The Effect of Self-leadership and Communication Barriers on Nursing Performance in Hospital Nurses

병원간호사의 셀프리더십, 의사소통 장애가 간호업무성과에 미치는 영향

  • Received : 2019.02.15
  • Accepted : 2019.04.12
  • Published : 2019.05.31


Purpose: The purpose of this study was to identify factors influencing nursing performance in hospital nurses. Methods: The participants were 194 nurses working in one general hospitals in B cities. Data were collected from January 30 to March 30, 2018. SPSS/WIN 18.0 was used for analysis with t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficients and Stepwise multiple regression. Results: There was a significant correlation between nursing performance and self-leadership (r=.59, p<.001) and communication barriers (r=.35, p<.001). In the multiple regression, self-leadership (${\beta}=.50$, p<.001), position (${\beta}=.15$, p=.011) and communication barriers (${\beta}=.16$, p=.014) were associated with nursing performance. These factors accounted for 37% of the total variance in nursing performance. Conclusion: Considering the results of this study, educational programs to improve self-leadership and communication barriers should be developed and implemented in order to foster nursing performance in hospital nurses.

표 1. 대상자의 인구사회학적 및 직무 관련 특성 Table 1. General Characteristics

GJMGCK_2019_v5n2_239_t0001.png 이미지

표 2. 대상자의 셀프리더십, 의사소통 장애 및간호업무성과정도 Table 2. Degree of Self-leadership, Communication Barrier, and Nursing Performance

GJMGCK_2019_v5n2_239_t0002.png 이미지

표 3. 대상자의 일반적 특성에 따른 간호업무성과 정도의 차이 Table 3. Differences in Nursing Performance by General Characteristics

GJMGCK_2019_v5n2_239_t0003.png 이미지

표 4. 대상자의 셀프리더십, 의사소통 장애 및 간호업무성과 정도의 상관관계 Table 4. Correlations between Self-leadership, Communication Barrier, and Nursing Performance

GJMGCK_2019_v5n2_239_t0004.png 이미지

표 5. 대상자의 간호업무성과 영향요인 Table 5. Factors Influence Nursing Performance

GJMGCK_2019_v5n2_239_t0005.png 이미지


  1. Han, Hye-Yui, Lee, Ji-Young, Jang, Insun. The moderating effects of social support between emotional labor and job satisfaction in clinical nurses. Korean Journal of Occupational Health Nursing. Vol. 24, No. 4, pp. 331-339, 2015.
  2. B. S. Yoon, & D. B. Kim. A study on the status of Korean medical service industry and the promotion strategy. The Journal of Professional Management. 11, pp. 107-139, 2008.
  3. Ko, Yu-Kyung, Lee, Tae-Wha, Lim, Ji-Young. Development of a performance measurement scale for hospital nurses. Journal of Korean Academy Nursing. Vol. 37, No. 3, pp. 286-294, 2007.
  4. Oh, E. H., & Chung, B. Y. The effect of empowerment on nursing performance, job satisfaction, organizational commitment, and turnover intention in hospital nurses. Journal of Korean Academy Nursing Administration. Vol. 17, No. 4, pp. 391-401, 2011.
  5. Yoon, U. J. A study on organizational characteristics and efficiency on work performance-especially hospital nursing organization. Unpublished master's thesis, Daegu University, Daegu. 1995.
  6. Cho, K. H. The influence of self-leadership about job-satisfaction and outcome of nursing practice. Unpublished master's thesis, Korea University, Seoul. 2003.
  7. Son, Y. J., Lee, Y. A., Sim, K. N., Kong, S. S., Park, Y. S. Influence of communication competence and burnout on nursing performance of intensive care units nurses. Journal of Korean Academy of Fundamentals of Nursing. Vol. 20, No. 3, pp. 278-288, 2013.
  8. Ahn, M. K. The effect of nurse's job stress on hea;th practice behavior. Unpublished master's thesis, Yonsei University, Seoul. 2003.
  9. T. C. DiLiello & J. D. Houghton. Maximizing organizational leadership capacity for the future: Toward a model of self-leadership, innovation and creativity. Journal of Managerial Psychology. Vol. 21, No. 4, 319-337, 2006.
  10. Im, S. L., Park, J., Kim, H. S. The effects of nurse's communication and self-leadership on nursing performance. Korean Journal of Occupational Health Nursing. Vol. 21, No. 3, 272-282, 2012.
  11. Manz, C. C., & Neck, C. P. Mastering self-leadership: empowering yourself for personal excellence. 3rd ed. Prentice Hall; 192p, 2004.
  12. Kang, Y. S., Choi, Y. J., Park, D. L., Kim, I. J. A study on nurses self-leadership, self-esteem, and organizational effectiveness. The Journal of Korean Nursing Administration Academic Society. Vol. 16, No. 2, 143-151, 2010.
  13. Seomun, G. A. The relationship of self-leadership, job satisfaction and perceived outcome in nurses. The Journal of Korean Nursing Administration Academic Society. Vol. 11, No. 1, 45-58, 2005.
  14. American Association of Critical Care Nurse. AACN standards for establishing and sustaining healthy work environments: A journey to excellence. American Journal of Critical-Care Nurse. 14, 187-197, 2005.
  15. Schmalenberg, G., & Kramer, M. Nuese-physician relationships in hospital: 20000 nurse tell their story. Critical Care Nurse, 29, 74-83, 2009.
  16. Woloshynowych, M., Davis, R., Brown, R., & Vincene, C. Communication patterns in a UK emergency department. Annals of Emergency Medicine, Vol. 50, No. 4, 407-413, 2007.
  17. Mundt, M. P., Agneessens, F., Tuan, W. J., Zakletskaia, L. J., Kamnetz, S. A., & Gilchrist, V. J. Primary care team communication networks, team climate, quality of care, and medical costs for patients with diabetes: A cross-sectional study. International Journal of Nursing Sudies. Vol. 58, No. 1, 1-11. 2016.
  18. Mrayan, M., Al-Faouri, I. (2008). Predictors of career commitment and job performance of Jordanian nurses. Journal of Nursing Management, Vol. 16, No. 3, 246-256.
  19. Won, Youn-Hui & Kang, Jiyeon. Intensive care unit nurse's communication experience. Korean Journal of Adult Nursing. Vol. 26, No. 3, 352-361, 2014.
  20. Kim, J., Kim, K., Chung, H., Kwak, Y. The influence of communication barriers on nursing performance of intensive care units nurses. Journal of Wellness. Vol. 12, No. 1, 45-55, 2017.
  21. Manz, C. C. The art of self-leadership: strategies for personal effectiveness in your life and work. 1st ed. Prentice Hall; 115p, 1983.
  22. Kim, H. S. The relationship between teacher's self-leadership and the job satisfaction at secondary schools. Unpublished master's thesis, Soongsil University, Seoul. 2002. 80p.
  23. Chang, Sung-Ok, Park, Young-Joo. The study on the communication barrier for nurses in clinical settings. Journal of Korean Academy of Fundamentals of Nursing. Vol. 6, No. 1, 130-140, 1999.
  24. Kim, Soon Hee. Factors affecting communication between cancer patient and nurses. Unpublished master's thesis, Yeungnam University, Daegu. 2009.
  25. Ahn, Jung Won, Kim, Keum Soon. ICU nurses' perceptions of communication difficulties, importance, satisfaction and communication barrier with patient families. Perspectives in Nursing Science. Vol. 10, No. 1, 12-23, 2013.
  26. Ko, Yu Kyung, Lee, Tae Wha, Lim, Ji Young. Development of a performance measurement scale for hospital nurses. Journal of Korean Academy Nursing. Vol. 37, No. 3, 286-294, 2007.
  27. Han, A-Leum, Kwon, Suhye. Effects od self-leadership and self-efficacy on nursing performance of nurses working in long-term care hospitals. Journal of Korean Gerontol Nursing. Vol. 18, No. 1, 12-21, 2016.