Professional Documents
Culture Documents
A Publication of The Duquesne University Student Nurses'
A Publication of The Duquesne University Student Nurses'
A P U B L I C A T I O N O F T H E D U Q U E S N E
U N I V E R S I T Y S T U D E N T N U R S E S ’ A S S O C I A T I O N
The Scope is the proud recipient of the 2013 and 2014 Student Nurses
Association of Pennsylvania Excellent Newsletter Award.
DuquesneScope.wordpress.com
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Table of Contents
Celebrate Nursing’s Past! Page 4
See our profiles on some of nursing’s greatest heroes!
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Over the centuries, nursing has taken on many forms and features.
As medical technology has advanced, nurses have been required to
hone their skills and take on more responsibilities. As we welcome
in 2016, and bid goodbye to 2015, we usher in a new year with
new possibilities for this fantastic profession! We also celebrate
those who came before us, and paved the way for modern nursing
to be what it is now.
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Researcher and Founder: Florence Nightingale
Brooke Calta, junior
Our girl Florence Nightingale, known as the first nursing theorist and “The Lady with the Lamp,” made several
contributions to the field of nursing that has ultimately touched millions of lives. Born in 1820 on May 12th (now
International Nurses Day), Nightingale would soon as a teenager
realize she desired a life of serving others. As a nurse, Nightingale
developed several theories that became momentous during the
Crimean war when she and other nurses were faced with com-
municable diseases among soldiers who required tedious care.
In addition to devel-
oping theories and
public health poli-
cies, her school
called The Nightin-
gale School for
Nurses, opened in
1860. The school is considered the first official training program
for nurses.
Nightingale is inspirational, not just for student nurses, but for all
nurses. She changed the world with her research and dedication to
her patients. Every nurse hopes to have as much of an impact as
our founder!
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The Fearless Patient Advocate: Dorothea Dix
Ashley Altieri, senior
To be an advocate for someone else takes
an extraordinary amount of courage. Each
patient deserves to have an advocate, or
someone to act or speak on the behalf of an-
other person. Dorothea Dix made a career
out of being an advocate for her patients
and students. As a teenager, she opened
schools in Boston and Worcester, where she
worked as a teacher and developed her own
curriculum and even authored her own
books1.
From that moment on, she dedicated her life to lobbying for
specialized facilities for behavioral health patients. Through
her efforts, she aided in the, “establishment of 32 new hospitals
in New Jersey, Pennsylvania, Indiana, Illinois, Kentucky, Mis-
souri, Tennessee, Mississippi, Louisiana, North Carolina, and
Maryland”2.. In addition to advocating for better conditions in
the United States, Dix traveled throughout Europe and even
gained an audience with Pope Pius IX to discuss better condi-
tions for patients in public hospitals5.
Her next notable advocacy role was during The Civil War,
where she undertook the position as the Superintendent of Un-
ion Army Nurses2. Dix organized first aid stations, recruited
nurses, purchased supplies, and oversaw the development of
new training facilities and field hospitals5. She was given the
nickname, “Dragon Dix” for her rigid style of leadership and
fierce devotion to her work2. Unafraid to dispute with the doc-
tors, Dix often argued with them concerning their drinking hab-
its and lack of sanitation5. Dix is an exemplary role model for
the meaning of advocacy and tenacity. Nurses and students
alike can learn from her bold and caring spirit, and her resolve
to get her patients the life they deserved.
1, http://www.history.com/topics/womens-history/dorothea-lynde-dix
2, http://www.truthaboutnursing.org/press/pioneers/dix.html
3, http://www.massmoments.org/moment.cfm?mid=96 6
4, http://www.ushistory.org/us/26d.asp
5, http://uudb.org/articles/dorotheadix.html
The Angel of the Battlefield: Clara Barton
Abigail Schwing, senior
The Red Cross has been able to provide disaster relief for over a hundred
years, but how did it all begin? The Red Cross was brought to America by a
lovely lady named Clara Barton. She was born in Oxford, Massachusetts on
Christmas Day in 1821. At the age of 15, she became a teacher and ended up
opening a free public school in New Jersey. When the Civil War began in
1861, Clara Barton rushed to help soldiers. At first she was gathering sup-
plies, but she couldn’t stand on the side.
“I may be compelled to face danger, but never fear it, and while our soldiers
can stand and fight, I can stand and feed and nurse them,” she said
Her motivation led her to volunteer as a nurse and care for many wounded
soldiers. As Barton participated in the Battle of Antietam, she was served a
close call as a bullet tore her sleeve and killed the man she was attending to. This is where she gained her
nickname of “The Angel of the Battlefield.” When the war resolved, she started her job at the War Depart-
ment. Barton worked on reuniting families of soldiers and she later gathered crowds for lectures about her
war experiences.
Barton believed, “Economy, prudence, and a simple life are the sure masters of need, and will often accom-
plish that which, their opposites, with a fortune at hand, will fail to do.” Barton lived by this belief and
years later, she travelled to Europe and worked at
the International Red Cross during the Franco-
Prussian War. This inspired her to strive for a
branch of this organization to be brought to Ameri-
ca. In 1861, Barton was successful and ultimately
became the founder and first president of the Ameri-
can Red Cross. Without Clara Barton, millions of peo-
ple struck by disaster would not be able to get back
on their feet.
She was a theorist who was known for her nurse-patient rela-
tionship theory. This theory says that the nurse works with the
patient in relation to their care. To her, care was not a one-way
street. The whole concept of the nurse-patient relationship is
that there are four phases in which the nurse and patient main-
tain a relationship. The first phase is the orientation phase. In
the orientation phase is the first phase in which the nurse and
the patient begin their relationship together which the nurse
being a stranger to the patient. The next phase is the Identifica-
tion phase in which the patient and the nurse work together
and form a relationship. The third phase is the exploitation
phase in which the patient is able to take advantage the help
offered. The final phase is the Resolution phase when the rela-
tionship between the nurse and the patient has ended, as the
client no longer needs help (Wayne).
Her theories on the nurse-patient relationship, also known as the Interpersonal Relationships, were revolution-
ary and still influence today’s nursing. Nursing schools teach this theory today, but when Hildegard originally
wanted to publish her book “Interpersonal Relations in Nursing” in 1942, it was delayed for four years because
it was considered too radical because she did not have a physician helping her write the book (Sills).
Hildegard was a revolutionary nurse, teacher, and theorist who has thoroughly influenced nursing forever. Pep-
lau is inspirational to nursing students because she was a figure that showed nursing was a process that was as
much about the patient as the care that is given to the patient. The way that she approached nursing and how to
care for patients is how student nurses approach taking care of patients today.
Sills, Grace, L. Anne Peplau, and Bertha Reppert. "Hildegard Peplau." Nursing Theorist Homepage. Web.
30 Jan. 2016.
Wayne, Gil. "Hildegard Peplau - Interpersonal Relations Theory - Nurseslabs." Nurseslabs. 02 Sept. 2014. 8
Web. 30 Jan. 2016.
Faculty Feature: Today’s Nurse
Mary Kay Loughran, DNP, MHA, RN
It is a great time to pursue a nursing career.
While the demand for nurses in traditional set-
tings remains, there are also many job oppor-
tunities available beyond the hospital setting.
As caring for the sick has become more com-
plex, nurses continue to adapt to meet those
challenges. Our society is getting older as peo-
ple live longer and there is an increased rate of
diabetes, heart disease, obesity, cancer, and
other conditions. To meet patient needs nurs-
es have become specialists in these areas
through bedside experiences or advanced edu-
cation and certification. As a result nurses are
more effective healthcare team members and
significantly contribute to patient care.
The Affordable Care Act, passed in March, 2010, provided new opportunities for nurses to deliver care and
play an integral role in reshaping the healthcare system. The focus of this act stresses the importance of
community-based primary care, case management, and mid-level care which places advanced practice
nurses, community health nurses, and home care nurses at the helm of many of these initiatives. Nurse
practitioners have eased the impact of the shortage of Primary Care physicians by practicing to the fullest
extent of their license as recommended by The Institute of Medicine. They work with physicians to pro-
vide holistic and cost effective care.
New healthcare technology has also created opportunities for nurses. Some nurses have become infor-
mation technology experts at their organization or with a
healthcare software company. Nurses have enthusiastical-
ly embraced technology and we are good at it. We realize
the value it brings to patients and their health outcomes.
Nurses are involved with electronic medical records, mo-
bile devices that monitor a patient’s blood sugar level, or
app development to be used by an at-risk mother and her
unborn child.
As you see, nurses are positioned to provide leadership in
all healthcare areas. Our formal nursing education makes
us well equipped to be effective leaders as executives,
managers, quality improvement officers, educators, and
researchers. Some nurses have also decided to take their nursing skills to areas outside of the profession
and have made significant contributions in government, politics, and law. Opportunities are abundant for
nurses. The basic foundation of our education provides us with the tools to be successful in whatever path
we choose.
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Photos from Emory University and US News
Stuck in Line: The Psychiatric Bed Crisis
Bridget Seelinger, DUSNA Publicity Chair
The Pennsylvania Medical Society is calling for legislation regarding the
ability to find inpatient beds for psychiatric patients. During the society’s
annual House of Delegates, 200 physicians endorsed the idea of creating a
voluntary bed-tracking system for the entire state, so that patients can be
placed in a psychiatric facility faster and more efficiently. State Representa-
tive Dan Miller- D. Mt. Lebanon has introduced a bill to address this concern,
but the legislation hasn’t gotten anywhere, to the frustration of supporters.
When a psychiatric patient presents to an emergency department that pa-
tient can remain waiting for placement in a facility for hours, sometimes
even days. According to Bruce McLeod, President of the PA Medical Society,
there is a dire need for reform.
“Quite often, psychiatric patients experiencing a health problem will end up
in the emergency department. When that happens, it is important to find
them appropriate care quickly,” he says, “It’s not unusual for a psychiatric
patient to spend hours in the emergency department while staff members
try to track down an available bed.”
MSNBC reported back in 2013 about the bed crisis that has been affecting all of America, not just Pennsylvania.
According to the story, state budget cuts and the movement of care into the community have left questions as to
what patients are supposed to do while in between the inpatient and outpatient settings. The answer? Lan-
guishing in the ER until a bed opens up.
Many states have chosen to downsize the amount of beds
open in an effort to place more emphasis on community
resources by the closing of state hospitals. In states like
Minnesota, this has resulted in the “warehousing” of com-
mitted psychiatric patients into catch-all psychiatric units
in hospitals unequipped to deal with this patient popula-
tion and unable to properly treat these patients. Patients
end up waiting in these units for months instead of get-
ting the treatment that they need. County jails have also
been filling up with patients in Minnesota, sometimes
taking higher spots on waiting lists and further clogging
up the system.
“This is about as bad as I’ve ever seen it,” said Roberta
Opheim, Minnesota’s state mental health ombudsman.
“People [hospitalized with severe mental illnesses] have
no place to go, but they can’t just be put on the street.”
According to the Pittsburgh Post-Gazette, though, the problem isn’t that there aren’t enough beds available. The
problem is that no one knows where these open beds are.
The Allegheny Health Department reports in most recent figures that psychiatric hospitals within Allegheny
County have occupancy rates of 59.5-94.3%. The hospitals are not completely full, yet patients are still left wait-
ing.
Camellia Herisko, Chief Nursing Officer and Vice President of Patient Care services at Western Psychiatric Insti-
tute and Clinic says that UPMC is working on a system for UPMC and non-UPMC emergency departments. 10
Continued on Page 15
New Year, New Dietary Guidelines
Briana Gavin, freshman
As 2016 makes it start, many individuals will be joining the gym
and watching what they eat. What better way to balance your diet
than read the new 2015 dietary guidelines! The guidelines are rec-
ommendations on how individuals should balance their diets and
receive the needed nutrients.
The second key approach is to add variety in your diet. Nutrient intake is important and variety means to eat
food high in essential nutrient from all different food groups to have a healthy balanced diet. Another part of
the second approach is to eat nutrient dense food and watch proportions. Nutrient dense food describes food
that is high in needed nutrients but low in calories, think more bang for your buck. Proportions are always a
concern with majority of Americans eating out more we tend to eat more than we expect. Making sure you are
eating the appropriate amounts of food are one simple step towards a better balance diet.
The third guideline suggests cutting added sugars and sodium intake. We have all heard this before but it is a
good rule to follow. Nowadays, more food
has higher amounts of sugar and sodium
then we think. Everything in moderation
is a saying that fits well with this rule,
while some sugar and sodium are okay in
a diet, having excessive amounts of either
could put you at a higher risk for diseases.
By watching your intake, you can stay
healthier!
Always strive to be healthier but also promote healthy eating to others! Everyone should show support for bal-
anced diets and these new guidelines are helpful for achieving that goal!
NCLEX Nook
Question is from Kahn Academy
Answer on Page 15
A. Gown
B. Hand Hygiene
C. Mask
D. HEPA Filter
E. N95 Respirator
F. Gloves
To the Capricorns of Duquesne: Saturn is your planet and Earth is your sign. Your dedication
to your studies is admired by many but empathized with by few. Although you are a hard
worker, caring, logical and brilliant in your mind, your intelligence can often times make it difficult for you to con-
nect to others and for others to connect with you. Do not be afraid to confide in friends and put into words some of
the brilliance that occupies your brain. Some of the world’s greatest scientists are Capricorns, and you are well on
your way to joining them and making enormous strides in the lives of your patients and in the field of nursing.
Great work! Keep studying and keep thinking! At the same time, take some advice from good old Lady HCTZ, do
not fear opening up to a friend… it may result in a friendship that lasts a lifetime!
You Aquarians, on an episode of Avatar, would totally be bending the air and making crazy tornadoes and spread-
ing dandelion seeds and stuff. Your fate is determined by the location of Ur anus in the deep and vast universe
around us. You are a social butterfly and are constantly networking and coming up with innovative ways to help
those in need around you. No wonder you've chosen the field of nursing! You, my friend, though you may not enjoy
it now, will be a boss at evidence-based practice research and implementation. Continue to utilize your social skills
and follow your heart in helping others and success will follow the trail you blaze!
Don't hesitate to call, text, or email with any questions about Knit Me Up Essentials
MaryKay the business or the products!
Owned and operated by Duquesne
Nursing student,
Monika Spangenburg
Secretary Publicity
Email us at dusnaduq@gmail.com16 if
you’re interested in running!