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Original Article

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

Journal of Korean Academy of Nursing Administration 2016;22(3):220-229.
Published online: June 30, 2016

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: December 18, 2015   • Revised: January 28, 2016   • Accepted: June 23, 2016

Copyright © 2016 Korean Academy of Nursing Administration

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.

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  • 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.

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

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Table 1

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

jkana-22-220-i001.jpg

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.jpg

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.jpg

Dependent variable: Quality of nursing service.

Table 4

Correlation between Variables

jkana-22-220-i004.jpg

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.jpg

Figure & Data

References

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

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

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

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

    Dependent variable: Self-leadership.

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

    Dependent variable: Quality of nursing service.

    Correlation between Variables

    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.

    Result of Stepwise Multiple Regression Analysis (N=230)

    Table 1 Difference in Study Variables between Groups according to Individual Characteristics (N=230)

    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)

    Dependent variable: Self-leadership.

    Table 3 Difference in the Quality of Nursing Service by Independent Variables: Two-way ANOVA (N=230)

    Dependent variable: Quality of nursing service.

    Table 4 Correlation between Variables

    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)

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