The findings of this study suggest that an active learning strategy is useful for helping undergraduate students to gain competency.

Occupational health nurses in the airline industry should be cognizant of the importance of assessing the influence of both job tasks and work-related psychosocial factors on lower-back work-related musculoskeletal disorders.

This report describes a 4-year long bilingual interdisciplinary primary health care project that was designed to make culturally sensitive services available to underserved Korean immigrants in Chicago. It also describes some of the particular needs of this population and the strategies that the project staff adopted to identify and address the population's mental health needs. The project reflected the successful collaborative efforts of four participating principals: the Korean community, the University of Illinois at Chicago College of Nursing, the Chicago Department of Public Health, and the W. K. Kellogg Foundation. The model of service demonstrated in the project paired a bilingual advanced practice nurse, a certified family nurse practitioner, with a bilingual community advocate to conduct a program emphasizing community outreach and health promotion and prevention. A bilingual physician provided consultation for the nurse and attended to patients in need of medical care. Patients were referred to bilingual community social service agencies for assistance with a variety of other problems. A central goal of the project was for the services developed during its course to be assimilated into the regular programming of the Chicago Department of Public Health, a goal that was achieved. Finally, some of the challenges of introducing role change into an organization are discussed.

The purpose of this study was to examine the need for health and social support services of the elderly who lived alone in a rural community in Korea. All 97 elderly who lived alone in 32 communities in H Eub(county), Kangwon Province participated in the study. Comprehensive assessment was conducted on their need for these services and on the status of their physical, functional, cognitive, emotional, nutritional, social, and environmental factors. Data were collected by eight public health nurses and were analyzed using descriptive statistics and stepwise multiple regression. Elderly subjects living alone had more than one disease, limited gait ability, limited functional capabilities as measured by the combination of activities of daily living and instrumental activities of daily living, and poor nutritional state. They had low level of cognitive ability, high level of depression, and high level of need for financial support. They engaged in no or little exercise. Service need for physical care was highest, and the factors contributing to the service need were gait ability, functional capabilities, nutrition state, and perceived health status. The results of this study indicate that their needs are multiple and complex. Well-coordinated health services that integrate social welfare services for elderly population who live alone are recommended.

Individual nurses can use the principles of learning organization to enhance organizational effectiveness. Intervention programmes that integrate and strengthen shared vision and team learning may be useful to enhance organizational effectiveness. Further research is required to identify other factors related to the principles of learning organization.