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<article xml:lang="KO" article-type="research-article">

<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Korean Acad Nurs Adm</journal-id>
<journal-id journal-id-type="publisher-id">JKANA</journal-id>
<journal-title-group>
<journal-title>Journal of Korean Academy of Nursing Administration</journal-title>
</journal-title-group>
<issn pub-type="ppub">1225-9330</issn>
<issn pub-type="epub">2288-4955</issn>
<publisher>
<publisher-name>Korean Academy of Nursing Administration</publisher-name>
</publisher>
</journal-meta>

<article-meta>
<article-id pub-id-type="doi">10.11111/jkana.2019.25.5.404</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>A Literature Review of Research on Leadership of Korean Hospital Nurse</article-title>
</title-group>

<contrib-group>

<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0003-1007-1497</contrib-id>
<name>
<surname>Kim</surname>
<given-names>Sunmi</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author" corresp="yes">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0002-5397-666X</contrib-id>
<name>
<surname>Seo</surname>
<given-names>Myoung Hee</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Jeong</surname>
<given-names>Seok Hee</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Hee Sun</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Yoon Lee</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>

</contrib-group>

<aff id="A1"><label>1</label>College of Nursing, Jeonbuk National University, <country>Korea</country>.</aff>
<aff id="A2"><label>2</label>Department of Nursing Science, VISION College of Jeonju, <country>Korea</country>.</aff>
<aff id="A3"><label>3</label>College of Nursing &#x00B7; Research Institute of Nursing Science, Jeonbuk National University, <country>Korea</country>.</aff>
<aff id="A4"><label>4</label>Department of Nursing, Hanil University and Presbyterian Theological Seminary, <country>Korea</country>.</aff>

<author-notes>
<corresp>Corresponding author: Seo, Myoung Hee. Department of Nursing Science, VISION College of Jeonju, 235 Cheonjam-ro, Wansan-gu, Jeonju 55069 , Korea. Tel: +82-63-220-3806, Fax: +82-63-220-3819, <email>musudari@daum.net</email></corresp>
</author-notes>

<pub-date pub-type="ppub">
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>23</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>25</volume>
<issue>5</issue>
<fpage>404</fpage>
<lpage>423</lpage>

<history>
<date date-type="received">
<day>15</day>
<month>05</month>
<year>2019</year>
</date>
<date date-type="rev-recd">
<day>19</day>
<month>06</month>
<year>2019</year>
</date>
<date date-type="accepted">
<day>01</day>
<month>07</month>
<year>2019</year>
</date>
</history>

<permissions>
<copyright-statement>Copyright &#x00A9; 2019 Korean Academy of Nursing Administration</copyright-statement>
<copyright-year>2019</copyright-year>
<copyright-holder>Korean Academy of Nursing Administration</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>

<abstract>
<sec>
<title>Purpose</title>
<p>This study was done to identify trends in leadership-related research by reviewing studies on hospital nurses in South Korea.</p>
</sec>
<sec>
<title>Methods</title>
<p>The research was conducted from April 2 to 14, 2018 and search databases were RISS, KISS, DBpia, KM base, NAL, and NDSL. Search terms were &#x2018;leadership&#x2019; and &#x2018;nursing&#x2019; in the Korean language, and total 141 papers were selected.</p>
</sec>
<sec>
<title>Results</title>
<p>Analysis of the research on leadership showed that 96.4% of research methods were quantitative research, and 60.3% were predictive researches. For study settings, 46.2% were general hospitals, 96.5% were staff nurses. In the study of leadership variables, 60.3% were independent variables and recent leadership was used as a mediating variable (4.3%) and a moderating variable (2.8%). Among the leadership types, self-leadership (31.2%) was the most common, and the main variable related to leadership was job satisfaction (25.8%).</p>
</sec>
<sec>
<title>Conclusion</title>
<p>These results provide useful data for deriving new research ideas about nursing leadership. Furthermore, this study has significance for providing the evidence for developing new leadership programs and policies in nursing organizations.</p>
</sec>
</abstract>

<kwd-group>
<kwd>Leadership</kwd>
<kwd>Nurses</kwd>
<kwd>Literature Review</kwd>
<kwd>Nursing research</kwd>
<kwd>Trends</kwd>
</kwd-group>

<funding-group>

<award-group>
<funding-source country="KR">
<institution-wrap>
<institution>Jeonbuk National University</institution>
</institution-wrap>
</funding-source>
</award-group>

</funding-group>

</article-meta>
</front>

<back>

<fn-group>
<fn fn-type="supported-by">
  <p>This research was supported by &#x201C;Research Base Construction Fund Support Program&#x201D; funded by Jeonbuk National University in 2019.</p>
</fn>
</fn-group>

<app-group>
<app id="APP1">
<title>Appendix</title>
<sec>
<title>A List of the Literature Reviewed for the Study</title>
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<p>A2. Park SA, Yun SN. A study on leadership and subordination of nurses at a hospital in Seoul. Journal of Korean Academy of Nursing. 1987;17(1):44-51.</p>
<p>A3. Lee JW, Kim DW. Mediating effects of psychological empowerment on the relationship between nurse's self leadership and organizational commitment. Health and Social Welfare Review. 2013;33(2):366-400. https://doi.org/10.15709/hswr.2013.33.2.366.</p>
<p>A4. Park MH, Hwang CJ. Relationship between servant leadership of nurse managers and positive thinking and organizational commitment of nurses. Korean Comparative Government Review. 2015;19(1):49-77.</p>
<p>A5. Kang KH, Kim JH. The relationship between the head nurses' leadership style and the autonomy perceived by nurses. Journal of Korean Academy of Nursing Administration. 2000;6(2): 281-290.</p>
<p>A6. Kang SY. Relationships of nurse manager's transformational &#x0026;transactional leadership to nurses' creative activity. Journal of Korean Academy of Nursing Administration. 2006;12(4): 555-563.</p>
<p>A7. Kang SY, Kim SY, Doe HJ, Lee HS, Jeon SH, Jeon HS, et al. Job-satisfaction of nurse according to the self-leadership. Journal of the Nursing Academic Association of Ewha Womans University. 2009(43):51-60.</p>
<p>A8. Kang YS, Choi YJ, Park DL, Kim IJ. A Study on nurses' self-leadership, self-esteem, and organizational effectiveness. Journal of Korean Academy of Nursing Administration. 2010; 16(2):143-151. https://doi.org/10.11111/jkana.2010.16.2.143</p>
<p>A9. Kang YS, Kim HG, Jun HY. Effects of leadership course on self-leadership and self concept of nurses. Bulletin of Dongnam Health College. 2012;30(1):13-24.</p>
<p>A10. Ko MS, Park HH, Woo JH. The effects' of leadership training on self-efficacy of the first-line nurse managers. Journal of the Sahmyook University. 1999;31:159-166.</p>
<p>A11. Koh MS, Suk JW, Jeong HC, Jeon KD, Choi DH. The influence of creative action and locus of control on self-leadership among RN-BSN. Journal of the Korea Academia-Industrial Cooperation Society. 2013;14(10):5059-5068. https://doi.org/10.5762/KAIS.2013.14.10.5059</p>
<p>A12. Koh MS, Han SS. The survey of staff nurses demands' for firstline nurse manager's leadership program. Journal of Korean Academy of Nursing Administration. 1998;4(1):183-192.</p>
<p>A13. Koh MS, Han SS. A study on the development of leadership training program for first-line nurse managers. Journal of Korean Academy of Nursing Administration. 2000;6(3):333-345.</p>
<p>A14. Koh MS. A study of leadership training program demands of first-line nurse managers in university hospitals. Korean Nurse. 1998;37(1):107-115.</p>
<p>A15. Kwon JO. Nursing performance and innovative behavior as factors affecting the self-leadership of geriatric hospital nurses. Korean Journal of Health Service Management. 2016;10(53):66. https://doi.org/10.12811/kshsm.2016.10.1.053</p>
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<p>A22. Kim MS, Park YB. A study on the effect of transformational leadership and personal characteristics on job involvement: focusing on nurses in hospital organization. Journal of Korean Academy of Nursing. 2001;31(4):598-609.</p>
<p>A23. Kim MS, Park YB. A study on the relationship between transformational leadership and organizational commitment in nursing organization. Journal of Korean Academy of Nursing Administration. 2001;7(1):41-51.</p>
<p>A24. Kim MS, Park YB. A study on the relationship between transformational leadership and organizational commitment in nursing organization: focusing on moderating effect of career characteristics. Journal of Korea Community Health Nursing Academic Society. 2001;15(1):13-26.</p>
<p>A25. Kim MS, Park YB. A study on the relationship between transformational leadership and job involvement according to nurses' personal characteristics. Journal of Korea Community Health Nursing Academic Society. 2001;15(2):249-261.</p>
<p>A26. Kim MJ. Effects of job stress, organizational commitment, job satisfaction and leadership style on turnover intention of hospital nurses. Journal of Military Nursing Research. 2015; 33(1):95-115.</p>
<p>A27. Kim MH, Jung MS. The effect of head nurse's emotional leadership on nurse's job satisfaction &#x0026;organizational commitment. Journal of Korean Academy of Nursing Administration. 2010;16(3):336-347. https://doi.org/10.11111/jkana.2010.16.3.336</p>
<p>A28. Kim MH, Kim MS, Chae SW, Kim YS. Relationship of nursing informatics competency and self-leadership among hospital nurses. Journal of Korean Academy of Nursing Administration. 2007;13(2):176-183.</p>
<p>A29. Kim MS, Park HT. Transactional and transformational leadership styles of the nurse administrators. Journal of Korean Academy of Nursing Administration. 1997;3(1):5-15.</p>
<p>A30. Kim MS, Chun MS, Lee SH, Lee YJ. A study on leadership style of head nurses and staff nurses maturity. Health &#x0026;Nursing. 1993;5:5-18.</p>
<p>A31. Kim M, Seo HE, Doo EY, Ju WJ. Impact of superior's ethical leadership as perceived by nurses on nursing performance: mediating effect of faith in supervisor. Journal of Korean Academy of Nursing Administration. 2017;23(5):483-493. https://doi.org/10.11111/jkana.2017.23.5.483</p>
<p>A32. Kim MJ, Koh MS. Mediating effects of self-leadership on the relationship between nurses' core self-evaluation and innovative behaviour. Health and Social Science. 2011;30:171-198.</p>
<p>A33. Kim BM, Lee YM, Yoon SH, Choi EO. A study of the head nurse's leadership and the organizational effectiveness as perceived by staff nurses. Journal of Korean Academy of Nursing Administration. 2014;13(3):373-383.</p>
<p>A34. Kim SJ, Choi SB. The effects of emotional leadership, leader trust and leader&#x2014;Member exchange on organizational commitment: evidence from university hospital nurses. Korean Business Education Review. 2015;30(2):1-33.</p>
<p>A35. Kim SY, Kim EK, Kim BS. Effects of nurses' self-leadership and team trust on organizational commitment. Journal of Korean Academy of Nursing Administration. 2016;22(4):353-361. https://doi.org/10.11111/jkana.2016.22.4.353</p>
<p>A36. Kim SY, Kim EK, Kim BS, Lee EP. Influence of nurses' selfleadership on individual and team members' work role performance. Journal of Korean Academy of Nursing. 2016;46 (3):338-348. https://doi.org/10.4040/jkan.2016.46.3.338</p>
<p>A37. Kim SI, Lim JY, Kim IA. Importance of the types of leadership-followership combination for job satisfaction and organizational commitment in the nursing organization. Journal of Korean Academy of Nursing Administration. 2002;8(4):563-574.</p>
<p>A38. Kim SG, Seo YS. Mediating effect of social capital between transformational leadership and organizational commitment of nurses in hospitals. Journal of the Korea Academia-Industrial cooperation Society. 2016;17(2):282-289. https://doi.org/10.5762/KAIS.2016.17.2.282</p>
<p>A39. Kim YM, Han SI. A study on the relationships between the chief nurse's leadership style and the organizational climate of hospitals. Journal of Korean Academy of Nursing. 1975;5 (1):79-86.</p>
<p>A40. Kim YJ, Song HK, Lee MA. Perceived relationship among professional self-concept, head nurse's leadership, and nursing clinical competency by clinical nurses. Journal of Korean Academy of Nursing Administration. 2011;17(1):96-105. https://doi.org/10.11111/jkana.2011.17.1.96</p>
<p>A41. Kim YH, Lee YM. Influence of self-leadership on job stress, job satisfaction and burnout among nurses in hospitals. Journal of the Korean Data Analysis Society. 2009;11(4):1939-1951.</p>
<p>A42. Kim EK, Kim SY, Jung MS, Kim JK, You SJ. Validity and reliability of the Korean version of empowering leadership questionnaire. Korean Journal of Health Promotion. 2017;17(4): 275-281. https://doi.org/10.15384/kjhp.2017.17.4.275</p>
<p>A43. Kim ES, Lee MH. A study on empowerment related factors of clinical nurses. Journal of Korean Academy of Nursing Administration. 2001;7(1):145-163.</p>
<p>A44. Kim IS, Won SA, Kang SJ, Shin SM. The relationship among nurses' perception of super-leadership, self-leadership and organizational commitment. Journal of Korean Academy of Nursing Administration. 2016;22(2):148-157. https://doi.org/10.11111/jkana.2016.22.2.148</p>
<p>A45. Kim JE, Park EJ. A validation study of the modified Korean version of ethical leadership at work questionnaire (K-ELW). Journal of Korean Academy of Nursing. 2015;45(2):240-250. https://doi.org/10.4040/jkan.2015.45.2.240</p>
<p>A46. Kim JO, Kim SY. Person-organization value congruence between authentic leadership of head nurses and organizational citizenship behavior in clinical nurses. Journal of Korean Academy of Nursing Administration. 2017;23(5):515-523. https://doi.org/10.11111/jkana.2017.23.5.515</p>
<p>A47. Kim JH, Lee HJ, Kim MS. Structural components of leadership perceived by head nurses. Journal of Korean Academy of Nursing Administration. 2005;11(3):1-16.</p>
<p>A48. Kim JH. The substitution effect of leadership substitutes for transformational leadership in nursing organization. Journal of Korean Academy of Nursing. 2006;36(2):361-372.</p>
<p>A49. Kim JY, Hong JY. Self-leadership, job stress and job satisfaction among clinical nurses. Journal of Korean Academy of Nursing Administration. 2007;13(2):184-190.</p>
<p>A50. Kim HJ. A study of association between headnurse's leadership style and her self-concept and personality traits. Journal of Catholic Medical College. 1983;36(1):319-326.</p>
<p>A51. Kim HS. A study of the relationship between the leadership style of the head nurse and nurses' burnout level. Journal of Korean Academy of Nursing. 1984;14(1):21-33.</p>
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<p>A54. Kim HK, Kwak MS. Correlation between personality types, leadership skills and nursing services among nurses in hospitals. Journal of Korean Clinical Nursing Research. 2006;12 (1):21-31.</p>
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<p>A57. Nam SH. The effect of self-leadership on strategic stance and action for achievement. Journal of Korean Policy Studies. 2017;17(4):1-20.</p>
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<p>A73. Park HS. Impact of self-leadership and organizational commitment on the intention of psychiatric mental health nurses to remain in the profession. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2016;25(4):409-417. https://doi.org/10.12934/jkpmhn.2016.25.4.409</p>
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<p>A86. Yang SH. Transformational-transactional leadership style of the nurse manager's and job satisfaction, organization commitment in nursing service. Journal of the Hyechon College. 2009;27:431-446.</p>
<p>A87. Eo YS, Kim MS. Relationship among emotional labor, emotional leadership and burnout in emergency room nurses: comparison of employee-focused emotional labor and job-focused emotional labor. Journal of the Korea Academia-Industrial cooperation Society. 2017;18(9):136-145. https://doi.org/10.5762/KAIS.2017.18.9.136</p>
<p>A88. Yom YH, Choi KS. The effects of psychological empowerment and transformational leadership on organizational commitment among hospital nurses. Journal of Korean Academy of Nursing Administration. 2005;11(3):315-322.</p>
<p>A89. Choi AS, Oh PJ. A study on self-leadership, fall attitude, and nurses' behavior to prevent patient falls. Journal of Korean Academy of Nursing Administration. 2013;19(3):394-403. https://doi.org/10.11111/jkana.2013.19.3.394</p>
<p>A90. Yoo JB, Hong MJ, De Gagne JC. Factors affecting clinical competency of Korean nurses in the perianesthesia setting. Journal of the Korean Data Analysis Society. 2017;19(6):3345-3359.</p>
<p>A91. Yoon SS, Ryu SW. Effects of servant leadership and empowerment on justice of performance appraisal and organizational commitment of clinical nurse. Journal of Health Informatics and Statistics. 2015;40(2):43-55.</p>
<p>A92. Lee KR. An analysis of factor about nurses's attitudes toward the readership of head nurses. Journal of the Choonhae College of Health Sciences. 2001;13:63-88.</p>
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</back>

<floats-group>

<fig position="float" id="F1">
<label>Figure 1</label>
<caption>
  <title>Flow diagram of study selection process.</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkana-25-404-g001"></graphic>
</fig>

<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption>
  <title>Characteristics of Studies (<italic>N</italic>=141)</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkana-25-404-i001"></graphic>
<table-wrap-foot>
<fn>
  <p>IRB=Institutional review board; <sup>*</sup>Quantitative Research (n=136).</p>
  <p>K-W=Kruskal-Wallis test; MW-U=Mann&#x2013;Whitney U test; <sup>&#x2020;</sup>Multiple choice.</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption>
  <title>Type of Leadership in Reviewed Articles (<italic>N</italic>=141)</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkana-25-404-i002"></graphic>
<table-wrap-foot>
<fn>
  <p><sup>*</sup>Multiple choice.</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption>
  <title>Leadership Variables in Reviewed Articles (<italic>N</italic>=141)</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkana-25-404-i003"></graphic>
<table-wrap-foot>
<fn>
  <p><sup>*</sup>Multiple choice; <sup>&#x2020;</sup>Multiple choice, but without relevant variables (n=13).</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T4">
<label>Table 4</label>
<caption>
  <title>Leadership and Related Variables in Reviewed Studies (<italic>N</italic>=141<sup>*</sup>)</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkana-25-404-i004"></graphic>
<table-wrap-foot>
<fn>
  <p>SL=Self leadership; TFL=Transformational leadership; GL=General leadership; TAL=Transactional leadership; ETL=Ethical leadership; EML=Emotional leadership; SVL=Servant leadership; AL=Authentic leadership; FL=Followership leadership; SPL=Super leadership; EPL=Empowering leadership; RL=Resonant leadership; SHL=Share leadership; VOL=Value-oriented leadership; <sup>*</sup>Multiple choice; <sup>&#x2020;</sup>% of total numbers in each cell; <sup>&#x2021;</sup>Top 10 general characteristic variables used most frequently in each study.</p>
</fn>
</table-wrap-foot>
</table-wrap>

</floats-group>

</article>