Female nursing graduate students stress and health: the mediating effects of sense of coherence and social support

Abstract

Background Ninety-five percent of nursing graduate students in South Korea are women, and most are often engaged in both academic coursework and work outside of the academic environment. Nursing graduate students often experience stress leading to physical and mental health problems that negatively affect their academic performance and persistence during graduate programs. The purpose of this study was to test multiple mediation effects of sense of coherence (SOC) and social support in the relationship between stress and health status of nursing graduate students.

Methods The participants of this study were 231 female nursing graduate students from 14 universities. Data were collected using an online survey conducted between August and October 2019. Bootstrap techniques using the PROCESS macro for SPSS software were applied to assess the multi-mediating effects.

Results The total effect (B = − 12.29, p < .001) and direct effect (B = − 7.07, p < .001) of perceived stress on health status were significant. Perceived stress had negative direct effects on social support (B = − 0.41, p < .001) and SOC (B = − 5.77, p < .001). SOC had a positive direct effect on health status (B = 0.59, p < .001). However, social support was not a significant predictor of health status (B = 1.24, p =.232). In addition, there was a positive direct effect of social support on SOC (B = 5.23, p < .001). Furthermore, the indirect effect of perceived stress on health status through SOC was significant (B = − 3.42, 95% CI = − 5.2616, − 1.8906). There was also a significant indirect effect of perceived stress on health status through social support and SOC (B = − 1.28, 95% CI = − 2.1663, − 0.5992).

Conclusion It is necessary to create strategies that enhance nursing graduate students SOC and social support to reduce their perceived stress and to improve their health status.