Journal of Korean Academy of Nursing

Research Paper

Effects of a nursing leadership program on self-leadership, interpersonal relationships, clinical performance, problem-solving abilities, and nursing professionalism among nursing students in South Korea: a quasi-experimental study: Sunmi Kim, Young Ju Jeong, Hee Sun Kim, Seok Hee Jeong, Eun Jee Lee; J Korean Acad Nurs 2025;55(1):137-151. Published online February 25, 2025; DOI: https://doi.org/10.4040/jkan.24110

Abstract PDF ePub: Purpose
This study investigated the effects of a nursing leadership program on self-leadership, interpersonal relationships, clinical performance, problem-solving abilities, and nursing professionalism among nursing students in South Korea.
Methods
A quasi-experimental study was conducted. The Practice-Driven Nursing Leadership Program for Students (PDNLP-S) was developed based on the ADDIE model (analysis, design, development, implementation, and evaluation). This quasi-experimental study design included 60 nursing students. The experimental group (n=30) participated in the PDNLP-S for 120-minute sessions over 5 weeks, while the control group (n=30) received usual lectures. The PDNLP-S included lectures, discussions, and individual and group activities to cultivate core nursing leadership competencies such as individual growth, collaboration, nursing excellence, creative problem-solving, and influence. Data were analyzed using descriptive statistics, the Mann-Whitney U-test, and the independent t-test with IBM SPSS Windows ver. 26.0.
Results
The experimental group demonstrated significant improvements in self-leadership (t=3.28, p=.001), interpersonal relationships (t=3.07, p=.002), clinical performance (U=268.50, p=.004), and problem-solving abilities (t=2.20, p=.017) compared to the control group. No significant difference was observed in nursing professionalism (t=0.50, p=.311).
Conclusion
This study demonstrates that the PDNLP-S improved nursing students’ self-leadership, interpersonal relationships, clinical performance, and problem-solving abilities. The PDNLP-S can play a significant role in cultivating future nurse leaders by enhancing these nursing leadership competencies among nursing students.

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Original Articles

An Explanatory Model for Sleep Disorders in People with Cancer: Hee Sun Kim, Eui Geum Oh; J Korean Acad Nurs 2011;41(4):460-470. Published online August 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.4.460

Abstract PDF

Purpose

The aim of this study was to develop and test an explanatory model for sleep disorders in people with cancer. A hypothetical model was constructed on the basis of a review of previous studies, literature, and sleep models, and 10 latent variables were used to construct a hypothetical model.

Methods

Data were collected from April 19 to June 25, 2010, using self-report questionnaires. The sample was 291 outpatients with cancer who visited the oncology cancer center at a university hospital. Collected data were analyzed using SPSS Win 15.0 program for descriptive statistics and correlation analysis and AMOS 7.0 program for covariance structural analysis.

Results

It appeared that overall fit index was good as χ²/df=1.162, GFI=.969, AGFI=.944, SRMR=.052, NFI=.881, NNFI=.969, CFI=.980, RMSEA=.024, CN=337 in the modified model. The explanatory power of this model for sleep disorders in people with cancer was 62%. Further, sleep disorders were influenced directly by cancer symptom experience, dysfunctional beliefs and attitudes about sleep, and past sleep pattern.

Conclusion

Findings suggest that nurses should assess past sleep pattern and consider the development of a comprehensive nursing intervention program to minimize the cancer symptom experience, dysfunctional beliefs and attitudes about sleep, and thus, reduce sleep disorders in people with cancer.

Citations

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Suna Lee, Eunjung Ryu
Asian Oncology Nursing.2021; 21(3): 173. CrossRef
Sleep Pattern and Factors Causing Sleep Disturbance in Adolescents with Cancer before and after Hospital Admission
Jin Jung, Eun-Hye Lee, You-Jin Yang, Bo-Yoon Jang
Asian Oncology Nursing.2017; 17(3): 143. CrossRef
Symptom Clusters in Korean Patients With Metastatic Cancer Undergoing Palliative Chemotherapy
Hee Sun Kim, Miok Kim, Seon Heui Lee
Journal of Hospice & Palliative Nursing.2016; 18(4): 292. CrossRef
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Hee Sun Kim, Eui Geum Oh, Hyangkyu Lee, Soo Hyun Kim, Hyun Kyung Kim
European Journal of Oncology Nursing.2015; 19(6): 644. CrossRef
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Asian Oncology Nursing.2012; 12(1): 84. CrossRef

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Identification and Validation of Symptom Clusters in Patients with Hepatocellular Carcinoma: Myung Sook Cho, In Gak Kwon, Hee Sun Kim, Kyunghee Kim, Eunjung Ryu; J Korean Acad Nurs 2009;39(5):683-692. Published online October 31, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.5.683

Abstract PDF

Purpose

The purpose of this study was to identify cancer-related symptom clusters and to validate the conceptual meanings of the revealed symptom clusters in patients with hepatocellular carcinoma.

Methods

This study was a cross-sectional survey and methodological study. Patients with hepatocellular carcinoma (N=194) were recruited from a medical center in Seoul. The 20-item Symptom Checklist was used to assess patients' symptom severity. Selected symptoms were factored using principal-axis factoring with varimax rotation. To validate the revealed symptom clusters, the statistical differences were analyzed by status of patients' performance status, Child-Pugh classification, and mood state among symptom clusters.

Results

Fatigue was the most prevalent symptom (97.4%), followed by lack of energy and stomach discomfort. Patients' symptom severity ratings fit a four-factor solution that explained 61.04% of the variance. These four factors were named pain-appetite cluster, fatigue cluster, itching-constipation cluster, and gastrointestinal cluster. The revealed symptom clusters were significantly different for patient performance status (ECOG-PSR), Child-Pugh class, anxiety, and depression.

Conclusion

Knowing these symptom clusters may help nurses to understand reasonable mechanisms for the aggregation of symptoms. Efficient symptom management of disease-related and treatment-related symptoms is critical in promoting physical and emotional status in patients with hepatocellular carcinoma.

Citations

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Symptom clusters and network analysis of patients with intermediate and advanced liver cancer treated with targeted immunotherapy
Mei Chen, Shan Li, Guangzhi Jin, Rui Li, Zhi Qi, Yalun He
Supportive Care in Cancer.2024;[Epub] CrossRef
Anxiety and depression prevalence in digestive cancers: a systematic review and meta-analysis
Mohammad Zamani, Shaghayegh Alizadeh-Tabari
BMJ Supportive & Palliative Care.2023; 13(e2): e235. CrossRef
Symptom Clusters in Patients with Non-Hodgkin’s Lymphoma Receiving Chemotherapy
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Asian Oncology Nursing.2022; 22(2): 93. CrossRef
Symptom clusters of ovarian cancer patients undergoing chemotherapy, and their emotional status and quality of life
Kyung-Hye Hwang, Ok-Hee Cho, Yang-Sook Yoo
European Journal of Oncology Nursing.2016; 21: 215. CrossRef
Effects of Acupressure on Fatigue and Depression in Hepatocellular Carcinoma Patients Treated with Transcatheter Arterial Chemoembolization: A Quasi-Experimental Study
Su-Chen Lan, Yueh-E Lin, Shu-Ching Chen, Yu-Fang Lin, Yu-Jen Wang
Evidence-Based Complementary and Alternative Medicine.2015; 2015: 1. CrossRef
Quality of Life in Colorectal Cancer Patients according to the Severity of Symptom Clusters Classification
Gyeonghui Jeong, Kyunghee Kim, Yeunhee Kwak
Asian Oncology Nursing.2014; 14(2): 74. CrossRef
Development and Evaluation of Learning Program for Oncology Unit-based Core Nursing Practice - Outcomes based Cancer Patients Pain Management Learning Program -
Yeon Hee Kim, Young Sun Jung, Soon Haeng Lee, Kyoung Ok Kim, Young Nam Jeong, Hye Ryun Jung, Kyunghee Kim
Asian Oncology Nursing.2013; 13(4): 231. CrossRef
Symptom Clusters and Quality of Life in Korean Patients With Hepatocellular Carcinoma
Eunjung Ryu, Kyunghee Kim, Myung Sook Cho, In Gak Kwon, Hee Sun Kim, Mei R. Fu
Cancer Nursing.2010; 33(1): 3. CrossRef

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