The Impact of Nurses' Self-Leadership and Digital Health Literacy on Nursing Professionalism

doi:10.22716/sckt.2026.14.2.001

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2026 Vol.14, Issue 2 Next Page

Research Article

The Impact of Nurses' Self-Leadership and Digital Health Literacy on Nursing Professionalism 간호사의 셀프리더십, 디지털 헬스리터러시가 간호전문직관에 미치는 영향요인: Yu Han Jin¹, and Sueng Hee Yang²
김우함¹, 양승희²; ¹Ph.D. Course, Department of Nursing, Graduate School, Shinhan University
²Professor, College of Nursing, Shinhan University

¹신한대학교 일반대학원 간호학과 박사과정, ²신한대학교 간호대학 교수

30 June 2026. pp. 1-12

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Abstract

본 연구는 빠르게 디지털화되는 의료 환경에서 간호사의 전문직 정체성 형성에 영향을 미치는 요인을 규명하기 위해, 간호사의 셀프리더십과 디지털 헬스리터러시가 간호전문직관에 미치는 영향을 확인하고자 수행되었다. 연구는 서술적 조사연구로, G*Power 3.1.9.4 프로그램을 이용하여 산출된 표본 수를 기반으로 편의 표집된 165명의 병원 간호사를 대상으로 하였다. 설문지를 통해 인구사회학적 특성, 셀프리더십, 디지털 헬스리터러시, 간호전문직관에 관한 자료를 수집하였다. 수집된 자료는 SPSS WIN 22.0 프로그램을 이용하여 빈도분석, t-검정, ANOVA, Pearson 상관관계 분석, 위계적 회귀분석으로 분석하였다. 연구결과 간호사의 셀프리더십, 디지털 헬스리터러시, 간호전문직관은 서로 유의한 정적 상관관계를 보였다(r=.395~.610). 위계적 회귀분석 결과, 간호전문직관에 가장 큰 영향을 미치는 요인은 셀프리더십이었고(β=.471, p<.001), 다음으로 디지털 헬스리터러시(β=.265, p<.001) 순이었다. 또한, 병상 수가 200~300개 미만인 병원에 근무하는 경우 간호전문직관이 유의하게 낮은 것으로 나타났다(β=-.323, p<.01). 본 연구는 간호사의 셀프리더십과 디지털 헬스리터러시가 간호전문직관 형성에 중요한 영향을 미치는 주요 예측 변수임을 확인하였다. 이는 디지털 의료 환경에서 간호사의 전문직 정체성을 공고히 하기 위해서는 개인 차원의 자기 주도적 리더십과 디지털 역량을 강화하는 교육 및 조직적 지원이 필요함을 시사한다.

This study was conducted to identify factors influencing the formation of nurses' professional identity in the rapidly digitalizing healthcare environment, aiming to confirm the effects of nurses' self-leadership and digital health literacy on nursing professionalism perception. The study was a descriptive survey research, targeting 165 hospital nurses who were conveniently sampled based on the sample size calculated using the G*Power 3.1.9.4 program. Data on socio-demographic characteristics, self-leadership , digital health literacy , and nursing professionalism perception were collected via questionnaire. The collected data were analyzed using the SPSS WIN 22.0 program with frequency analysis, t-test, ANOVA, Pearson correlation analysis, and hierarchical multiple regression. The results showed that nurses' self-leadership, digital health literacy, and nursing professionalism perception had significant positive correlations with each other (r=.395~.610). The hierarchical multiple regression revealed that the most influential factor on nursing professionalism perception was self-leadership (β=.471, p<.001), followed by digital health literacy (β=.265, p<.001). Furthermore, working in a hospital with 200 to less than 300 beds was found to be significantly associated with lower nursing professionalism perception (β=-.323, p<.01). This study confirmed that nurses' self-leadership and digital health literacy are significant predictors influencing the formation of nursing professionalism perception. This suggests that to solidify nurses' professional identity in the digital healthcare environment, educational and organizational support to enhance individual-level self-directed leadership and digital competencies is necessary.

Keywords

Self-Leadership

Digital Health Literacy

Nursing Professionalism

Nurse

Healthcare Digitalization

References

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Y. M. Kwon and E. J. Yeun, “A study on the professionalism and information-seeking behavior of nursing students.” Journal of Korean Academy of Nursing, Vol. 37, No. 2, pp. 210-216, 2007.
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정혜윤, 김세영, “신규간호사의 간호전문직관과 직무몰입이 이직의도에 미치는영향.” 간호행정학회지, Vol. 22, No. 5, pp. 531-539, 2016.
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10.1136/bmj.n1190 PMC8201520
C. C. Manz, The art of self-leadership: Strategies for personal effectiveness in your life and work Prentice-Hall, 1983.
김한성, “중학교 교사의 셀프리더십과 직무만족도의 관계.” 국내석사학위논문, 숭실대학교, 2003, 서울, 1983.
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10.2196/jmir.6709 28119275 PMC5358017
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Information

Publisher :The Society of Convergence Knowledge
Publisher(Ko) :융복합지식학회
Journal Title :The Society of Convergence Knowledge Transactions
Journal Title(Ko) :융복합지식학회논문지
Volume : 14
No :2
Pages :1-12
DOI :https://doi.org/10.22716/sckt.2026.14.2.001

[1] 윤은자, 권영미, 안옥희, “간호전문직관 측정도구 개발.” 대한간호학회지, Vol. 35, No. 6, pp. 1091-1100, 2005. https://doi.org/10.4040/jkan.2005.35.6.1091
10.4040/jkan.2005.35.6.1091

[2] H. K. Yun, M. S. Choi, J. H. Choi, and J. H. Lee, “The effects of nurse's professionalism and self-efficacy on job satisfaction and nursing performance.” Journal of the Korea Entertainment Industry Association, Vol. 7, No. 4, pp. 209-217, 2013.

[3] H. Y. Jeong and K. S. Kim, “Influence of nursing professionalism, job satisfaction and job commitment on turnover intention in nursing students.” The Journal of the Korea Contents Association, Vol. 16, No. 11, pp. 186-199, 2016.

[4] 강현숙, 조결자, 최남희, 김원옥, “내러티브를 통한 임상간호사의 정체성.” 대한간호학회지, Vol. 32, No. 4, pp. 470-481, 2002.

[5] Y. M. Kwon and E. J. Yeun, “A study on the professionalism and information-seeking behavior of nursing students.” Journal of Korean Academy of Nursing, Vol. 37, No. 2, pp. 210-216, 2007.

[6] 임대순, “간호사의 전문직업관과 죽음에 대한 태도와의 관계.” 석사학위논문,아주대학교 대학원, 수원, 2004.

[7] H. S. Kang, “Path analysis of variables to professionalism of nursing students (Unpublished doctoral dissertation).” Gyeongsang University, Jinju, 2017.

[8] 정혜윤, 김세영, “신규간호사의 간호전문직관과 직무몰입이 이직의도에 미치는영향.” 간호행정학회지, Vol. 22, No. 5, pp. 531-539, 2016.

[9] C. C. Manz, “Self-leadership: Toward an expanded theory of self-influence processes in organizations.” Academy of Management Review, Vol. 11, No. 3, pp. 585-600, 1986. https://doi.org/10.2307/258312
10.2307/258312

[10] 유경희, 박현영, 장금성. “국내 임상간호사의 셀프리더십 관련 변인에 대한 체계적 문헌고찰 및 메타분석.” 간호행정학회지, Vol. 24, No. 5, pp. 410-422, 2018. https://doi.org/10.11111/jkana.2018.24.5.410
10.11111/jkana.2018.24.5.410

[11] 김세영, 김은경, 김병수, 이은표. “간호사의 셀프리더십 수준이 개인과 팀의 직무역할 수행에 미치는 영향.” 대한간호과학회, Vol. 46, No. 3, pp. 338-348, 2016. https://doi.org/10.4040/jkan.2016.46.3.338
10.4040/jkan.2016.46.3.338

[12] 보건복지부, 제5차 국민건강증진종합계획(2021~2030), 세종: 보건복지부, 2021.

[13] C. D. Norman and H. A. Skinner, “eHEALS: The eHealth Literacy Scale.” Journal of Medical Internet Research, Vol. 8, No. 4, e27, 2006. https://doi.org/10.2196/jmir.8.4.e27
10.2196/jmir.8.4.e27 17213046 PMC1794004

[14] P. Dunn and E. Hazzard, “Technology approaches to digital health literacy.” International Journal of Cardiology, Vol. 293, pp. 294-296, 2019. doi: 10.1016/j.ijcard.2019.06.039. https://doi.org/10.1016/j.ijcard.2019.06.039
10.1016/j.ijcard.2019.06.039

[15] S. Conard, “Best practices in digital health literacy.” International Journal of Cardiology, Vol. 292, pp. 277-279, 2019. doi: 10.1016/j.ijcard.2019.05.070. https://doi.org/10.1016/j.ijcard.2019.05.070
10.1016/j.ijcard.2019.05.070

[16] S. B. Fowler, S. Eggenberg, and M. Gulanick, “Nursing's role in digital health.” Nursing Clinics of North America, Vol. 56, No. 3, pp. 291-299, 2021. https://doi.org/10.1016/j.cnur.2021.05.001
10.1016/j.cnur.2021.05.001

[17] A. Kuek and S. Hakkennes, “Healthcare staff’s digital health literacy and the influence on their confidence and competence to use digital health technologies: A systematic review.” Health Informatics Journal, Vol. 26, No. 4, pp. 2802-2821, 2020.
10.1177/1460458219839613

[18] D. J. Skiba, “Evaluation tools to help patients and caregivers to find health apps.” Nursing Education Perspectives, Vol. 38, No. 2, pp. 107-109, 2017. https://doi.org/10.1097/01.NEP.0000000000000139
10.1097/01.NEP.0000000000000139

[19] K. H. M. Ho and G. D. Smith, “Role of nursing e-health literacy in the golden age of digital health: A review of the literature.” Journal of Advanced Nursing, Vol. 76, No. 11, pp. 2824-2836, 2020. https://doi.org/10.1111/jan.14522
10.1111/jan.14522

[20] J. Alipour and A. Payandeh, “Digital health literacy and its predicting factors among nurses: A cross-sectional study.” BMC Medical Informatics and Decision Making, Vol. 22, No. 1, pp. 163, 2022.

[21] R. G. Booth, G. Strudwick, S. McBride, S. Alexander, and K. D. Lopez, “How the nursing profession should adapt for a digital future.” The BMJ, 373, n1190, 2021. https://doi.org/10.1136/bmj.n1190
10.1136/bmj.n1190 PMC8201520

[22] C. C. Manz, The art of self-leadership: Strategies for personal effectiveness in your life and work Prentice-Hall, 1983.

[23] 김한성, “중학교 교사의 셀프리더십과 직무만족도의 관계.” 국내석사학위논문, 숭실대학교, 2003, 서울, 1983.

[24] R. Van Der Vaart and C. Drossaert, “Development of the digital health literacy instrument: measuring a broad spectrum of health 1.0 and health 2.0 skills.” Journal of Medical Internet Research, Vol. 19, No. 1, e27, 2017. https://doi.org/10.2196/jmir.6709
10.2196/jmir.6709 28119275 PMC5358017

[25] 최은진, 천희란, 곽우성, “헬스리터러시와 디지털헬스리터러시에 대한 건강행동의 특성 분석.” 보건교육건강증진학회지, Vol. 39, No. 5, pp. 81-99, 2022. https://doi.org/10.14367/kjhep.2022.39.5.81
10.14367/kjhep.2022.39.5.81

[26] 한상숙, 김명희, 윤은경, “간호 전문직관에 미치는 영향 요인.” 한국간호교육학회, Vol. 14, No. 1, pp. 73-79, 2008.
10.5977/JKASNE.2008.14.1.073

[27] 권시내, 박효정, “일개 종합병원 간호사의 긍정심리자본, 셀프리더십, 관계유대가 조직몰입에 미치는 영향.” 간호행정학회지, Vol. 26, No. 3, pp. 241-250, 2020. https://doi.org/10.11111/jkana.2020.26.3.241
10.11111/jkana.2020.26.3.241

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