Journal List > J Korean Acad Nurs Adm > v.19(4) > 1051704

Oh, Lee, and Sung: Interpersonal Relations, Hope, Professional Self-concept and Turnover Intention according to Adult Attachment Styles in Early Stage Nurses



This study was done to examine interpersonal relations, hope, professional self-concept and turnover intention according to adult attachment styles in early stage nurses.


A survey using a structured questionnaire was conducted with 245 nurses who work in one of six general hospitals. Additionally, a qualitative method was used to obtain data on experiences in interpersonal relations. Data were analyzed using SPSS/WINdows 14.0 and qualitative data from open question in the survey questionnaire were analyzed using content analysis.


There was a significant difference in interpersonal relations, hope, and professional self-concept according to adult attachment styles. In the interpersonal relation of early stage nurses, 8 themes were identified, of which the most frequent were: a comfortable relationship with my co-workers (43%) and stress from the relationship (34%).


Findings from this study should be useful in the development of programs to promote adult attachment and professional self-concept for early stage nurses.

Figures and Tables

Figure 1
Adult attachment styles of early stage nurses.
Table 1
General Characteristics and Adult attachment styles of Early Stage Nurses (N=245)

*Comparison of security and fearful attachment styles; Fisher's exact test.

Table 2
Interpersonal Relationship Experiences of Early Stage Nurses
Table 3
Comparison of Interpersonal Relations, Hope, Professional Self-concept, and Turnover Intention according to Participants' Attachment Style (N=245)

a>b>c: Scheffe test.


This article was an added part of the second author's master's thesis from Gyeongsang National University.


1. An HY, Seo YS. Group clustering by adult attachment disconnection/rejection schemas and group differences in depression, anxiety, and interpersonal problems. Korean J Couns Psychother. 2011; 23:943–969.
2. Arthur D. Measuring the professional self-concept of nurses: A critical review. J Adv Nurs. 1992; 17:712–719.
3. Brennan KA, Clark CL, Shaver PR. Self-report measurement of adult attachment. In : Simpson A, Rholes WA, editors. Attachment theory and close relationships. New York: Guilford Press;1998. p. 46–76.
4. Chang HS. The association between self-esteem, relationship style, and etiquette implementation in adolescence. Seoul, Korea: Sungshin Women's University;2006. Unpublished master's thesis.
5. Cho HJ. The effects of hope on life stress, psychopathology and life satisfaction. Korean J Clin Psychol. 2010; 29:839–852.
6. Choi SS. A correlational study on spiritual wellness, hope and perceived health status of urban adults. Seoul, Korea: Yonsei University;1990. Unpublished doctoral dissertation.
7. Er KS, Hur HK, Kim KK, Cho YJ, Kim EH, Kim SJ. The relationship between job characteristics, job satisfaction, and intents to leave among hospital nurses. Clin Nurs Res. 2004; 9(2):81–92.
8. Erickson EH. Childhood and society. New York: Norton;1950.
9. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007; 39(2):175–191.
10. Gardner H. Multiple intelligence: The theory in practice. New York: Basic Books;1995.
11. Guerney BG. Relationship enhancement: Skill-training program for therapy, problem prevention and enrichment. San Francisco, CA: Jossey-Bass;1977.
12. Hospital Nurses Association. 2010 Actual condition survey report of nurse staffing. 2011. Retrieved March 9, 2011. from
13. Hwang E, Choi HK. Effect of couple attachment on the male young adult's job attachment and job quality. Korean J Dev Psychol. 2002; 15(1):123–146.
14. Hwang KO. The relationship between attachment style, identity and interpersonal relation tendency of university students. J Stud Guid Wonkang Univ. 2001; 22:135–156.
15. Jang HJ, Yang SO, Lee MO. Professional self-concept and self-efficacy according to the need for advanced practice nurse among Korean nurses. J Korean Acad Fundam Nurs. 2007; 14(1):110–119.
16. Jeon JI, Kim JH. Professional self-concept, job satisfaction and turnover intention of nurses in small-medium sized hospitals. Poster session presented at the annual meeting of the Society for Scholarly Publishing. Busan: 2010.
17. Jeong SJ, Kim SJ. The relationship of communication types, interpersonal relations, and depression for nurses in hospital setting. Chonnam J Nurs Sci. 2009; 14(1):131–145.
18. Jung OB, Jung SH, Hwang HJ. Attachment and development. Seoul: Hakjisa;2009.
19. Kim CH. The relation between daily stress and emotional experience on the adjustment of middle-aged woman: Impacts of psychological and social resources. Korean J Couns Psychother. 1992; 4(1):54–68.
20. Kim MH. A study on ego-identity, interpersonal relations ability, and adjustment in nursing students. J Korean Acad Psychiatr Ment Health Nurs. 2008; 17(1):55–64.
21. Kim YJ. The effects of interpersonal caring behaviors on self-esteem, hope and life quality of inpatients with mental disorder. Seoul, Korea: Ewha Womans University;2004. Unpublished master's thesis.
22. Koo BJ. The influence of resilience, hope, marital intimacy, and family support on quality of life for middle-aged woman. J Korean Acad Psychiatr Ment Health Nurs. 2008; 17(4):421–430.
23. Lawler EE. Satisfaction and Behavior. New York: Mc-Graw Hill;1983.
24. Lee SH. A study on the relationship between professional self-concept, self-efficacy and job satisfaction inclinical nurses. J Korean Acad Adult Nurs. 2008; 20(1):10–20.
25. Moon SM. A study on the effect of human relations training of university students. J Gyungsang Natl Univ. 1980; 19:195–203.
26. Nowotny ML. Assessment of hope in patients with cancer: Development of an instrument. Oncol Nurs Forum. 1989; 16(1):57–61.
27. Oh EJ, Sung KM. Nurse's organizational commitment, job satisfaction and stress according to their adult attachment styles. J East West Nurs Res. 2011; 17(2):117–124.
28. Oh JA. A study on mother's adult attachment, empathy ability and parent-child relationships. Seoul, Korea: Sookmyung Women's University;2007. Unpublished master's thesis.
29. Park HS. Relationship between perceived nursing care role orientation, job characteristics, and turnover among nurse. Seoul, Korea: Yonsei University;2002. Unpublished master's thesis.
30. Sohng KY, Noh CH. An analytical study of the professional self-concept of hospital nurses in Korea. J Nurs Acad Soc. 1996; 26(1):94–106.
31. Synder CR, Cheavens J, Sympson SC. Hope: An individual motive for social commerce. Group Dyn. 1997; 1:107–118.
32. Yeun EJ, Kim HJ. Development and testing of a nurse turnover intention scale. J Korean Acad Nurs. 2013; 43(2):256–266.
33. Yoon GS, Kim SY. Influences of job stress and burnout on turnover intention of nurses. J Korean Acad Nurs Adm. 2010; 16(4):507–516.
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