Journal List > J Korean Acad Nurs Adm > v.17(2) > 1051589

Yang and Moon: Relationship of Self-leadership, Stress and Satisfaction in Clinical Practice of Nursing Students



In this study, the relationship between self-leadership, stress, and satisfaction among nursing students in clinical practice was examined.


The participants were 273 nursing students. Data collected from September to December 2010 were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression.


The mean scores for self-leadership (3.72±.41), stress (3.45±.59), and satisfaction (3.11±.38) in clinical practice were above average. Self-leadership was significantly different according to year, interpersonal relationships, and satisfaction with nursing as a major. Stress in clinical practice was significantly different according to gender, year, and health status. Satisfaction in clinical practice was significantly different according to year, interpersonal relationships, and satisfaction with nursing as a major. Significant correlations were found between self-leadership and satisfaction in clinical practice, and stress and satisfaction in clinical practice. Year, self-leadership, interpersonal relationships, and stress in clinical practice were factors influencing satisfaction in clinical practice (20.0%).


These findings indicate that there is a need to improve self-leadership, and to lessen stress in clinical practice to improve nursing students' satisfaction with clinical practice. The above-mentioned results should be reflected in the development of effective teaching methods for clinical practice.

Figures and Tables

Table 1
General characteristics of participants (N=273)
Table 2
Degree of self-leadership, stress and satisfaction in clinical practice (N=273)
Table 3
Differences in self-leadership, stress and satisfaction in clinical practice according to general characteristics (N=273)

*ICP in clinical practice

Table 4
Correlation among the self-leadership, stress and satisfaction in clinical practice (N=273)
Table 5
Variables influencing satisfaction in clinical practice (N=273)


1. Angelucci PA. For leadership effectiveness, look inside. Nurs Manage. 2005. 36(11):12–15.
2. DiLiello TC, Houghton JD. Maximizing organizational leadership capacity for the future. J Manag Psychol. 2006. 21(4):319–337.
3. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis power analysis program for the social, behavior, and biomedical sciences. Behav Res Methods. 2007. 39(2):175–191.
4. Gu HJ. A study on the relationship between perceived family support and nursing students's satisfaction of clinical practice. 2009. Daegu: Gyeong-Sang National University;Unpublished master's thesis.
5. Ha NS, Choi MS. The relationship between leadership styles and self-esteem, satisfaction of clinical practice in nursing students. J Korean Acad Nurs Adm. 2005. 11(1):1–9.
6. Ha SB. A study on the antecedents and outcomes of subordinate's self-leadership. 2007. Seoul: Seoul National University;Unpublished master's thesis.
7. Henrikson M. Great leaders are made, not born. association of womens health. AWHONN Lifelines. 2006. 10(4):335–338.
8. Kang YS, Choi YJ, Park DL, Kim IJ. A study on nurses' self-leadership self-esteem, and organizational effectiveness. J Korean Acad Nurs Adm. 2010. 16(2):143–151.
9. Kazan AL. Exploring the concept of self-leadership. 2000. Ohio: The Ohio State University;Unpublished doctoral dissertation.
10. Kim HK. Influence of interpersonal relations, communication skills, creative behaviors and nursing services on self-leadership among nurses in hospitals. Clin Nurs Res. 2007. 13(1):25–36.
11. Kim HS. The relationship between teacher's self-leadership and the job satisfaction at secondary schools. 2002. Seoul: Soongsil University;Unpublished master's thesis.
12. Kim JY, Hong JY. Self-leadership, job stress, and job satisfaction among clinical nurses. J Korean Acad Nurs Adm. 2007. 13(2):176–183.
13. Kim SL, Lee JE. Relationship among stress, coping strategies, and self-esteem in nursing students taking clinical experience. J Korean Acad Soc Nurs Educ. 2005. 11(1):98–106.
14. Lee JD. The studyof preceptor-guided nursing students' critical thinking propensity, clinical competency and satisfaction for clinical practice. 2006. Gwangju: Chonnam National University;Unpublished master's thesis.
15. Lee SH, Kim SY, Kim JA. Nursing students image of nurse and satisfaction with clinical practice. J Korean Acad Nurs Adm. 2004. 10(2):219–231.
16. Lee SJ. Level satisfaction on clinical practice of baccalaureate nursing students. J Nurs Acad Soc. 1980. 10(2):41–52.
17. Manz CC. The art of self-leadership: Strategies for personal effectiveness in your life and work. 1983. New Jersey: Prentice Hall.
18. Manz CC, Sims HP. Superleadership: beyond the myth of heroic leadership. Organ Dyn. 1991. 19(4):18–35.
19. Neck CP, Houghton JD. Two decades of self-leadership theory and research. J Manag Psychol. 2006. 21(4):270–295.
20. Neck CP, Stewart GW, Manz CC. Thought self-leadership as a framework for enhancing the performance of performance appraises. J Appl Behav Sci. 1995. 31(3):278–302.
21. Park AS. Relation of autonomy in clinical practice and satisfaction of student nurses. 2003. Gwangju: Chosun University;Unpublished master's thesis.
22. Park BS. Stress and satisfaction related to clinical practice by sex role identity among students. 2008. Kangwon: Kwandong University;Unpublished master's thesis.
23. Park MA. Self-leadership, stress on clinical practice, and stress coping styles in nursing students. 2009. Daegu: Kyungpook National University;Unpublished master's thesis.
24. Park KN, Park MK. A study on nurses' self-leadership, organizational commitment and the nursing performance. J Korean Acad Nurs Adm. 2008. 14(1):63–71.
25. Seomun GA, Chang SO, Cho KH, Kim IA, Lee SJ. The relation between self-leadership and outcome of nursing practice. J Korean Acad Nurs Adm. 2006. 12(1):151–158.
26. Whang SJ. Development and verification of a tool for the nursing students' clinical stress. J Margaret Pritchard Coll Nurs. 2002. 14(1):35–54.
27. Whang SJ. The relationship between clinical stress, self-efficacy, and self-esteem of nursing college students. J Korean Acad Soc Nurs Educ. 2006. 12(2):205–213.
28. Won JS, Kim KS, Kim KH, Kim WO, Yu JH, Jo HS, Jeong IS. The effect of foot massage on stress in student nurses in clinical practice. J Korean Acad Fundam Nurs. 2000. 7(2):192–207.
29. Zupiria Gorostidi X, Huitzi Egilegor X, Jose Alberdi Erice M, Jose Uranga Iturriotz M, Eizmendi Garate I, Barandiaran Lasa M, Sanz Cascante X. Stress sources in nursing practice. Evolution during nursing training. Nurse Educ Today. 2007. 27(7):777–787.
Similar articles