Abstract
It is well known that intra-personal attributes and leadership styles are crucial elements of nursing education and practice. However, little has been done in these aspects, particularly in terms of students’ perspectives regarding various cultural influences on intra-personal development and nursing leadership. Six focus group interviews were conducted in Hong Kong to explore the meanings of intra-personal development and nursing leadership in nursing education and the clinical setting, and to analyze Chinese culture relevant to intra-personal and leadership development. The results revealed three themes (intra-personal development, nursing leadership, and cultural influence) extracted from the focus group interviews. Regarding intra-personal development, the findings from participants’ experiences suggested that they agreed with the importance of self-awareness, self-reflection, emotional competence, resilience, morality, and self-identity in nursing students. In addition, social competence, communication, team building and self-leadership, as well as crisis, conflict, and stress management, are crucial to nursing leadership. Some participants were also concerned with the cultural influence on gender barriers and hierarchism in the clinical setting. As intra-personal characteristics, leadership competence, and cultural values are crucial and fundamental in education, nursing programs should enhance these aspects for the holistic development of nursing students. Further studies across regions and time, interviews with nursing educators, and cross-cultural collaboration for nursing leadership and intra-personal development in nursing programs are recommended.
References
1. Honeycut A, Milliken ME. Understanding human behavior: a guide for health care providers, 8th ed. Clifton Park, NY: Delmar Cengage Learning, 2012:75–6.Search in Google Scholar
2. Fenigstein A. Private and public self-consciousness. In: Leary MR, Hoyle RH, editors. Handbook of individual differences in social behavior. New York: Guilford, 2009:495.Search in Google Scholar
3. Swann WB, Jr. Self-verification theory. In: Van Lange PA, Kruglanski AW, Tory Higgins E, editors. Handbook of theories of social psychology. London: Sage, 2012:23.Search in Google Scholar
4. Baruth LG, Lee M. Manning multicultural counseling and psychotherapy: a lifespan approach, 5th ed. Upper Saddle River, NJ: Pearson, 2012:74.Search in Google Scholar
5. Schultz DP, Schultz SE. A history of modern psychology, 10th ed. Belmont, CA: Wadsworth, 2012:337–8.Search in Google Scholar
6. Ray WJ. Evolutionary psychology: neuroscience perspectives concerning human behavior and experience. Thousand Oaks, CA: Sage, 2013:180–1.Search in Google Scholar
7. Marshall ES. Transformational leadership in nursing: from expert clinician to influential leader. New York: Springer, 2011:2–8.Search in Google Scholar
8. Forman H. Nursing leadership for patient-centered care: authenticity, presence, intuition, expertise. New York: Springer, 2011:69.Search in Google Scholar
9. Porter-O’Grady P, Malloch K. Quantum leadership: advancing innovation, transforming health care, 3rd ed. Sudbury, MA: Jones Bartlett Learning, 2011:124.Search in Google Scholar
10. Cherry B, Jacob SR. Contemporary nursing: issues, trends and management, 5th ed. St. Louis, MO: Elsevier Mosby, 2011:352.Search in Google Scholar
11. O’Brien ME. Servant leadership in nursing: spirituality and practice in contemporary health care. Sudbury, MA: Jones Bartlett, 2011:17.Search in Google Scholar
12. Roussel L, Dearman C, Williams LK. Voices from the field: executive nurse administration, clinical nurse leader, and doctor of nursing practice students assignment examples, information from professors, student exemplars. In: Harris JL, editor. Project planning and management: a guide for CNLs, DNPs, and nurse executives. Sudbury, MA: Jones Bartlett Learning, 2011:198.Search in Google Scholar
13. Wong K. Chinese culture and leadership. Int J Leader Educ 2001;4:309–19.10.1080/13603120110077990Search in Google Scholar
14. Wah SS. Philosophical review of the Chinese classical leadership. In: Akarabornworn CT, Osman-Gani AM, McLean GN, editors. Human resource development in Asia: national policy perspectives (57-1). Bangkok, Thailand: Academy Human Resource Development and National Institute Development Administration, 2003.Search in Google Scholar
15. Wang J. Leveraging Chinese culture for effective organizational leadership: the China case. In: Chermack TJ, Storberg-Walker J, editors. Proceedings of the Academy of Human Resource Development International Research Conference in the Americas (10-3), 2008.Search in Google Scholar
16. Gerdes EP, Ping G. Coping differences between college women and men in China and the United States. Genet Soc Gen Psychol 1994;120:169–98.Search in Google Scholar
17. Wang Y, Ollendick TH. A cross-cultural and developmental analysis of self-esteem in Chinese and Western children. Clin Child Fam Psychol Rev 2001;4:253–71.10.1023/A:1017551215413Search in Google Scholar
18. Chen SX, Chan W, Bond MH, Stewart SM. The effects of self-efficacy and relationship harmony on depression across cultures: applying level-oriented and structure-oriented analyses. J Cross Cult Psychol 2006;37:643–58.10.1177/0022022106292075Search in Google Scholar
19. Li S, Wong SY. A cross-cultural study on sex-role stereotypes and social desirability. Sex Roles 1982;8:481–91.10.1007/BF00287714Search in Google Scholar
20. Tung M. Life values, psychotherapy, and East-West integration. Psychiatry 1984;47:285–92.10.1080/00332747.1984.11024249Search in Google Scholar PubMed
21. Cheng B, Chou L, Wu T, Huang M, Farh J. Paternalistic leadership and subordinate responses: establishing a leadership model in Chinese organizations. Asian J Soc Psychol 2004;7:89–117.10.1111/j.1467-839X.2004.00137.xSearch in Google Scholar
22. Chuang A, Chi TS. Leader-member relationship: the mediation and moderation effects of person-environment fit in a Chinese culture. Acad Manage Annu Meeting Proc 2008;8:1–6.Search in Google Scholar
23. Farh J, Cheng B. A cultural analysis of paternalistic leadership in Chinese organizations. In: Li JT, Tsui AS, Weldon E, editors. Management and organizations in the Chinese context, Palgrave Macmillan, 2000:94–127.10.1057/9780230511590_5Search in Google Scholar
24. Cheng YC. School leadership and three waves of education reforms. Camb J Educ 2003;33:417–39.10.1080/0305764032000122041Search in Google Scholar
25. Leung K, Wang ZM, Smith PB. Job attitudes and organizational justice in joint venture hotels in China: the role of expatriate managers. Int J Hum Resour Man 2001;12:20.10.1080/09585190122823Search in Google Scholar
26. Wang Z. Managerial competency modelling and the development of organizational psychology: a Chinese approach. Int J Psychol 2003;38:323–34.10.1080/00207590244000205Search in Google Scholar
27. Wong J, Wong PN, Heng L. An investigation of leadership styles and relationship cultures of Chinese and expatriate managers in multinational construction companies in Hong Kong. Constr Man Econ 2007;25:95–106.10.1080/01446190600632573Search in Google Scholar
28. Shao L, Webber S. A cross-cultural test of the ‘five-factor model of personality and transformational leadership’. J Bus Res 2006;59:936–44.10.1016/j.jbusres.2006.02.005Search in Google Scholar
29. Grbich C. Qualitative research in health: an introduction. Sydney: Allen Unwin, 1999.Search in Google Scholar
30. Hastings G. Qualitative research in health education. J Inst Health Educ 1990;28:118–27.10.1080/03073289.1990.10805728Search in Google Scholar
31. Tesch R. Qualitative research: analysis types and software tools. London: Falmer, 1990.Search in Google Scholar
32. Ribbens J, Edwards R. Feminist dilemmas in qualitative research: public knowledge and private lives. London: Sage, 1998.10.4135/9781849209137Search in Google Scholar
33. Kopala M, Suzuki LA. Using qualitative methods in psychology. Thousand Oaks, CA: Sage, 1999.10.4135/9781452225487Search in Google Scholar
34. Janesick VJ. The dance of qualitative research design: handbook of qualitative research. Thousand Oaks, CA: Sage, 1994.Search in Google Scholar
35. Heary CM, Hennessy E. The use of focus group interviews in pediatric health care research. J Pediatr Psychol 2002;27:47–57.10.1093/jpepsy/27.1.47Search in Google Scholar PubMed
36. Krueger RA. Focus groups. A practical guide for applied research, 2nd ed. Oxford: Oxford University Press, 1994.Search in Google Scholar
37. Basch CE. Focus group interview: an underutilized research technique for improving theory and practice in health education. Health Educ Quart 1987;14:411–48.10.1177/109019818701400404Search in Google Scholar PubMed
38. Berg B. Qualitative research methods for the social sciences. Needham Heights, MA: Allyn Bacon, 1998.Search in Google Scholar
39. Levine IS, Zimmerman JD. Using qualitative data to inform public policy: evaluating choose to de-fuse. Am J Orthopsychiatr 1996;66:363–77.10.1037/h0080187Search in Google Scholar PubMed
40. Krippendorff K. Content analysis: an introduction to its methodology. London: Sage, 1980.Search in Google Scholar
41. Bryman A. Social research methods. Oxford: Oxford University Press, 2002.Search in Google Scholar
42. Seal D, Bloom F, Somlai A. Dilemmas in conducting qualitative sex research in applied field settings. Health Educ Behav 2000;27:10–23.10.1177/109019810002700102Search in Google Scholar PubMed
43. Westwood R. Harmony and patriarchy: the cultural basis for’paternalistic headship’ among the overseas Chinese. Organ Stud 1997;18:445–80.10.1177/017084069701800305Search in Google Scholar
44. Koehle M, Bird D, Bonney C. The role of personal mastery in clinical practice: how personal leadership can transform the workplace. J Perianesth Nurs 2008;23:172–82.10.1016/j.jopan.2008.03.006Search in Google Scholar PubMed
45. Alinsky S. Rules for radicals: a practical primer for realistic radicals. New York: Vintage Books, 1989.Search in Google Scholar
46. Yura-Petro J, Brooks J. Congruence between nursing education and nursing service: a common conceptual/theoretic framework for nursing units. Health Care Superv 1991;10:1–12.Search in Google Scholar
47. Joyce P. Developing a nursing management degree programme to meet the needs of Irish nurse managers. J Nurs Manage 2005;13:74–82.10.1111/j.1365-2834.2004.00467.xSearch in Google Scholar PubMed
48. Chickering A, Reisser L. Education and identity. San Francisco, CA: Jossey-Bass, 1993.Search in Google Scholar
49. Robbins A. Awaken the giant within: how to take immediate control of your mental, emotional, physical, and financial destiny. New York: Simon Schuster, 1992.Search in Google Scholar
50. Santilli NR, Falbo MC, Harris JT. Do volunteering and community service facilitate psychosocial development? In: Aquila FD, editor. Service-learning research K-16: innovation and change in American education. Cleveland, OH: Learn Service America, 2002:10.Search in Google Scholar
51. Murphy E. Nursing’s leadership in American politics. Am Nurse 2004;36:14.Search in Google Scholar
52. Graham IW, Jack E. Promoting leadership: the development of a nurse executive team in an acute hospital trust. J Nurs Manage 2008;16:955–63.10.1111/j.1365-2834.2008.00915.xSearch in Google Scholar PubMed
53. Chan S. Factors influencing nursing leadership effectiveness in Hong Kong. J Adv Nurs 2002;38:615–23.10.1046/j.1365-2648.2002.02229.xSearch in Google Scholar PubMed
54. Joyce P. Leading and leadership: reflections on a case study. J Nurs Manage 2010;18:418–24.10.1111/j.1365-2834.2010.01090.xSearch in Google Scholar PubMed
55. Howarth M, Holland K, Grant MJ. Education needs for integrated care: a literature review. J Adv Nurs 2006;56:144–56.10.1111/j.1365-2648.2006.03992.xSearch in Google Scholar PubMed
56. Huang R. China, a macro history. Armonk, NY: ME Sharpe, 1988.Search in Google Scholar
57. Conyne RK, Wilson FR, Tang M. Evolving lessons from group work involvement in China. J Spec Group Work 2000;25: 252–68.10.1080/01933920008411466Search in Google Scholar
58. Richman RC, Morahan PS, Cohen DW, McDade SA. Advancing women and closing the leadership gap: the executive leadership in academic medicine (ELAM) program experience. J Women’s Health Gend Based Med 2001;10:271–7.10.1089/152460901300140022Search in Google Scholar PubMed
59. Keogh B, O’Lynn C. Male nurses’ experiences of gender barriers: Irish and American perspectives. Nurs Educ 2007;32:256–9.10.1097/01.NNE.0000299478.64809.82Search in Google Scholar PubMed
60. Chur-Hansen A. Preferences for female and male nurses: the role of age, gender and previous experience – year 2000 compared with 1984. J Adv Nurs 2002;37:192–8.10.1046/j.1365-2648.2002.02079.xSearch in Google Scholar PubMed
61. Inoue M, Chapman R, Wynaden D. Nurse teacher stress in Northern Ireland. J Adv Nurs 2006;55:559–67.10.1111/j.1365-2648.2006.03948.xSearch in Google Scholar PubMed
62. Schein E. Organizational culture and leadership, 2nd ed. San Francisco, CA: Jossey-Bass, 1992:1.Search in Google Scholar
63. Werrett J. The primary and secondary care interface: the educational needs of nursing staff for the provision of seamless care. J Adv Nurs 2001;34:10.10.1046/j.1365-2648.2001.01792.xSearch in Google Scholar PubMed
64. Slater P. Training for no secrets: a strategic initiative. Soc Work Educ 2002;21:437–48.10.1080/02615470220150393Search in Google Scholar
65. Carlisle G. Personal and practice development plans in primary care in Wales. J Interprof Care 2000;14:39–48.10.1080/713678537Search in Google Scholar
©2014 by De Gruyter
Articles in the same Issue
- Frontmatter
- Editorial
- A tale of two innovative leadership subjects in Hong Kong, People’s Republic of China
- Review
- Teaching a subject on leadership and intrapersonal development: some personal reflections
- Original Articles
- Leadership and intra-personal development: relevance to Chinese nursing students
- Evaluation of a subject on leadership and intrapersonal development: views of the students based on qualitative evaluation
- Perceptions of a university subject on leadership and intrapersonal development: reflections of the scholarship recipients
- Do university students change after taking a subject on leadership and intrapersonal development?
- Post-course subjective outcome evaluation of a subject on leadership and intrapersonal development for university students in Hong Kong
- Post-lecture subjective outcome evaluation of a university subject on leadership and positive youth development in Hong Kong
- The role of teachers in youth development: reflections of students
- Perceived benefits of a university subject on leadership and intrapersonal development
- Effectiveness of a Chinese positive youth development program: the Project P.A.T.H.S. in Hong Kong
- The relationship between subjective outcome evaluation and objective outcome evaluation findings: evidence from China
- The students were happy, but did they change positively?
- Service leadership education for university students in Hong Kong: subjective outcome evaluation
- Service leadership education for university students in Hong Kong: qualitative evaluation
- Process evaluation of a pilot subject on service leadership for university students in Hong Kong
- Book Reviews
- European yearbook of disability law Mortsel
- Care of the adult with intellectual disability in primary care
Articles in the same Issue
- Frontmatter
- Editorial
- A tale of two innovative leadership subjects in Hong Kong, People’s Republic of China
- Review
- Teaching a subject on leadership and intrapersonal development: some personal reflections
- Original Articles
- Leadership and intra-personal development: relevance to Chinese nursing students
- Evaluation of a subject on leadership and intrapersonal development: views of the students based on qualitative evaluation
- Perceptions of a university subject on leadership and intrapersonal development: reflections of the scholarship recipients
- Do university students change after taking a subject on leadership and intrapersonal development?
- Post-course subjective outcome evaluation of a subject on leadership and intrapersonal development for university students in Hong Kong
- Post-lecture subjective outcome evaluation of a university subject on leadership and positive youth development in Hong Kong
- The role of teachers in youth development: reflections of students
- Perceived benefits of a university subject on leadership and intrapersonal development
- Effectiveness of a Chinese positive youth development program: the Project P.A.T.H.S. in Hong Kong
- The relationship between subjective outcome evaluation and objective outcome evaluation findings: evidence from China
- The students were happy, but did they change positively?
- Service leadership education for university students in Hong Kong: subjective outcome evaluation
- Service leadership education for university students in Hong Kong: qualitative evaluation
- Process evaluation of a pilot subject on service leadership for university students in Hong Kong
- Book Reviews
- European yearbook of disability law Mortsel
- Care of the adult with intellectual disability in primary care