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Original Articles
Psychosocial Well-Being of Clinical Nurses Performing Emotional Labor: A Path Analytic Model Approach
Yoonjeong Lee, Hyunli Kim
J Korean Acad Nurs 2019;49(3):307-316.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.3.307
AbstractAbstract PDF
Abstract Purpose

This study was conducted to investigate the influence of emotional expressivity, emotional intelligence, affectivity, job autonomy, social support, and emotional labor on clinical nurses’ individual well-being and to provide guidelines for interventions and strategies for its improvement.

Methods

The sample consisted of 207 nurses recruited from a general hospital in Korea. The participants completed a structured self-report questionnaire comprising measures of emotional expressivity, emotional intelligence, positive affectivity, negative affectivity, job autonomy, supervisor support, coworker support, deep acting, surface acting, emotional exhaustion, and job satisfaction. Data were analyzed using SPSS statistics 22.0 and AMOS 22.0.

Results

The final model was a good fit for the data based on the model fit indices. In the path analysis, surface acting, negative affectivity, supervisor support, and coworker support had statistically significant effects on emotional exhaustion, explaining 29.0% of the variance. Deep acting, emotional exhaustion, positive affectivity, and emotional intelligence had statistically significant effects on job satisfaction, explaining 43.0% of the variance.

Conclusion

Effective strategies to improve clinical nurses’ individual well-being should focus on surface acting, deep acting, affectivity, social support, and emotional intelligence. The results of this study can be utilized as base data to manage emotional labor and improve clinical nurses’ individual well-being.

Citations

Citations to this article as recorded by  
  • Validity and Reliability of the Korean version of the Wong and Law Emotional Intelligence Scale for Nurses
    Hye-Ja Park, Soyoung Yu
    Sage Open.2021;[Epub]     CrossRef
  • 258 View
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  • 1 Web of Science
  • 1 Crossref
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Effects of Bullying Experience on Psychological Well-Being Mediated by Conflict Management Styles and Psychological Empowerment among Nursing Students in Clinical Placement: A Structural Equation Modeling Approach
Liping Ren, Hyunli Kim
J Korean Acad Nurs 2017;47(5):700-711.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.5.700
AbstractAbstract PDF
Abstract Purpose

This study aimed to test a proposed structural equation model in which bullying experience, conflict management styles and psychological empowerment predict psychological well-being among Chinese nursing students in clinical placement.

Methods

Three hundred and sixty-six nursing students recruited from five hospitals in J city and Y city were assessed with self-report questionnaires on bullying experience, conflict management styles, psychological empowerment and psychological well-being including depression, self-esteem, and academic major satisfaction. Data were analyzed using SPSS version 20.0 and AMOS version 22.0.

Results

The evaluation parameters included the comparative fit index at .90, the goodness of fit index at .93, the root mean square error of approximation at .07, and c2/df ratio at 2.66, indicating that the proposed structural equation model provided a good fit to the data. Experience of being bullied during clinical placement, conflict management styles and psychological empowerment explained 93.0% of the variance and had significant effects on psychological well-being, with conflict management styles and psychological empowerment mediating the association between bullying and psychological well-being.

Conclusion

The findings indicated that mediation by conflict management styles and psychological empowerment alleviated the negative influence of bullying on psychological well-being. To limit bullying and its negative effects, development of effective guidelines to deal with bullying will be a critical tool for both Chinese nursing students and their instructors. Further research should incorporate conflict management styles and psychological empowerment into the specific intervention strategies for handling bullying behaviors among nursing students and staff nurses and promoting nursing students’ psychological well-being.

Citations

Citations to this article as recorded by  
  • The effects of bullying behaviours among nursing students in Sierra Leone: a qualitative exploratory study
    Jedidah Olayinka Johnson, Suzanna Anwagwa, Francess Yaata Kamara
    BMC Nursing.2024;[Epub]     CrossRef
  • Investigation of self-confidence, academic achievement, intention to leave school and conflict management styles of nursing students
    Hande Yeşilbaş, Filiz Kantek, Tangül Aytur Özen
    Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi.2024; 15(3): 350.     CrossRef
  • Latent Profile Analysis of AI Literacy and Trust in Mathematics Teachers and Their Relations with AI Dependency and 21st-Century Skills
    Tommy Tanu Wijaya, Qingchun Yu, Yiming Cao, Yahan He, Frederick K. S. Leung
    Behavioral Sciences.2024; 14(11): 1008.     CrossRef
  • Bullying in Nursing Students: A Cross-Sectional Study
    Lidia Fernández-Gutiérrez, Maria-Pilar Mosteiro-Díaz, Elisabete Borges, Sara Franco-Correia
    International Journal of Environmental Research and Public Health.2024; 21(11): 1431.     CrossRef
  • Global prevalence of bullying and associated factors among nursing students during clinical practice: A systematic review and meta-analysis
    Jing Zhou, Yuqiang Wang, Qinglin Zeng, Yanli Zeng, Qin Liu, Shiliang Tan, Haiju Gang
    Nurse Education Today.2024; 133: 106090.     CrossRef
  • Co-worker incivility and task performance: The mediating effect of psychological empowerment
    Emmanuel Ejiroghene Aruoren, Mohammed Igemohia, Fidelia Igemohia
    Corporate Governance and Organizational Behavior Review.2024; 8(2, special): 285.     CrossRef
  • The mediating role of academic support perception in the relationship between emotional intelligence and bullying behaviours in clinical practice: A cross-sectional study
    Yi Huang, Dan Chen, Chaofeng Li, Yingying Fan, Yuwei Wu
    Nurse Education Today.2024; 135: 106129.     CrossRef
  • Prevalence, associated factors, and nursing practice-related outcomes of workplace violence towards nursing students in clinical practice: A systematic review and meta-analysis
    Xianying Lu, Chaoming Hou, Dingxi Bai, Jing Yang, Jiali He, Xiaoyan Gong, Mingjin Cai, Wei Wang, Jing Gao
    Nurse Education Today.2024; 133: 106074.     CrossRef
  • The Prevalence and Gender Differences of Bullying and Cyberbullying Victimization Among University Students in Jordan
    Ayat Awawdeh, Jehad A. Rababah, Mohammed Munther Al-Hammouri, Ahlam Al-Natour, Shaher H. Hamaideh
    Violence and Gender.2023; 10(3): 159.     CrossRef
  • Serial multiple mediation of psychological empowerment and job burnout in the relationship between workplace bullying and turnover intention among Chinese novice nurses
    Liping Ren, Hyunli Kim
    Nursing Open.2023; 10(6): 3687.     CrossRef
  • Nursing students’ experiences of unprofessional behaviours and associations with guideline compliance: A multicenter survey
    Ilana Livshiz-Riven, Nancy Hurvitz, Keren Grinberg, Ofra Halperin, Ahuva Spitz, Michal Itzhaki, Orli Grinstein Cohen, Ayala Blau, Tomer Ziv-Baran, Johanna Westbrook, Rachel Urwin, Ling Li, Sivia Barnoy, Sima Reicher
    Nurse Education in Practice.2023; 71: 103739.     CrossRef
  • Student nurses' experiences of workplace violence: A mixed methods systematic review and meta-analysis
    Nutmeg Hallett, Alison Gayton, Rachel Dickenson, Maria Franckel, Geoffrey L. Dickens
    Nurse Education Today.2023; 128: 105845.     CrossRef
  • Incivility experiences and mental health among college nursing students: The moderating role of rumination
    Shaoping Qiu, Jie Fan, Naizhu Huang
    Journal of Psychology in Africa.2022; 32(5): 514.     CrossRef
  • Postgraduate and undergraduate student nurses' well-being: A scoping review
    I. Gede Juanamasta, Yupin Aungsuroch, Joko Gunawan, Mary L. Fisher
    Journal of Professional Nursing.2022; 40: 57.     CrossRef
  • Construction and Evaluation of College Students’ Psychological Quality Evaluation Model Based on Analytic Hierarchy Process
    Wei Shi, Yanqiong Li
    Journal of Sensors.2022; 2022: 1.     CrossRef
  • Structural and psychological empowerment and its influencing factors among nursing students in Oman
    Arcalyd Rose R. Cayaban, Glenn Ford D. Valdez, Michael L. Leocadio, Jonas P. Cruz, Cyruz P. Tuppal, Leodoro J. Labrague, Jestoni Maniago, Frincy Francis
    Journal of Professional Nursing.2022; 39: 76.     CrossRef
  • The impact of bullying on the mental health and academic achievement of nursing students
    Enas M. Abdelaziz, Hana M. Abu‐Snieneh
    Perspectives in Psychiatric Care.2022; 58(2): 623.     CrossRef
  • Nursing students' experiences of violence and aggression: A mixed-methods study
    Nutmeg Hallett, Chris Wagstaff, Tony Barlow
    Nurse Education Today.2021; 105: 105024.     CrossRef
  • Bullying in nursing students: A integrative literature review
    Lidia Fernández‐Gutiérrez, Maria‐Pilar Mosteiro‐Díaz
    International Journal of Mental Health Nursing.2021; 30(4): 821.     CrossRef
  • Workplace bullying, personality traits and health among hospital nurses: The mediating effect of social support
    Li Fang, Li‐Ping Hsiao, Shu‐Hui Fang, Bao‐Chen Chen
    Journal of Clinical Nursing.2021; 30(23-24): 3590.     CrossRef
  • Speaking Up Against Hierarchy: A Simulation Geared Towards Nursing Students
    Celina Da Silva, Eva Peisachovich, Charles K Anyinam, Sue Coffey, Leslie Graham, Farideh Tavangar
    Cureus.2020;[Epub]     CrossRef
  • Student nurses' bullying, social support and their health status during clinical practicum programmes
    Li Fang, Ching‐Lin Fang, Shu‐Hui Fang
    International Journal of Nursing Practice.2020;[Epub]     CrossRef
  • Understanding roles in health care through interprofessional educational experiences
    Susan Furr, Susan Hayes Lane, Dana Martin, Dana E Brackney
    British Journal of Nursing.2020; 29(6): 364.     CrossRef
  • Impact of Psychological Empowerment on Workplace Bullying and Intent to Leave
    Debra Hampton, Mary Kay Rayens
    JONA: The Journal of Nursing Administration.2019; 49(4): 179.     CrossRef
  • Nursing Professional Development Anti-Bullying Project
    Sonia Maria Balevre, Park S. Balevre, David J. Chesire
    Journal for Nurses in Professional Development.2018; 34(5): 277.     CrossRef
  • 234 View
  • 12 Download
  • 25 Crossref
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Structural Equation Modeling on Self-Care Behavior and Quality of Life in Older Adults with Diabetes Using Citizen Health Promotion Centers
Songheun Lee, Hyunli Kim
J Korean Acad Nurs 2017;47(4):514-525.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.4.514
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to construct and test a structural equation model for Diabetes self-management (DSM) behavior and Quality of life (QoL) in older adults with diabetes who use Citizen Health Promotion Centers. The theory used this study was a combination of the Information-Motivation-Behavioral Model (IMB) and Self-Determination Theory (SDT) to reflect autonomous characteristics of participants.

Methods

Data were collected from April 20 to August 31, 2015 using a self-report questionnaire. The sample was 205 patients with type 2 Diabetes who regularly visited a Citizen Health Promotion Center. SPSS 22.0 and AMOS 22.0 programs were used to analyze the efficiency of the hypothesized model and calculate the direct and indirect effects of factor affecting the participants’ DSM behavior and QoL.

Results

The supported hypotheses were as follows; 1) The variable that had a direct effect on QoL was health behavior adherence (γ=.55, p=.007). 2) The variables that had a direct effect on DSM behavior were DSM information (γ=.15, p=.023), DSM confidence (γ=.25, p<.001), and autonomous motivation (γ=.13, p=.048). 3) The variable that had a direct effect on DSM confidence was autonomy support (γ=.33, p<.001).

Conclusion

The major findings of this study are that supporting patient's autonomous motivation is an influential predictor for adherence to DSM behavior, and integrative intervention strategies which include knowledge, experience and psychosocial support are essential for older adults with diabetes to continue DSM behavior and improve QoL.

Citations

Citations to this article as recorded by  
  • The mediating effect of health-promoting behaviors on the relationship between infertility stress and fertility-related quality of life of infertile women: a cross-sectional study
    Eun Jin Kim, Ju-Hee Nho, Hye Young Kim
    Women's Health Nursing.2025; 31(1): 66.     CrossRef
  • Effects of mHealth Practice Patterns on Improving Metabolic Syndrome Using the Information–Motivation–Behavioral Skills Model
    Na-Young Park, Sarang Jang
    Nutrients.2024; 16(13): 2099.     CrossRef
  • Health-related quality of life in female patients with reumatoid arthritis: a structural equation model
    Bukyung Kim, Mi-Hae Sung
    Korean Journal of Women Health Nursing.2023; 29(2): 91.     CrossRef
  • Understanding health‐related quality of life trajectories among older adults with diabetes mellitus: Mixed methods research
    Sunhee Park, Taewha Lee
    Nursing Open.2023; 10(10): 6945.     CrossRef
  • Factors affecting quality of life in low‐income overweight and obese women: The mediating effects of health‐promoting behaviors
    Ju‐Hee Nho, Hye Young Kim, Eun Jin Kim
    Worldviews on Evidence-Based Nursing.2022; 19(3): 201.     CrossRef
  • Systematic review of frequency of felt and enacted stigma in epilepsy and determining factors and attitudes toward persons living with epilepsy—Report from the International League Against Epilepsy Task Force on Stigma in Epilepsy
    Churl‐Su Kwon, Ann Jacoby, Amza Ali, Joan Austin, Gretchen L. Birbeck, Patricia Braga, J. Helen Cross, Hanneke de Boer, Tarun Dua, Paula T. Fernandes, Kirsten M. Fiest, Jonathan Goldstein, Sheryl Haut, Diane Lorenzetti, Janet Mifsud, Solomon Moshe, Karen
    Epilepsia.2022; 63(3): 573.     CrossRef
  • Factors affecting the health status of patients with type 2 diabetes mellitus receiving insulin treatments: A multi‐mediation path analysis
    Kang Sun Lee, Hye Young Kim, Heung Young Jin
    Journal of Clinical Nursing.2022; 31(9-10): 1285.     CrossRef
  • Psychometric Evaluation of the Korean Version of PROMIS Self-Efficacy for Managing Symptoms Item Bank: Item Response Theory
    Mona Choi, Chang Gi Park, Soomin Hong
    Asian Nursing Research.2022; 16(4): 187.     CrossRef
  • Health-Related Quality of Life Trajectories Among Older Adults With Diabetes Mellitus: A Group-Based Modeling Approach
    Sunhee PARK, Chang Gi PARK, Taewha LEE
    Journal of Nursing Research.2022; 30(2): e199.     CrossRef
  • Association of Resilience and Depression with Self-care Competence in Adult Patients with Diabetes Mellitus
    Youngrye Park, Eun Hee Jang, Ji Ok Kim
    Korean Journal of Adult Nursing.2018; 30(5): 555.     CrossRef
  • The Effect of Basic Psychological Needs and Wisdom on Successful Aging in the Elderly
    Min-Jeong Nam, Young-Mun Cho
    Korean Journal of Adult Nursing.2018; 30(1): 70.     CrossRef
  • Patient reported barriers are associated with low physical and mental well-being in patients with co-morbid diabetes and chronic kidney disease
    Edward Zimbudzi, Clement Lo, Sanjeeva Ranasinha, Gregory Fulcher, Martin Gallagher, Stephen Jan, Peter G. Kerr, Helena J. Teede, Kevan R. Polkinghorne, Grant Russell, Rowan G. Walker, Sophia Zoungas
    Health and Quality of Life Outcomes.2018;[Epub]     CrossRef
  • 312 View
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  • 12 Crossref
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Prediction Model of Quality of Life in Elderly Based on ICF Model
Heeyoung So, Hyunli Kim, Kyungok Ju
J Korean Acad Nurs 2011;41(4):481-490.   Published online August 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.4.481
AbstractAbstract PDF
Purpose

The purpose of this study was to identify from the International Classification of Functioning model, factors influencing quality of life in elderly persons and to describe the concrete pathway of influence and the power of each variable.

Methods

The sample included 334 elders who lived in 5 districts of D Metropolitan City. A structured questionnaire was used and the collected data were analyzed for fitness, using the AMOS 18.0 program.

Results

This model was concise and extensive in predicting the quality of life of elders. The research verified the factors influencing quality of life for elders as direct factors such as activity of daily living (ADL) (β=.13, t=2.47), leisure activity (β=.55, t=5.04), social disengagement (β=-.25, t=-2.25), and depression (β=-.62, t=-10.86). Indirect factors including economic status (γ=.17, p=.009), type of residence (γ=.19, p=.004), ADL (γ=.12, p=.027) were important factors in predicting quality of life for elders. These variables explained 75.6% of variance in the prediction model.

Conclusion

The findings indicate a need for the nursing scientific community to develop intervention programs considering these variables to improve the quality of life for elders.

Citations

Citations to this article as recorded by  
  • Analysis of Research Trends on Older Adults with Hearing Loss in Korea: Using the ICF Core Set
    Soo Jin Cho, Mi Sook Lee, Yu Ri Lee
    Audiology and Speech Research.2024; 20(1): 6.     CrossRef
  • A structural equation modeling approach to understanding physical function of terminal cancer patients
    Han-Gyo Choi, Hye-Ah Yeom, Myung Ah Lee, Jeong-Ran Ra
    Supportive Care in Cancer.2022; 30(2): 1149.     CrossRef
  • Structural equation model of the relationship between functional ability, mental health, and quality of life in older adults living alone
    YuMi Yi, Yeon-Hwan Park, Gianni Virgili
    PLOS ONE.2022; 17(8): e0269003.     CrossRef
  • Effects of occupational balance on subjective health, quality of life, and health-related variables in community-dwelling older adults: A structural equation modeling approach
    Sangmi Park, Hae Jong Lee, Byoung-Jin Jeon, Eun-Young Yoo, Jong-Bae Kim, Ji-Hyuk Park, Yee Cheng Kueh
    PLOS ONE.2021; 16(2): e0246887.     CrossRef
  • Predictive Model for Quality of Life of the Older Men Living Alone
    Su Jin Kim, Gyeong-Suk Jeon
    Journal of Korean Academy of Nursing.2020; 50(6): 799.     CrossRef
  • A study on the Relationship among Depression, Walking and Quality of Life for the Elderly -Focusing on the Moderation Effects of Walking-
    Hee-Seung Song
    Journal of Digital Convergence.2016; 14(8): 515.     CrossRef
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    Yong-Shik Yoo
    The Journal of the Korea Contents Association.2016; 16(1): 129.     CrossRef
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    Pavel Ptyushkin, Alarcos Cieza, Gerold Stucki
    International Journal of Rehabilitation Research.2015; 38(3): 253.     CrossRef
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    Cin-Jae Chang, Ja-Young Cho
    The Journal of the Korea Contents Association.2014; 14(11): 225.     CrossRef
  • A Comparative Study on Influencing Factors of Health Related Quality of Life of the Elderly in Senior Center by Region : Focus on Urban and Rural Areas
    Soon-Ok Yang, Hae-Ryun Cho, Seung-Hee Lee
    The Journal of Digital Policy and Management.2014; 12(1): 501.     CrossRef
  • Gender Difference in Influencing Factors on Health related Quality of Life among the Elderly in Community
    Seung-Hee Lee
    The Journal of Digital Policy and Management.2013; 11(12): 523.     CrossRef
  • A Prediction Model for Depression in Patients with Parkinson's Disease
    Eun Sook Bae, Sang Myung Chun, Jae Woo Kim, Chang Wan Kang
    Korean Journal of Health Education and Promotion.2013; 30(5): 139.     CrossRef
  • Design and Technologies for Understanding Older Adults Social Interactions in Retirement Communities
    Claudia B. Rebola, Gbolabo Ogunmakin, Patricio A. Vela
    International Journal of Social Robotics.2013; 5(4): 575.     CrossRef
  • Health-Related Factors Influencing the Quality of Life of Rural Elderly Subjects - Activities of Daily Living, Cognitive Functions, Prevalence of Chronic Diseases and Nutritional Assessment
    Mee Sook Lee
    Korean Journal of Community Nutrition.2012; 17(6): 772.     CrossRef
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  • 14 Crossref
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