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PURPOSE: This study was conducted to understand the degree of vitality, meaning in life and self-efficacy and to elucidate the factors influencing this vitality in the nurses of Korea. METHOD: A cross-sectional survey of nurses from 4 hospitals was conducted by convenience sampling. Data collection was conducted through the use of questionnaires which were constructed to include a Vitality Self Test, Purpose in Life Test and Self-efficacy Scale. RESULTS: The degree of vitality in nurses was in the middle range. The nurses of this study had few goals towards meaning in life, and an existential vacuum state. A positive relationship was found between vitality and the research variables. The significant predictors influencing vitality in nurses were meaning in life, self-efficacy, and clinical career, and these variables accounted for 28.7% of the variance in vitality. CONCLUSIONS: This results support that vitality is an important link with meaning in life and self-efficacy. There should be a comprehensive study in the future for in-depth understanding of the vitality of nurses.

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PURPOSE: This study was conducted to detect the correlations and the main factors influencing self-directedness in learning of nursing students. METHOD: The samples were composed of 224 nurse students who were from three nursing department in Seoul, Chungnam and Kyunbook. The reliability of 4 instruments was tested with Cronbach's alpha from .63 to .86. The data was analyzed using a SAS program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. RESULT: The results were as follows: 1. The mean self-directedness score was 91.23 which was slightly high. The self-directedness in learning was influenced significantly by grade, perception of self-level, self-study in majoring and self-study except for majoring(F= 3.33-7.14, p<.05). 2. There were significant correlations between all the predictive variables and the self-directedness(r=.27-48, p<.01). 3. Stepwise multiple regression analysis showed that 35% of the self-directedness in learning of nursing students were significantly explained by self-esteem(23%), locus of control(6%), self-study except for majoring(2 kind, 2%), self study in majoring(good, 2%), and self-study except for majoring( above 3 kind, 2%). CONCLUSION: Based upon these findings, sociopsychological variables like self-esteem and locus of control are very important factor influencing self-directedness in learning of nursing students.

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• The effectiveness of using situational awareness and case-based seminars in a comprehensive nursing skill practice course for undergraduate nursing students: a quasi-experimental study
  Yuanhao Sun, Xiangdong Li, Haiyang Liu, Yuqing Li, Jiaofeng Gui, Xiaoyun Zhang, Xiaoping Li, Lu Sun, Lin Zhang, Congzhi Wang, Jing Li, Mingming Liu, Dongmei Zhang, Jingyi Gao, Xuefeng Kang, Yunxiao Lei, Ting Yuan
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• A Study on the Level of Awareness and the Current Performance Level of Self-directed Learning in Nursing Students
  Jeong Ah Kim, Moonhae Bae, Ja-kyung Ko
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• Influence of Self-directed Learning Ability and Creativity on College Adjustment in Nursing Students
  Hyeon-Sook Park, Kyung-Soon Jeong
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• Academic Achievement, Self-directed Learning, and Critical Thinking Disposition According to Learning Styles of Nursing Students
  Sun-Hee Yang, Eun-Ho Ha, Og-Cheol Lee, In-Ok Sim, Young-Mi Park, Hyun-A Nam, Jeong-Sook Kim
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  Miyoung Kim, Seong-Yeon Park
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  Yun Min Kim
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• Effects of Teaching Method using Standardized Patients on Nursing Competence in Subcutaneous Injection, Self-Directed Learning Readiness, and Problem Solving Ability
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PURPOSE: This study was to identify the trends and contents of imagery interventions and to evaluate the effects of imagery interventions by using meta-analysis. METHOD: The materials used for this study were 15 imagery intervention studies carried out from Jan. 1995 to Dec. 2001. The studies were analyzed and evaluated in different categories: 1) types of dependent variables 2) types of imagery 3) interval of imagery 4) total duration of imagery 5) sample characteristics 6) intervention method. RESULT: 1) Behavioral imagery was more prevalent than dynamic imagery. There were wide variations in duration, and interval of interventions. Imagery intervention had moderate effects on psychological variables (state of anxiety, depression & and stress etc.) and had moderate to large effects on physiological variable(pulse rate, cortisol etc.). Behavioral imagery had larger effects than dynamic imagery. Imagery applied to the public had larger effect on decreasing the state of anxiety and stress than applied to the patients. But imagery applied to the patients had a larger effect on decreasing depression than applied to the public. The imagery intervention method by using the individual approach had greater effect than group approach method. CONCLUSION: These results of this study will be used to guide the development of imagery interventions to nursing practice. Also, various types of imagery interventions need to be developed based on the characteristics of nursing practice.

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• Korean hospice nursing interventions using the Nursing Interventions Classification system: A comparison with the USA
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• The Effects of P6 Acupressure and Guided Imagery on Nausea, Vomiting, Retching and Anorexia of the Patients with Thyroid Cancer Undergoing Radioactive Iodine Therapy
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This study is a methodical research to develop a health behavior assessment scale for patients with rheumatoid arthritis, and to test the validity and reliability of the instrument. The research procedure was as follows; 1) The first step was to develop conceptual framework based on a comprehensive review of the literature, in-depth interviews patients with rheumatoid arthritis. This conceptual framework was organized in eight dimensions; pain management, exercise, rest, diet control, active committment, self-management, positive thinking, interpersonal maintenance. Initially 56 items were selected from 164 statement. 2) These items were reviewed by panel of eight specialists and the Index of Content validity (CVI) was calculated, and forty six items were selected which met more than 70% on the CVI. 3) 174 rheumatoid arthritis pateints were interviewed, and data was gathered from Jan. 25 to Feb. 18, 1999 for test reliabilities and validities of the scale. The item analysis was carried out and 40 items were selected. Factor analysis by varimax rotation was carried out to test construct validity. The internal consistency by chronbach's alpha was calculated. The findings were as follows; 1) Item analysis and factor analysis were carried out to test the validity of the health behavior assessment scale. The item analysis was based on the corrected item`s to total correlation coefficient (.30 or more), and information about the alpha estimate. However, this was only if this item was deleted from the scale. As a result of the item analysis, forty items were selected. Thirty items were selected by a initial factor analysis by varimax rotation, and ten items were deleted because of factor complexity. In the secondary factor analysis, eight factors were labled as 'positive thinking', 'exercise', 'rest', 'pain management', 'active committment', 'self-management', 'diet control', and 'interpersonal maintenance', each similar with the conceptual framework. 2) Chronbach's alpha coefficient to test reliability of the scale was. 903 for total the thirty items. The Scale for assessing health behavior developed in this study was identified to be a tool with a high degree of reliability and validity. Therefore this scale can be effectively utilized for assessment in the health behaviors of the patients with rheumatoid arthritis.

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