• Title/Summary/Keyword: Nurse's Characteristics

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A Study on the Relationship between Patient Safety and Patient-Centeredness in Hospitals (의료기관 환자안전과 환자중심성 간 관계 연구)

  • Kook, Sun-Pyo;Kang, Jegu;Lee, Kwang-Soo
    • Korea Journal of Hospital Management
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    • v.27 no.3
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    • pp.39-49
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    • 2022
  • Purposes: This study purposed to analyze the relationship between patient safety and patient-centerendess. Methodology: The comprehensive scores from patient safety assessment program and patient experience survey conducted by Health Insurance Review & Assessment Service were used as independent variables and dependent variables. This study analyzed the relationship between 4 patient safety-related areas(i.e. risk standardized readmission ratio, intensive care unit, preventive antibiotic, the drug evaluation) and 6 patient experience areas(i.e. nurse services, doctor services, medication & treatment, hospital environment, patient's right, overall experience) by using robust regression analysis. Findings: According to results, the score in 'patient's right' and 'risk standardized readmission ratio' areas were found to have a significant relationship, and 'overall experience' and the 'preventive antibiotic' areas. The ratio of senior beds and specialists was a general characteristics of hospitals that had a significant relationship on patient experience assessment. Practical Implication: The relationships between patient safety and patient experience assessment were varied depending on areas. Further study is needed to make clear the supposed relationship.

Reflections on the Prospects of Korean Advanced Practice Nurses : Based on Flexner's Professional Characteristics (한국 전문간호사의 전망에 관한 고찰: Flexner의 전문직 특성을 기반으로)

  • Kim, Eun Mi;Choi, Su Jung
    • Journal of Korean Critical Care Nursing
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    • v.16 no.3
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    • pp.1-10
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    • 2023
  • Purpose : This study explores the professional status of Advanced Practice Nurses (APNs) in Korea, who, despite being legally certified, face instability in their professional standing, including their scope of practice and compensation. Method : The study uses Flexner's professional characteristics as a framework to analyze and project the future trajectory of Korean APNs. Results : First, to ensure social accountability, professional bodies need to establish uniform nursing policies related to job roles, and healthcare institutions must adhere to these policies. Second, nursing leaders should spearhead the creation of nursing knowledge essential for the profession's advancement, aiming to establish it as the foundation for nursing practice through a consensus process within the nursing community. Third, the curriculum for APNs should enhance the quantitative and qualitative aspects of practice in response to societal needs. Fourth, professional bodies should formulate consistent nursing policies based on a thorough analysis of the healthcare environment and legal considerations, and guide their implementation in clinical practice through a consensus process within the nursing community. Lastly, guidelines should be established for professional standards suitable for the Korean context. Conclusion : Based on this review, it is recommended that all APNs adhere to the professional standards set by their respective organizations, actively participate in personal quality improvement initiatives, and fulfill their duties and roles as members of these professional bodies. Furthermore, these organizations should devise practical strategies to solidify the APN system and should spearhead a systematic consensus process that garners the agreement of all members within the nursing community.

The Empirical Exploration of the Conception on Nursing (간호개념에 대한 기초조사)

  • 백혜자
    • Journal of Korean Academy of Nursing
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    • v.11 no.1
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    • pp.65-87
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    • 1981
  • The study is aimed at exploring concept held by clinical nurses of nursing. The data were collected from 225 nurses conviniently selected from the population of nurses working in Kang Won province. Findings include. 1) Nurse's Qualification. The respondents view that specialized knowledge is more important qualification of the nurse. Than warm personality. Specifically, 92.9% of the respondents indicated specialized knowledge as the most important qualification while only 43.1% indicated warm personality. 2) On Nursing Profession. The respondents view that nursing profession as health service oriented rather than independent profession specifically. This suggests that nursing profession is not consistentic present health care delivery system nor support nurses working independently. 3) On Clients of Nursing Care The respondents include patients, family and the community residents in the category of nursing care. Specifically, 92.0% of the respondents view that patient is the client, while only 67.1% of nursing student and 74.7% of herself. This indicates the lack of the nurse's recognition toward their clients. 4) On the Priority of Nursing care. Most of the respondents view the clients physical psychological respects as important component of nursing care but not the spiritual ones. Specially, 96.0% of the respondents indicated the physical respects, 93% psychological ones, while 64.1% indicated the spiritual ones. This means the lack of comprehensive conception on nursing aimension. 5) On Nursing Care. 91.6% of the respondents indicated that nursing care is the activity decreasing pain or helping to recover illness, while only 66.2% indicated earring out the physicians medical orders. 6) On Purpose of Nursing Care. 89.8% of the respondents indicated preventing illness and than 76.6% of them decreasing 1;ai of clients. On the other hand, maintaining health has the lowest selection at the degree of 13.8%. This means the lack of nurses' recognition for maintaining health as the most important point. 7) On Knowledge Needed in Nursing Care. Most of the respondents view that the knowledge faced with the spot of nursing care is needed. Specially, 81.3% of the respondents indicated simple curing method and 75.1%, 73.3%, 71.6% each indicated child nursing, maternal nursing and controlling for the communicable disease. On the other hand, knowledge w hick has been neglected in the specialized courses of nursing education, that is, thinking line among com-w unity members, overcoming style against between stress and personal relation in each home, and administration, management have a low selection at the depree of 48.9%,41.875 and 41.3%. 8) On Nursing Idea. The highest degree of selection is that they know themselves rightly, (The mean score measuring distribution was 4.205/5) In the lowest degree,3.016/5 is that devotion is the essential element of nursing, 2.860/5 the religious problems that human beings can not settle, such as a fatal ones, 2,810/5 the nursing profession is worth trying in one's life. This means that the peculiarly essential ideas on the professional sense of value. 9) On Nursing Services. The mean score measuring distribution for the nursing services showed that the inserting of machine air way is 2.132/5, the technique and knowledge for surviving heart-lung resuscitating is 2.892/s, and the preventing air pollution 3.021/5. Specially, 41.1% of the respondents indicated the lack of the replied ratio. 10) On Nurses' Qualifications. The respondents were selected five items as the most important qualifications. Specially, 17.4% of the respondents indicated specialized knowledge, 15.3% the nurses' health, 10.6% satisfaction for nursing profession, 9.8% the experience need, 9.2% comprehension and cooperation, while warm personality as nursing qualifications have a tendency of being lighted. 11) On the Priority of Nursing Care The respondents were selected three items as the most important component. Most of the respondents view the client's physical, spiritual: economic points as important components of nursing care. They showed each 36.8%, 27.6%, 13.8% while educational ones showed 1.8%. 12) On Purpose of Nursing Care. The respondents were selected four items as the most important purpose. Specially,29.3% of the respondents indicated curing illness for clients, 21.3% preventing illness for client 17.4% decreasing pain, 15.3% surviving. 13) On the Analysis of Important Nursing Care Ranging from 5 point to 25 point, the nurses' qualification are concentrated at the degree of 95.1%. Ranging from 3 point to 25, the priorities of nursing care are concentrated at the degree of 96.4%. Ranging from 4 point to 16, the purpose of nursing care is concentrated at the degree of 84.0%. 14) The Analysis, of General Characteristics and Facts of Nursing Concept. The correlation between the educational high level and nursing care showed significance. (P < 0.0262). The correction between the educational low level and purpose of nursing care showed significance. (P < 0.002) The correlation between nurses' working yeras and the degree of importance for the purpose of nursing care showed significance (P < 0.0155) Specially, the most affirmative answers were showed from two years to four ones. 15) On Nunes' qualification and its Degree of Importance The correlation between nurses' qualification and its degree of importance showed significance. (r = 0.2172, p< 0.001) 0.005) B. General characteristics of the subjects The mean age of the subject was 39 ; with 38.6% with in the age range of 20-29 ; 52.6% were male; 57.9% were Schizophrenia; 35.1% were graduated from high school or high school dropouts; 56.l% were not have any religion; 52.6% were unmarried; 47.4% were first admission; 91.2% were involuntary admission patients. C. Measurement of anxiety variables. 1. Measurement tools of affective anxiety in this study demonstrated high reliability (.854). 2. Measurement tools of somatic anxiety in this study demonstrated high reliability (.920). D. Relationship between the anxiety variables and the general characteristics. 1. Relationship between affective anxiety and general characteristics. 1) The level of female patients were higher than that of the male patient (t = 5.41, p < 0.05). 2) Frequencies of admission were related to affective anxiety, so in the first admission the anxiety level was the highest. (F = 5.50, p < 0.005). 2, Relationship between somatic anxiety and general characteristics. 1) The age range of 30-39 was found to have the highest level of the somatic anxiety. (F = 3.95, p < 0.005). 2) Frequencies of admission were related to the somatic anxiety, so .in first admission the anxiety level was the highest. (F = 9.12, p < 0.005) 0. Analysis of significant anxiety symptoms for nursing intervention. 1. Seven items such as dizziness, mental integration, sweating, restlessness, anxiousness, urinary frequency and insomnia, init. accounted for 96% of the variation within the first 24 hours after admission. 2. Seven items such as fear, paresthesias, restlessness, sweating insomnia, init., tremors and body aches and pains accounted for 84% of the variation on the 10th day after admission.

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A Study of the Degree of Duty Satisfaction According to the Nurses's Characteristics (간호사의 특성이 직무만족도에 미치는 영향)

  • Lee, Hei-Jin;Kim, Sook-Nyung;Sohn, In-Soon;Han, Sang-Suk
    • Journal of Korean Academy of Nursing Administration
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    • v.6 no.1
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    • pp.5-18
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    • 2000
  • This study was conducted to analyze the degree of department satisfaction and correlation accordng to nurses's clinical characteristics. Data fors tudy were selected August, 1999. The sample coisted of 512 nurses working in K university hosptal in Seoul. The collected materials have been alyzed by percentage, average, t-test, ANOVA, arson Correlation Coefficiency using SPSS window 8.0 program. The result were as the follows ; 1. Fifty-one percent answered to be satisfactory in current department of work, and nurses who had been experienced the transfer are fifty percent, and nurse specialist is eight point two percent. 2. The order of the degree of department duty satisfaction was mutual action, professinal position, autonomy, assignment desire, relation between the doctor and nurses, wage, administration. 3. The result of the degree of department duty satisfaction according to the age has shown significant differences in administration and assignment desire, and the result of the degree of department duty satisfaction according to the education and religion has shown significant differences in administration, and the result of the degree of department duty satisfaction according to marital status has shown significant differences in wage and administration. 4. The result of the degree of department duty satisfaction according La the position has shown significant differences in administration, assignment desire and the sum of duty satisfaction, and the result of the degree of department duty satisfaction according to the nurse specialist has shown no significant differences in total areas, and the result of the degree of department duty satisfaction according to the transfer has shown significant differences in relation between the doctor and nurses, administration, autonomy and the sum of duty satisfaction. 5. The result of the degree of department duty satisfaction according to the nursing career and present assignment career has shown no significant differences in total areas, and the result of degree of department duty satisfaction according to the present assignment has shown significant differences in relation between doctor and nurses, administration, assignment desire and the sum of duty satisfaction. 6. The result of the degree of department duty satisfaction according to the request and experiences of trasfer has shown significant differences in wage, administration, assignment desire and the sum of duty satisfaction 7. The result of the degree of department duty satisfaction according to the degree of satisfaction of present assignment has shown no significant difference in professional position 8. The result of relation of nurses'a clinical characteristics and the degree of department duty satisfaction and the sum of duty satisfaction has shown no significant differences in age, present assignment career, but the result of nursing career has shown significant differences in relation between doctor and nurse, administration, autonomy, assignment desire and the sum of duty satisfaction. and the satisfaction of present assignment which was very effective on duty satisfaction was as significant correlation with wage, professinal position, relation between doctor and nurses, administration, autonomy assignment desire, mutual action and the sum of duty satisfaction. The above result show us that the degree of wage is effected on marital status, experience of transfer, degree of satisfaction of present assignment, request of transfef and the relation between doctor and nurses is effected on experience of transfer, present assignment, degree of satisfaction of present assignment and the administration is effected on age, education, marital status position, experiences of transfer, request of transfer, degree of satisfaction of present assignment and the autonomy is effected on experience of transfer, degree of satisfaction of present assignment and the assignment desire is effected on position, pre sent assignment, degree of satisfaction of present assignment, request of transfer and the mutual action is effected on present assignment. and the sum of duty satisfaction is effected on marital status, position, experience of transfer, request of transfer, present assignment, degree of satisfaction of present assignment.

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A Study for the Enhancement of Accessibility to Community Home Nursing Care Services - The Home Nursing Care Program of Seoul Nurse Association - (지역사회에서의 가정간호 접근성 제고 방안 - '서울시간호사회' 가정간호사업 분석을 토대로 -)

  • Hwang, Na-Mi;Park, Sung-Ae;Kim, Yun-Ok;Moon, Young-Im;Park, Jeong-Sook;Ryu, Ho-Sihn;Rhee, Kae-Sook
    • Journal of Home Health Care Nursing
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    • v.10 no.1
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    • pp.5-14
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    • 2003
  • Recently, there has been an increasing need for long-term care and comprehensive health care services in community settings. The Ministry of Health and Welfare introduced the Hospital-Based Home Nursing Care Program in 2000. Before this initiative, there was a Home Nursing Demonstration Center, affiliated with the Seoul Nurse Association, had offered home nursing services with the financial support from the local government. since 1993, the Center's nursing staff has been engaged in a general hospital in an effort to provide home nursing care services within Korea's health care system. The purpose of this study was to analyze and identify characteristics of community-based home nursing care supplied by a community-based home nursing team engaged in a general hospital. Also. visit nursing care services provided by public health centers were evaluated in terms of accessibility and supply versus demand, to enhance the accessibility of low-income patients living in Seoul to home nursing care services. Data were collected from home nursing insurance reimbursement claims submitted by the community-based home nursing care team from March 1 to October 30 in 2001 and a questionnaire survey on home-visit nursing services of 25 public health centers in Seoul. The subjects consisted of 197 patients and 12 public health centers. The result were as follows. First, medical institution's community-based home nursing care program was better in technical quality than health-center-based home-visit nursing care. In addition. the pattern of the subject patients was similar to that of hospital-based home nursing care program. Second, there was a high demand for community-based home nursing care while only a small number of home-visiting nurses served at public health centers in Seoul. As a result, many patients could not receive adequate care. Finally, we suggest that community-based home nursing care program should be introduced in the national health system to meet the at-home care needs of severely ill low-income patients. Furthermore, to better utilize home nursing and visit-nursing care resources and offer continued care for patients in community settings, an efficient referral network should be built among related institutions. This would require improvement of reimbursement system and amendment of the law related to health insurance system and community-based home nursing care services.

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The Relationship between Optimal End-of-Life Care and Well Dying of Nurses (간호사의 최상의 임종간호 및 웰다잉 관계 연구)

  • Hyun, Woo-In;Kim, Miyoung
    • The Journal of the Korea Contents Association
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    • v.22 no.8
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    • pp.628-639
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    • 2022
  • The purpose of this study was to investigate the relationship between the optimal end-of-life care and well-dying perceived by nurses to provide the optimal end-of-life care for patients and their families. This subjects of the study were 121 nurses working in the ward or intensive care unit of a general hospital in Seoul, and the data collected from April 28 to May 12, 2021 were analyzed. Data were analyzed using t-test, ANOVA, and Pearson correlation coefficients with the SPSS/WIN 27.0 program. The total average of the subjects' perceptions of the optimal end-of-life care was 4.04±0.82 on a five-point scale, indicating the overall level of 'agree' with the optimal end-of-life care. The total average of well dying perceived by the subjects was 3.63±1.14 on a five-point scale, and the most important recognized questions was to die peacefully. Of general characteristics, there was a significant differences on optimal end-of-life care according to age (t=-.97, p=.013). The nurse group in their 30s showed higher consent for end-of-life care than those in their 20s. An analysis of the correlation between the optimal end-of-life care and well-dying showed that there was no significant correlation. This study suggest that education should be provided to raise awareness of end-of-life care for young nurses with low experience.

Validity and Applicability of Clinical Ladder System Model for Nurses (간호사 임상경력관리체계 모형 타당성 및 적용가능성 검증연구)

  • Cho, Myung Sook;Kwon, In Gak;Kim, Kyung Hee;Kim, Mee Soon;Cho, Yong Ae
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.3
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    • pp.281-292
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    • 2017
  • Purpose: The purpose of this study was to verify the validity and applicability of the Clinical Ladder System(CLS) Model for nurses and to suggest a model for nurses in general hospitals as well as tertiary hospitals. Methods: After refining questionnaires through focus group participation, a survey was carried out with 50 nurse managers and 500 staff nurses from 6 tertiary hospitals and 4 general hospitals. S-CVI and i-CVI for validity and applicability were calculated. Differences in validity and applicability by the type of hospitals and characteristics of respondents were analyzed using t-test and ANOVA. Results: S-CVI for validity and applicability of the CLS model were over 0.8 in two types of hospitals and the validity and applicability of the CLS model were confirmed. No differences were found in the total score for validity between the 2 types of hospitals, but in applicability, general hospitals had significantly lower applicability than tertiary hospitals. Some items showed difference according to characteristics of the respondents. CLS models were postulated based on the study results. Conclusion: The CLS model refined through this study can be used for nurses. In application, modifications are needed according to the conditions of each hospital.

보건 간호 실습 계획을 위한 실태 조사

  • 김모임;김의숙;조원정
    • Journal of Korean Academy of Nursing
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    • v.1 no.1
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    • pp.3-26
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    • 1970
  • That's an attempt to study about knowledge, attitudes and practice of the residents with regard to maternal child health, family, planning, and tuberculosis in rural area which was chosen to be a demonstration area for nursing students of College of Nursing, Yonsei University for their public health nursing practice. In addition, it is designed to collect information on population of the area such as age and sex distribution, mobility, and other characteristics also be sought by doing a census. The purpose of study is to obtain data which are needed for planning student learning experiences in the community. The information which was obtainable through this study is as follows; 1. In demographic aspect a. Population structure was a typical rural type in terms of population pyramid. b. Distribution of age and sex of residents showed more female in the older ages. c. Population has not moved much. Majority of them have been living in the area since their births. 2. In sociological aspect a. The level of education of female was comparatively lower than male. b. The residents of the area did not have any special religion. c. The economic status was found low or middle class. 3. In health practice In general health knowledge, attitudes and practice appeared to be poor. As a result of this study, it could be summararized that there are a great public health nursing needs in the community. According to these needs found and to it's nature, severity and massiveness, the nurse instructors with students were able to set up a priority system in services. Meanwhile student case load can be logically figured out in consideration of variety of experiences need for each student. The study helped student not only to find out resident characteristics and their health problems in terms of family and community problem but also to provide a good learning experience by participating in the interviewing. In sum this type of study is necessary for planning of student field experience when no data are available where students are going to have field experiences in public health nursing.

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A Study on the Type of Hospital Nurses' Professional Nursing Image;A Q-methodological Approach (간호사의 전문간호이미지 유형에 관한 연구;Q - 방법론적 접근)

  • Yoon, Eun-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.2 no.2
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    • pp.17-42
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    • 1996
  • Most human behaviors are based on self-perceptual image. Subjectivity in professional nursing image is shown in their opinions, beliefs, values, and attitudes of professional nursing and it helps to understand individual's behavior. This study was initiated to find the characteristics and patterns in subjectivity of hospital nurses' professional nursing image. The Data were collected from Apr. 20 to Aug. 22, 1996. The research method employed Q-methodology which is based on self-psychology and abductive logics. Analysis of Q-type obtained by QUANL pc program. The characteristics of professional nursing image was analyzed based on the typal array, extreme comments, and the subject's demographic information. The results revealed that there are three different types on the professional nursing image. The three types were named as follows : The first type, the Improvable, consisting of 6 subjects, preferentially perceived nursing is human behavior as life process, coordinating with other health personnel for the patients as nurses' important role. On the other hand, they are taking a little dissatisfied view of professional nursing image, which can be estimated to advance for the construction of the professional nursing image. The second type, the Self-conflicted, consisting of 13 subjects, who have the subjectivity of the image by focusing on external and environmental factors rather than developing positive individual nurses' image for their profession. They have very conflic-ting and self-degrading traits. The third type, the Affirmative, consisting of 10 subjects, who appreciate the essence of nursing, and that they highly perceived nurse' positive attitude, devotion, mature interrelationship and self-developing efforts etc. In conclusion, this study discovers three types on the professional nursing image and their relationship. By identifying the nature of three types, this study suggests that the results should be useful reinforcement tool in educating nursing students as well as in continuing education for hospital nurses.

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Nursing Students' Self-Leadership, Self-Efficacy, Interpersonal Relation, College Life Satisfaction (간호 대학생의 셀프리더십, 자기효능감, 대인관계, 대학생활 만족)

  • Lee, Yoon Shin;Park, Sung Hee;Kim, Jong Kyung
    • The Journal of the Korea Contents Association
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    • v.14 no.6
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    • pp.229-240
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    • 2014
  • Acquiring professional knowledge and clinical practice of nursing students is a major barrier to campus life and nursing education is needed the programs for considering student's stress and personal characteristics. This study was to understand relation among self-leadership, self-efficacy, interpersonal relationship and college life satisfaction in nursing students. We conducted a survey of 375 students in 4 nursing colleges during the period from March 2nd to 31st. 2014. The study found a positive correlation and significant direct effects between self-leadership, self-efficacy, interpersonal relationship and college life satisfaction and these variables explained 26.8% of college life satisfaction. Therefore, self-leadership of students can improve self-efficacy, interpersonal relationship, furthermore, improve ultimately college life satisfaction. According to this study, to improve college life satisfaction, student's personal characteristics should be considered and education programs for self-leadership, self-efficacy and interpersonal relationship be reflected in curriculum.