Journal of Industrial Convergence (산업융합연구)

DAEHAN Society of Industrial Management (대한산업경영학회)
권호 표지
DOI QR코드

DOI QR Code

Path Analysis of Self-Esteem, Empathy, Depression, and Major Satisfaction in Nursing Students

간호대학생의 자아존중감, 공감, 우울과 전공만족도 간의 경로분석

  • Received : 2023.09.23
  • Accepted : 2023.12.20
  • Published : 2023.12.28
Download PDF
⟨ Previous Next ⟩

Abstract

This study aimed to identify the impact of major variables such as self-esteem, empathy, and depression on major satisfaction among nursing students, construct a hypothesis model, and identify direct and indirect effects through path analysis. Data were collected from 200 nursing students between 2 March and 30 March, 2023 from two universities in C-Do, data were analyzed with SPSS 26.0 and AMOS 23.0. In the final model, self-esteem (𝛽=.29, p=.001), empathy (𝛽=.49, p=.001), and depression (𝛽=-.21, p=.032) had a direct effect on major satisfaction. Additionally, self-esteem (𝛽=.12, p=.031) had an indirect effect on major satisfaction through depression. The explanatory power of empathy, self-esteem, and depression for major satisfaction was confirmed to be 36%. Increasing self-esteem and empathy will not only directly increase major satisfaction, but indirectly lowering depression and increasing self-esteem will also increase major satisfaction. Therefore, when developing a nursing education program that increases nursing students satisfaction with their major, it is necessary to develop cognitive behavioral strategies that can increase self-esteem and empathy and reduce depression.

본 연구는 간호대학생을 대상으로 자아존중감, 공감과 우울의 주요 변인이 전공만족도에 미치는 영향을 규명하고 가설모형을 구축하여 경로분석을 통해 직·간접영향을 파악하기 위해 시도되었다. 본 연구는 2023년 3월 2일 부터 3월 30일까지 C도에 소재한 2개의 대학 200명을 대상자로, 자료분석은 SPSS 26과 AMOS 23으로 하였다. 최종 모델에서 자아존중감(𝛽=.29, p=.001), 공감(𝛽=.49, p=.001), 우울(𝛽=-.21, p=.032)이 전공만족도에 직접적인 영향을 미쳤으며 자아존중감(𝛽=.12, p=.031)은 우울을 매개하여 전공만족도에 간접효과를 나타났다. 전공만족도에 대한 공감, 자아존중감, 우울의 설명력은 36%로 확인되었다. 자아존중감과 공감을 높이는 것은 직접적으로 전공만족도를 높일 뿐만 아니라 간접적으로 우울을 낮춰 자아존중감을 높이면 전공만족도를 높일 수 있을 것이다. 따라서, 간호대학생의 전공만족도를 높이는 간호교육프로그램 개발 시 자아존중감, 공감을 높이고 우울은 낮출 수 있는 인지행동전략을 개발해야 할 것이다.

Keywords

References

  1. S. H. Paik & W. J. Shim. (2013). Tracking and College Major Choices in Academic High Schools in South Korea. The Asia-Pacific Education Researcher, 22(4), 389-397. DOI : 10.1007/s40299-012-0035-z.
  2. S. H. Yoon & S. H. Song. (2020). The mediation effect of satisfaction with major regarding the effect of major selection motive on career preparation behaviors-focused on art, music, and physical education students. The Journal of the Korea Contents Association, 20(4), 591-600. DOI : 10.5392/JKCA.2020.20.04.591.
  3. J. S. Jung, M. J. Jeong, & I. Y. Yoo. (2014). Relations between satisfaction in major, career decision-making self-efficacy and career identity of nursing students. The Journal of Korean academic society of nursing education, 20(1), 27-36. DOI : 10.5977/jkasne.2014.20.2.244.
  4. S. M. Park, J. L. Lee, & S. Y. Yu. (2023). The effects of academic stress, social network service addiction tendency, and upward social comparison on depression in nursing students. Journal of Korean Academic Society of Nursing Education, 29(1), 41-50. DOI : 10.5977/jkasne.2023.29.1.41.
  5. J. W. Lee, N. Y. Lee, & Y. S. Eo. (2018). Path analysis of major satisfaction, clinical competence, career decision-making self-efficacy, and career decision level in undergraduate nursing students. Journal of the Korea Academia-Industrial cooperation Society, 19(1), 311-320. DOI : 10.5762/KAIS.2018.19.1.311.
  6. S. H. Kim & M. J. Baek. (2019). A Meta-analysis of the Variables related to the Major Satisfaction of Nursing students. Journal of Korean Public Health Nursing, 33(3), 409-419. DOI : 10.5932/JKPHN.2019.33.3.409.
  7. M. Rosenberg. (2015). Society and the adolescent self-image. Princeton, N. J.: Princeton university press.
  8. S. Bhattacharya, M. Kennedy, C. Miguel, A. Troger, S. G. Hofmann, & P. Cuijpers. (2023). Effect of psychotherapy for adult depression on selfe-steem: A systematic review and meta-analysis. Journal of Affective Disorders. DOI : 10.1016/j.jad.2023.01.047.
  9. S. Y. Lim, S. Y. Kim, & H. M. Choi. (2015). The Relationships of Major Satisfaction, Self-Esteem and Nursing Professionalism of the Nursing College Students. The Journal of the Convertgence on Culture Technology, 1(2), 45-51. https://doi.org/10.17703/JCCT.2015.1.2.45
  10. S. Del Canale et al. (2012). The relationship between physician empathy and disease complications: an empirical study of primary care physicians and their diabetic patients in Parma, Italy. Academic Medicine, 87(9), 1243-1249. DOI : 10.1097/ACM.0b013e3182628fbf.
  11. F. Ahrweiler, M. Neumann, H. Goldblatt, E. G. Hahn, & C. Scheffer. (2014). Determinants of physician empathy during medical education: hypothetical conclusions from an exploratory qualitative survey of practicing physicians. BMC Medical Education, 14, 1-12. DOI : 10.1186/1472-6920-14-122.
  12. P. Bas-Sarmiento, M. Fernandez-Gutierrez, M. Baena-Banos, A. Correro-Bermejo, P. S. Soler-Martins, & S. de la Torre-Moyano. (2020). Empathy training in health sciences: A systematic review. Nurse Education in Practice, 44, 102739. DOI : 10.1016/j.nepr.2020.102739.
  13. Y. S. Song. (2018). Clinical practice stress and burnout in nursing students: the mediating effect of empathy. The Journal of Korean academic society of nursing education, 24(4), 406-414. DOI : 10.5977/jkasne.2018.24.4.406.
  14. W. M. Chernomas & C. Shapiro. (2013). Stress, depression, and anxiety among undergraduate nursing students. International Journal of Nursing Education Scholarship, 10(1), 255-266. DOI : 10.1515/ijnes-2012-0032.
  15. M. Hughes, A. Kenmir, J. Innis, J. O'Connell, & K. Henry. (2020). Exploring the transitional experience of first-year undergraduate nursing students. Journal of Nursing Education, 59(5), 263-268. DOI : 10.3928/01484834-20200422-05.
  16. E. H. Hwang & J. H. Kim. (2022). Factors affecting academic burnout of nursing students according to clinical practice experience. BMC Medical Education, 22(1), 346. DOI : 10.1186/s12909-022-03422-7.
  17. B. R. Bae. (2011). In: Structural equation modeling with AMOS 19. Seoul: Chungram Publishing.
  18. Y. J. Ha. (2005). The relationship among self-esteem, internal locus of control, and psychological well-being : focusing on males and females in their 20s and 30s, master's thesis, Yonsei University, Seoul
  19. M. H. Davis. (1980). A multidimensional approach to individual differences in empathy .
  20. I. I. Kang et al. (2009). Reliability and validity of the Korean-version of Interpersonal Reactivity Index. Journal of Korean Neuropsychiatric Association, 48(5), 352-358.
  21. L. S. Radloff. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401. https://doi.org/10.1177/014662167700100306
  22. G. G. Jeon, S. J. Choi, & B. J. Yang. (2001). Development of an integrated Korean version of CES-D. Korean journal of health psychology, 6(1), 59-76.
  23. H. S. Ha & K. H. Kim. (2000). A Study of Department Satisfaction Factors of Undergraduate Students. Korea Journal of Counseling, 1(1), 7-20.
  24. J. H. Park & S. K. Chung. (2015). The Relationship among Self-esteem, Empathy, Communication Skill and Clinical Competency of Nursing Students. Journal of the Korea Academia-Industrial cooperation Society, 16(11), 7698-7707. DOI : 10.5762/KAIS.2015.16.11.7698.
  25. Y. H. Hwang & S. J. Park. (2020). The effects of empathy and self concept on problem solving: Focusing on the mediating effect of communication of nursing students. Korean Academic Society of Nursing Education, 26(4), 348-356. DOI : 10.5977/jkasne.2020.26.4.348.
  26. M. S. Kim. (2022). The Influence of Academic Self-efficacy, Empathy and Communication Skills on Problem Solving Ability in Nursing Students. Journal of East-West Nursing Research 28(2), 104-111. DOI : 10.14370/jewnr.2022.28.2.104.
  27. Y. S. Lee. (2022). Influence of Empathy, Communication competence, and Self-esteem on Interpersonal satisfaction among Nursing students. Journal of Learner-Centered Curriculum and Instruction 22(12), 865-875. DOI : 10.22251/jlcci.2022.22.12.865.
  28. K. Park. (2022). Effects of Nursing Students' Depression, Fatigue and Clinical Practice Satisfaction on Stress of Clinical Practice in the COVID-19. The Journal of Humanities and Social science, 13(5), 3287-3300. DOI : 10.22143/HSS21.13.5.228.
  29. H. N. Go. (2022). The Effects of Smartphone Addiction and Self-Esteem on Depression in Nursing Students. Journal of the Korea Academia-Industrial cooperation Society, 23(12), 485-493. DOI : 10.5762/KAIS.2022.23.12.485.
  30. Y. Sonmez, M. Akdemir, A. Meydanlioglu, & M. R. Aktekin. (2023). Psychological distress, depression, and anxiety in nursing students: A longitudinal study. Healthcare, 11(5), 636. DOI : 10.3390/healthcare11050636
  31. K. E. Lee. (2020). The Effects of Self-esteem and Major Satisfaction on Interpersonal Relationship Ability of Nursing Students Who Have Experienced Clinical Practice. Journal of Muscle and Joint Health, 27(3), 316-324. DOI : 10.5953/JMJH.2020.27.3.316.
  32. Y. C. Kwon, C. Y. Jeong, & Y. S. Seo. (2018). Validation of a Path Model for Subjective Happiness of Nursing Students. Journal of Digital Convergence, 16(1), 197-206. DOI : 10.14400/JDC.2018.16.1.197.
  33. J. H. Kim. (2018). Factors influencing nursing students' empathy. Korean Journal of Medical Education, 30(3), 229-236. DOI : 10.3946/kjme.2018.97.
  34. P. Bahroodi, R. Zeighami, & A. Sheidaei. (2023). Path analysis of factors affecting depression in medical students. Psychology in the Schools, 60(4), 1249-1261. DOI : 10.1002/pits.22830.
  35. S. H. Shin, O. J. Baek, & E. H. Lee. (2023). Effects of Nursing Work Environment, Need Satisfaction, and Depression on Turnover Intention in Korea. Healthcare, 11(12), 1698. DOI : 10.3390/healthcare11121698.