Purpose: The purpose of this study was to examine the effect of patient surveillance on nurses' adherence to the guidelines on peripheral vascular catheter management. Method: A one group time series design was used. Seventy six nurses participated in the study. The data were collected from October 1 to November 4, 2008. Result: The effects of patient surveillance were significant on nurses' average adherence rates to the guidelines estimated by observers and by themselves, and the levels of nurses self recognition on the importance of the guidelines. In addition, overall occurrence rates of phlebitis tend to decrease after patients surveillance. Even though 33 nurses didn't follow the guidelines perfectly, most patients did not provide feedbacks to the nurses' non-adherence. Among the nurse participants, 36.8% answered that patient surveillance was acceptable. Conclusion: This study found that patients with peripheral catheters could positively influence nurses' adherence to the catheter management guidelines. Therefore, inviting patients in nursing activities could benefit to the quality of patients care. However, it seems essential to create an environment fostering nurses' acceptance of the patients' surveillance. Further research warrants the potential benefits of the patient's participations in nursing activities.

Purpose: This study aimed to investigate the impact of nursing professionalism on the nursing performance, job satisfaction and retention intention among clinical nurses. Methods: A descriptive correlational research design was used for this study. All 329 clinical nurses were obtained by convenience sampling from 3 National or public hospitals, 3 university hospitals, and two private hospitals located in Seoul and Kyunggi province. The data were collected using a self-reporting questionnaire contained four instruments and questions for demographic characteristics of subjects from April 21st to September 1st, 2008. Collected data were analyzed on SPSS Win 16.0. Results: There was a significant relationship between nursing professionalism, nursing performance, job satisfaction and retention intention among clinical nurses. The nursing professionalism was identified as a predictor of nursing performance, job satisfaction, and retention intention. Conclusion: The strategies to promote and enhance the nursing professionalism of clinical nurses, in this era in which the nursing shortage become more and more problematic issue, are needed to design and be integrated into the management of human resource in nursing organizations.

Objective: The purpose of this study was to compare preceptors and new graduate nurses on their perception of preceptor teaching effectiveness. Methods: The participants were 90 new nurses and 90 preceptors who worked in A medical center. The data were collected from July 1 to September 30, 2008. A cross-sectional descriptive survey was done using a structured questionnaire. Results: New nurses' perception ($4.07{\pm}.44$) of the preceptor teaching effectiveness was significantly higher than perception of the preceptors ($3.57{\pm}.37$). Fifty five percent of new graduate nurses reported a lack of coherence in the preceptor's practice guidelines. For 5 causal factors classified on the teaching effectiveness, the factor of 'Professional knowledge and ability' showed the highest score, but 'Interpersonal and communication skill' got lowest score for both group. Preceptors responded that they did not have enough time to teach well because of their heavy workloads. Conclusions: These results suggest that the preceptors need appropriate compensation and education opportunities, and new graduate nurses need consistent education by the teaching professionals. Therefore, it is important to give preceptors full charge of the preceptorship. Also, it will be necessary to develop education programs to enhance interpersonal and communication skill for preceptors and new nurses.

Purpose: In order to improve resuscitation rate of CPR through providing qualitative nursing while performing CPR in hospital ward and to enhance quality of emergency nursing in the ward, the author embarked on the research as a way of developing ventricular fibrillation protocol about CPR. Method: Collected data were analyzed by using the SPSS/PC14.0 program while the routes of final protocol developed in this research are as follows. Result: Based on analysis results of literature study and CPR electronic hospital records, a total of 22 items and 53 specific contents were confirmed through the gathering of opinions from panels, and the allotment of roles and tasks with a standard of 2 nurses was designated. As the result of specialists' verification on validity, the final protocol composed of a total of 23 items and 45 specific contents was confirmed. At the result of the pertinency evaluation of confirmed protocol, it was evaluated as relatively pertinent with its average score 2.89-3.32. Conclusion: The protocol developed in this research is seen as to contribute to nurses participating in CPR to avoid the overlapping of tasks and to develop CPR through effective teamwork of medical teams by presenting clear roles and tasks.

Purpose: The purpose of this study was to investigate the effects of organizational justice on job satisfaction, organizational commitment and health among hospital nurses. Method: The sample of this study consisted of 267 nurses from 3 general hospitals located in Seoul, Korea. Data were collected with self-administrated questionnaires and analyzed hierarchical multiple regression. Result: The distributive and procedural justices had effects on nurses' job satisfaction and organizational commitment, but no effects on health. The procedural justice had more effects on nurses' job satisfaction and organizational commitment than distributive justice. There was no moderating effect of distributive and procedural justices on nurses' job satisfaction, organizational commitment and health. Conclusions: It is important for hospitals to be established fair reward systems which should focus on both outcomes and processes in order to evaluate nurses' rewards. It is suggested that new moderators like personality or organizational structure should be considered for future research.

Purpose: The purpose of this study was to investigate the relationship among emotional labour, emotional expression and burnout of clinical nurse. Method: Data was collected from convenient sample of 178 nurses in 4 cities. The questionnaire measured the level of emotional labour, emotional expression and burnout of clinical nurse. The data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient. Result: The mean score of emotional labour was 3.34(${\pm}.41$), emotional expression was 3.49(${\pm}.51$), burnout was 2.94(${\pm}.58$). There were significant differences on burnout according to age, marital status, religion, clinical career, working unit, level of job satisfaction, satisfaction of work load, satisfaction of interpersonal relations. There was a significant positive correlation between emotional labour and emotional expression. The emotional expression was a significant negative correlation with burnout. Conclusions: From the studies reviewed, it can expect the positive effect to decrease the burnout of clinical nurses when the nurse administrators who have concern about nurses' emotional expression. These findings would be significant resource to promote understanding about emotional labour for nurses.

Purpose: The purposes of the study were to examine whether nurses' followership style influence organizational effectiveness and to test the model of organizational effectiveness including the factors of nursing organizational culture, leadership style, and followership style. Methods: Data were collected from July 10th to september 20th in 2006 from 451 nurses working in four acute care hospitals. Data analysis were performed by Chi-square test, ANOVA, Duncan test, Pearson Correlation, and maximum likelihood estimation, using the SAS and LISREL 8.30 program. Results: The findings showed that the types of nurses' followership were classified as passive (21.1%), alienated (8.2%), conformist (16.4%), pragmatist (35.9%), and effective style (18.4%). There was significant difference in the organizational effectiveness among the nurses with different followership styles. In testing the path model, transformational, transactional leadership directly influenced followership style. Followership directly influenced organizational effectiveness. Conclusion: The overall fitness of the model was good, evidenced by general fitness index (GFI)=.94, adjusted goodness of fitness index (AGFI)=.82, and root mean square residual (RMSEA)=.06. Based on the findings, it is recommended to develop a program for enhancing effective followership in nursing organization.

Purpose: This research was conducted to explore the experience of using Internet to solve health problems and to develope a grounded theory. Method: There were 15 subjects in their 30s who had experience using Internet to solve health problems for themselves and their families. Results: 114 concepts, 31 subcategories, and 9 categories were derived from the analysis by using approaches by Strauss & Corbin. Central phenomenon was "Primary healthcare information" and the core category was "Selecting ways to solve health problems". The participants' experiences were conceptualized into two perspectives: reliability of the information and tendency of preference among the sites. Conclusion: All of the processes found on Internet that solved health problems required the assistance of a health professional such as a nurse. It was judged that there are some differences in the degree of usage regarding health-related information, which was primarily in accordance with the confidence and attitude of the user with respect to Internet information. We presented a strategy that could operate with professionals and nonprofessionals. Therefore, we can be satisfied by the fact that this study suggests a complimentary nursing strategy to the healthcare on Internet.

Purpose: The purpose of this study was to develop online health promotion an education program for university students and to evaluate its changes. Method: An online health promotion education program was established through analysis, designing, development, implementation and evaluation stages. This was a quasi-experimental, one group pretest-posttest design. The subjects of this study were 97 students in one university, and they were provided the online class for 16 weeks. Data was analyzed by descriptive statistics and paired t-test. Result: The results of program evaluation were positive, which included instruction function 3.94, system construction 4.14, system function 3.90, and overall evaluation 4.03 on the scale of 5. The posttest scores of health promoting lifestyle(t=-2.316, p=0.024) was significantly higher than those of the pretest. Conclusion: This study shows that the online health promotion education program was an effective educational method to improve health promotion lifestyle for the university students.

Purpose: This study is to develop job standards in order to propose proper job level of the advanced nurse practitioners and apply the results to the work and enhance the expertism. Method: This study is a methodical study. The validity was examined by using the content validity index(CVI). Result: The pre-items of job standards for advanced health insurance review nurses were established and the final job standards comprising of 12 standards, 46 criteria, 92 indicators, 418 activities were determined after the examination by the advisory group. The validity of the job standards were examined for two times by the seven professionals. The relevance of the modified job standards was examined by the working level employees above the assistant manager position working in the general hospitals and the result was 93.14% relevance. The job standards comprising of 12 standards, 46 criteria, 89 indicator and 409 activities were developed. Conclusions: By the development of the job standards, it is expected to prove that advanced health insurance review nurses are the most suitable professionals for dealing with medical affairs such as management and propriety evaluation of medical expenses while defining the roles of advanced health insurance review nurses.

Purpose: This study investigated the effects of reeducation of nursing process on nurses' expertise, critical thinking disposition, and clinical decision making. Methods: Data were collected from March to June, 2007. The subjects were 47 Academic Credit Bank System Student Nurses. They were taught 'nursing process' during 1 semester(15weeks). 47 nurses were divided into three groups according to clinical experience(under 3 years, 3 to under 5 years, 5 years or more). After 15 weeks, the effects of education were compared using a paired t-test between pre-test and post-test. Results: There was a significant difference in the 3 to under 5 years experienced nurses's expertise(t=-3.659, p=.004) between the pre-test and post-test. There was a significant difference in the 5 years or more experienced nurses's expertise(t=-5.781, p<.001) and critical thinking disposition(t=-3.345, p=.003) between the pre-test and post-test. There were no significant differences in clinical decision making(accuracy, proficiency, and confidence) of 3 groups. Conclusion: Reeducation of nursing process is a valuable teaching and an evaluation strategy for 5 years or more experienced nurses to improve expertise and critical thinking disposition. We need to develop continuing education program for improving nurses' clinical decision making.