Journal List > J Korean Acad Nurs Adm > v.22(3) > 1051855

TOOLS
Song and Lee: The Effects of Hospital Nurses' Self-Esteem and Communication Skill on Self-Leadership and the Quality of Nursing Service
Original Article

Journal of Korean Academy of Nursing Administration 2016; 22(3): 220-229.

Published online: 30 June 2016

DOI: https://doi.org/10.11111/jkana.2016.22.3.220

The Effects of Hospital Nurses' Self-Esteem and Communication Skill on Self-Leadership and the Quality of Nursing Service

Hee-Jung Song1, Sang-Mi Lee2

1Kangbuk Samsung Hospital, Korea.

2Department of Nursing, Korea National Open University, Korea.

Corresponding author: Lee, Sang-Mi. Department of Nursing, Korea National Open University, 86 Dahak-ro, Jongno-gu, Seoul 03087, Korea. Tel: +82-2-3668-4706, Fax: +82-2-3673-4274, sangmi@knou.ac.kr

Received 18 December 2015       Revised 28 January 2016       Accepted 23 June 2016

Copyright © 2016 Korean Academy of Nursing Administration

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The objective of this study was to investigate the influence of hospital nurses' self-leadership, communication skill, and self-esteem on the quality of nursing service.

Methods

The participants, 230 nurses working at a general hospital in Seoul, completed a cross-sectional descriptive questionnaire survey between January 17 and 28, 2014. The collected data were analyzed using the SPSS 19.0 program for descriptive statistics, t-test, one way & two way ANOVA, correlation, and multiple regression analysis.

Results

Nurses' self-esteem and communication skill had significant main effects on self-leadership and the quality of nursing service, but the interaction effect of the two independent variables was not significant. Variables that significantly influenced the quality of nursing service were self-leadership, communication skill, self-esteem, and career longevity. The explanatory power of these variables for the quality of nursing service was 54.4%.

Conclusion

Findings indicate a need for education programs for nurses which are designed to promote communication skill and enhance self-esteem and self-leadership skills which will in turn enhance the quality of nursing service.

Keywords: Quality of nursing service, Self-leadership, Self-esteem, Communication skill

Figures and Tables

Table 1

Difference in Study Variables between Groups according to Individual Characteristics (N=230)

jkana-22-220-i001

ICU=Intensive Care Unit; ER=Emergency Room; Special dept.=OR (operating room), RR (recovery room), & NR (nursery room).

Table 2

Difference in Self-leadership by Independent Variables: Two-way ANOVA (N=230)

jkana-22-220-i002

Dependent variable: Self-leadership.

Table 3

Difference in the Quality of Nursing Service by Independent Variables: Two-way ANOVA (N=230)

jkana-22-220-i003

Dependent variable: Quality of nursing service.

Table 4

Correlation between Variables

jkana-22-220-i004

1=Self-esteem; 2=Communication skill; 3=Self-leadership; 3-1=Self-expectation; 3-2=Rehearsal; 3-3=Goal-setting; 3-4=Self-compensation; 3-5=Self-criticism; 3-6=Constructive thinking; 4=Nursing service quality; 4-1=Tangibles; 4-2=Reliability; 4-3=Responsiveness; 4-4=Assurance; 4-5=Empathy.

Table 5

Result of Stepwise Multiple Regression Analysis (N=230)

jkana-22-220-i005

Notes

This article is a condensed version of the first author's master's thesis from Korea National Open University.

References

1. Kim EJ, Lee JK. The effects of organizational culture and selfleadership on oranizational effectiveness. Korean Corp Manage Rev. 2010; 33:81–101.
2. Choi Y. A Theory of self-leadership. Hongik Fac J. 2002; 12:917–930.
3. Bae JY. The relationships among the level of communication competence, the types of communication, and the level of nursing performance [master's thesis]. Busan: Kosin University;2009.
4. Park SH. A Study on the organizational commitment and job satisfaction of pilots and maintenance soldiers via communication style [master's thesis]. Seoul: Yonsei University;2005.
5. Oh SY, Park SN. The changes of self - esteem and leadership during two years in nursing students. J Korean Acad Soc Nurs Educ. 2010; 16(2):186–193. DOI: 10.5977/jkasne.2010.16.2.186.
6. Choi CW. Influencing factors of youth leadership life skills. J Sookmyung Glob Leadersh. 2006; 4:21–53.
7. Rosenberg M. Society and the adolescent self-image. Princeton, N.J.: Princeton University Press;1965.
8. Kang YS, Choi YJ, Park DL, Kim IJ. A study on nurses' selfleadership, self-esteem, and organizational effectiveness. J Korean Acad Nurs Adm. 2010; 16(2):143–151. DOI: 10.11111/jkana.2010.16.2.143.
9. Yeo HK. The effects to organizational performance of the human resource management (HRM) and employee's self-esteems on tourism business. J Tourism Leis Res. 2010; 22(3):347–365.
10. Han SH, Yu HS. College women's self-leadership, stress of clinical practice and self disclosure in an area. J Korean Acad Soc Nurs Educ. 2012; 18(1):131–140. DOI: 10.5977/jkasne.2012.18.1.131.
11. Kim UJ, Lim JY, Choi KW. Relations among the decision making style, self-leadership and communication competence of visiting nurses. J Korea Contents Assoc. 2011; 11(10):324–332. DOI: 10.5392/JKCA.2011.11.10.324.
12. Min S, Jeong YJ, Kim HS, Ha SY, Ha YJ, Kim EA. The moderating effect of self-leadership in relationship between self-image and work performance of nurses. J Korean Acad Nurs Adm. 2009; 15(3):355–364.
13. Han Y, Park YR. Effects of self-leadership and job involvement on clinical competence in general hospital nurses. J Korean Acad Nurs Adm. 2013; 19(4):462–469. DOI: 10.11111/jkana.2013.19.4.462.
14. 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.
15. Sung YH, Kwon IG, Kim MK. A study on the perception gap in clinical nursing service between customers and providers. Clin Nurs Res. 2006; 12(1):109–123.
16. Kim HK. Factors influencing the service of nurses in hospitals. J Korean Acad Adult Nurs. 2006; 18(4):593–602.
17. Korean Nurses Association. Korea nurses code of ethics [Internet]. updated Feb 2, 2014. cited 2015 Dec 2. Available from: http://www.koreanurse.or.kr/about_KNA/ethics.php.
18. Lee MA. A study of the nursing service perceived by consumers and providers, and the tool that measures nursing service. J Korean Acad Nurs. 2003; 33(6):772–783.
19. Joseph JC Jr, Taylor SA. Measuring service quality: A reexamination and extension. J Mark. 1992; 56:55–68. DOI: 10.2307/1252296.
20. Manz CC. The art of self-leadership: strategies for personal effectiveness in your life and work. Englewood Cliffs, N.J.: Prentice-Hall;1983.
21. Kim HS. The relationship between teacher' self-leadership and the job satisfaction at secondary schools [maser's thesis]. Seoul: Soongsil University;2003.
22. Jon BJ. Self-esteem: A test of its measurability. Yonsei Nonchong. 1974; 11(1):107–130.
23. Sin YS. The Influence of self-leadership education programs upon participants' personal relations and self-esteem [master's thesis]. Seoul: Chungang University;2011.
24. Hur GH. Construction and validation of a global interpersonal communication competence scale. Korean J Journal Commun Stud. 2003; 47(6):380–408.
25. Kim KS, Ha EH. Factors affecting quality of nursing services and intention to revisit as perceived by hospitalized patients and nurses in medium sized urban hospitals. J Korean Clin Nurs Res. 2009; 15(2):103–114.
26. Im SI, Park J, Kim HS. The effects of nurse's communication and self-leadership on nursing performance. Korean J Occup Health Nurs. 2012; 21(3):274–282. DOI: 10.5807/kjohn.2012.21.3.274.
27. Lee HS. Effect of the occupational stress and self esteem on mental health among nurses. J Korea Contents Assoc. 2013; 13(3):251–259. DOI: 10.5392/JKCA.2013.13.03.251.
28. Coopersmith S. The antecedents of self-esteem. San Francisco: W. H.: Freeman;1967.
29. Lee AK, Yeo JY, Jung SW, Byun SS. Relations on communication competence, job-stress and job-satisfaction of clinical nurse. J Korea Contents Assoc. 2013; 13(12):299–308. DOI: 10.5392/JKCA.2013.13.12.299.
30. Kim HS, Lee R. Studies on leadership-related factors of college students. Educ Rev. 2006; 25:167–181.
TOOLS
Similar articles