There is a widespread movement toward professionalization in nursing characterized by efforts to attain autonomy and to convince the public of the special needs which may be met by nurses. Nursing has had difficulty in becoming an autonomous profession through credentialing and the use of standards but they have not historically sought autonomy. While being legally responsible for their nursing practice, nurses rarely bear the direct consequences for the lack of appropriate decision-making. However, new role concepts have emerged and training and educational practices are changing. Nurses tend to see themselves now as being more independent, more than just an adjunct of the physician, and more as the extension of the client. Most physicians are male and most nurses are female, and thus, the traditional acquiescence of women to men compounds the tendency of professional dominance to exercise control of nursing practice., Copyrights are retained by the author.
subject
Nursing Autonomy Moral and ethical aspects Hospitals
O.A. Amidon and family, 2006-1-0093, 8 X 10 cm oval black and white portrait of O.A. Amidon family. Written on back is "O.A. Amidon and family. Picture taken Aug. 13, 1906."
A variety of motion pictures including; Commencements, Normal Hall Fire, ETV videos and more., A variety of videos including the Normal Hall fire, Fighting Scot Statue, ETV programs and more.
Michelle DeLeon presents research for the dissertation titled, "Open Access Colonoscopy Quality Improvement: A Doctor of Nursing Practice Led Initiative.", Copyrights are retained by the authors. Please contact the authors for future use of this material.
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open access colonoscopy colerectal bowel preparation rural populations
Colorectal cancer is a leading cause of death in the United States with colonoscopy fundamental to any colorectal cancer screening program. Open access colonoscopy allows procedures to be performed in a timely manner to detect adenomas. The efficacy of adenoma detection is largely dependent on the quality of colonoscopy bowel preparation. Adenoma detection rate of open access screening colonoscopies and quality of split dosed bowel preparation was measured in a rural private gastroenterology practice in Central Pennsylvania using the 2017 Registry Individual Measure Flow created by the Centers for Medicare & Medicaid Services (CMS) noting the quality of bowel preparation at the time of review. Open access screening colonoscopy reports were reviewed for ICD-10 codes for 3 risk factors for colorectal cancer, age 50 years and greater, and CPT codes for colonoscopy procedure without modifiers resulting in early termination of the procedure. The annual adenoma detection rate of open access screening colonoscopy patients who me the inclusion criteria was 44.47 % with 96.7% of open access screening colonoscopies rated to have optimal bowel preparations. These findings suggest that open access screening colonoscopy can be a timely, patient-centered method of effective, high quality colorectal cancer screening., Copyrights are retained by the authors. Please contact the authors for further use of this material.
subject
open access colonoscopy colorectal cancer screening rural populations bowel preparation quality adenoma detection rate
This collection is comprised of interviews and several other items. Most of the material has been transferred from the History Department's Oral History Program., In many cases, the audio is a partial clip from a longer recording. The full recording is available in the university archive.
Legionnaire’s Disease (LD) is an acute pneumonia caused by the bacterium Legionella pneumophila. Undiagnosed LD can be particularly severe since Legionella infections generally do not respond to the antibiotics used to treat most pneumonias. Patients on immunosuppresive therapy are at an increased risk to develop potentially life-threatening infections. At our institution Legionnaire’s Disease was diagnosed in three oncology patients and was associated with a contaminated hot water system. It was found that the hand-held showers in patient rooms were heavily colonized with Legionella and environmental eradication procedures greatly reduced the colonization of Legionella within the hot water system. Clinical awareness of Legionella as a potential cause of nosocomial pneumonia is necessary to rapidly diagnose and treat future outbreaks of LD., Copyrights are retained by the author. Please contact James F. Annett for further use of this material.