bj?rvell, H. (1997) Burnout, empathy, and sense of coherence among Swedish district nurses before and after systematic clinical supervision. Scandinavian Journal of Caring Science, 10, 21-26.
[33] Central Nursing Center, Japanese Nursing Association (2005) Report on measures to prevent early departure of new nursing personnel graduating in 2005. (in Japanese)

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