Research on the Sense of Coherence (SOC) of Newly Graduated Nurses

Monday, July 11, 2011

Yasue Yamazumi, MS, RN
Fumiko Yasukata, PhD, RN
Akira Kitagawa, MS, RN
Faculty of Nursing, Fukuoka Prefectural University, Fukuoka, Japan

Learning Objective 1: To study the reality with regard to the SOC scores, stressors, and the desire to resign among newly graduated nurses in Japan

Learning Objective 2: To study the factors affecting SOC of newly graduated nurses in Japan


 To research the status of newly graduated nurses in terms of SOC, stressors, coping mechanisms, and desire to resign three months after starting employment, and to identify factors that influence the SOC of newly graduated nurses.


 From within the hospitals in Prefecture F with 500 or more beds and are certified hospitals based on the Japan Council for Quality Health Care’s functionality evaluation, questionnaires were distributed to seven facilities, whose consent to conduct the research was obtained, to 386 newly graduated nurses in the fiscal year of 2009. Of the questionnaires distributed, 130 completed questionnaires were returned by post.


 The average SOC score for all respondents was 49.7±8.7. From the responses, there were 10 significant differences in stressors selected by respondents with high SOC scores compared to those with low SOC scores. There were three significant differences in the two response groups’ selection of coping mechanisms.  The meaningful differences in stress-response selections for respondents with high SOC scores compared to those with low SOC scores were as followss.


 The data obtained from the respondents in this research was compared to the data obtained from a previous survey that also questioned newly graduated nurses three months after starting employment. Based on this comparison, it was ascertained that in the current study the respondents’ ability to cope with stress was extremely low.

 Next, data from respondents with high SOC scores was compared to those with low scores. It was considered that those with higher scores were able to deal well with stress and were better at acquiring support from workplace colleagues as they were highly capable at seeking help. Further, it was felt that they were able to smoothly establish an occupational identity and had a strong sense of self-efficacy.