J Korean Acad Psychiatr Ment Health Nurs.  2019 Sep;28(3):236-247. 10.12934/jkpmhn.2019.28.3.236.

Development and Effects of the Self-determination Improvement Program for Nursing Students' Professional Competence Enhancement

  • 1Assistant Professor, Department of Nursing, Sorabol College, Gyeongju, Korea.
  • 2Professor, College of Nursing · The Research Institute of Nursing Science, Daegu Catholic University, Daegu, Korea. parkhs@cu.ac.kr


The purposes of this study were to develop a self-determination improvement program for enhancing nursing students' professional competence and to evaluate effects of the intervention on nursing professionalism, communication skills, and career decision-making autonomy among nursing students.
The study was in a pre-test, post-test 1, and post-test 2 for a nonequivalent control group design. The participants were 56 students enrolled a nursing school or college (experimental group: 28; control group: 28). The self-determination improvement program was provided in 12 sessions over 4 weeks. Data was collected from August to September 2018. Data were analyzed using SPSS/WIN 25.0 program with χ² test, Fisher's exact test, the independent t-test, and repeated measurement ANOVA.
Participants receiving the self-determination improvement program reported increased nursing professionalism, communication skills, and career decision-making autonomy that was significantly different from those in the control group.
Our study findings suggest that the self-determination improvement program could be effective for enhancing career decision-making autonomy by strengthening nursing students' professionalism and communication skills. Nursing educational program based on self-determination may be helpful for nursing students who need to prepare themselves as competent nurses in future profession.


Professional competence; Nursing; Professionalism; Students; Personal autonomy

MeSH Terms

Personal Autonomy
Professional Competence*
Schools, Nursing
Students, Nursing


  • Figure 1. Conceptual framework of this study.


1. Kim MJ, Kim BH. The relationship among university students' career self-regulation, career decision making self-efficacy, rational career decision making, and career exploration behavior. The Journal of Career Education Research. 2014; 27(3):27–45.
2. Kim HS. Cluster types of university students with career indecision. Journal of Learner-Centered Curriculum and Instruction. 2017; 17(8):611–632. https://doi.org/10.22251/jlcci.2017.17.8.611.
3. Lee JW, Lee NY, Eo YS. 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. 2018; 19(1):311–320. https://doi.org/10.5762/KAIS.2018.19.1.311.
4. Seong JA, Yeom EY, Do YS. Image of nurses and nursing professional values perceived by nursing students. The Journal of The Korea Contents Association. 2014; 14(11):798–809. https://doi.org/10.5392/JKCA.2014.14.11.798.
5. Lee KA, Kim JH. Nursing students' awareness of career decision-making self-efficacy, career search behavior and commitment to career choice. Perspectives in Nursing Science. 2015; 12(1):42–49. https://doi.org/10.16952/pns.2015.12.1.42.
6. Deci EL, Ryan RM. The “hat” and “why” of goal pursuits: human needs and the self-determination of behavior. Psychological Inquiry. 2000; 11(4):227–267. https://doi.org/10.1207/S15327965PLI1104_01.
7. Deci EL, Ryan RM. Handbook of self-determination research. 1st ed.New York: University of Rochester Press;2002. p. 480.
8. Kang WD, Ahn GYR. The effect of achievement motives, internal work value, and career barrier on high school students' career attitude maturity and career preparation behavior. The Korean Journal of Health Psychology. 2010; 15(1):161–175.
9. Kim CH, Kim BY, Park HJ, Lee KH, Chae JE. A study for development of Korean university student competency index. Seoul: Korean Educational Development Institute;2014. December. Report No. RR2014-21.
10. Seo MS, Park JS, Kim OK, Heo MH, Park JO, Park MM. The influence of clinical nurses' professional self concept and interpersonal relations on nursing competence. Korean Journal of Hospital Management. 2017; 22(2):28–43.
11. Yeun EJ, Kwon YM, Ahn OH. Development of a nursing professional values scale. Journal of Korean Academy of Nursing. 2005; 35(6):1091–1100. https://doi.org/10.4040/jkan.2005.35.6.1091.
12. Berkow S, Virkstis K, Stewart J, Conway L. Assessing new graduate nurse performance. Nurse Educator. 2009; 34(1):17–22. https://doi.org/10.1097/01.NNE.0000343405.90362.15.
13. Ko YJ, Kim IK. The relationship between professional nursing values and career preparation behaviors of nursing students. The Journal of Korean Academic Society of Nursing Education. 2011; 17(1):62–71. https://doi.org/10.5977/JKASNE.2011.17.1.062.
14. Ji EJ, Bang MR, Jeon HJ. Ego resilience, communication ability, and problem-solving ability in nursing students. The Journal of Korean Academic Society of Nursing Education. 2013; 19(4):571–579. https://doi.org/10.5977/jkasne.2013.19.4.571.
15. Kang YS, Hwang SY. Correlations of self-esteem, major satisfaction and career motivation in college nursing students. Journal of the Korea Academia-Industrial cooperation Society. 2013; 14(7):3301–3309. https://doi.org/10.5762/KAIS.2013.14.7.3301.
16. Han JO. Effect of career self-efficacy between the level of self-determination in career decision-making and the level of career indecision among female college students [master's thesis]. [Seoul]: Ewha Womans University;2004. p. 82.
17. Guay F. Motivations underlying career decision-making activities: the Career Decision Making Autonomy Scale (CDMAS). Journal of Career Assessment. 2005; 13(1):77–97. https://doi.org/10.1177/1069072704270297.
18. Kim EY, Song MH. A study on the applicability of creativity program using social network service: focusing on the 'creativity community'. Korean Society for Creativity Education. 2012; 12(3):29–55.
19. Ryu JS. The structural relationships among social support, family resilience, self-determination, commitment to career choice and career preparation behavior of undergraduate student [dissertation]. [Cheongju]: Chungbuk National University;2012. p. 131.
20. Lee SJ, Jang YK, Lee HN, Park KY. A study on the development of life-skills: communication, problem solving, and self-directed learning. Seoul: Korean Educational Development Institute;2003. December. Report No. RR2003-15-3.
21. Cho JH. Effects of a motivation-enhanced weight loss program for women with abdominal obesity: based on the self-determination theory [dissertation]. [Seoul]: Korea University;2013. p. 126.
22. Branch RM. Instructional design: the ADDIE approach. 1st ed.New York: Springer Science & Business Media;2009. p. 207.
23. Kim YH. The effects of college life adaptation program on nursing students college life adaptation and nursing professional attitude. Journal of the Korea Academia-Industrial cooperation Society. 2015; 16(12):8948–8956. https://doi.org/10.5762/KAIS.2015.16.12.8948.
24. Hong EY. Convergence study of mediating effect of nursing professionalism on the relationship between nurse image and satisfaction of major among nursing students. Journal of the Korea Convergence Society. 2017; 8(10):85–93. https://doi.org/10.15207/JKCS.2017.8.10.085.
25. Kweon HY, Lee MA. The effects of self-determination program based on self-advocacy and communication training for the students with mild intellectual disability. Journal of Rehabilitation Research. 2015; 19(3):111–137. https://doi.org/10.16884/JRR.2015.19.3.111.
26. Won JS, Shin HS. The effect of small group based communication training program on the competency of communication and the human relationship in nursing college students. Journal of East-West Nursing Research. 2008; 14(2):60–66.
27. Kim JS. The relationship among self-determination, career barriers, and employment preparation behavior of university students. Journal of Korean Youth Studies. 2017; 24(2):141–166. https://doi.org/10.21509/KJYS.2017.
28. Lee MY. The effect of a group program designed to resolve the psychological career barriers of university freshmen on their psychological career barriers, self-efficacy in career decision-making, and self-determination. Journal of Digital Convert-gence. 2018; 16(10):485–496. https://doi.org/10.14400/JDC.2018.16.10.485.
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