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Do nurses see eye to eye on specialization? A look at the past, present, and future of the development of specialization.

1. Specialization in nursing is a complex topic that has significance for how nursing is practiced, how services are delivered, what research is done, and what educational programs are offered. 2. The movement toward specialization is driven by a genuine concern for the quality of care, a desire on the part of individual nurses for recognition of their knowledge and expertise, a psychological as well as an economic need, and a profession-wide pursuit of status and recognition. 3. The need for an identified framework or classification system for the orderly development of specialization in nursing is essential and urgent. The situation in the United States gives a picture of the fragmentation, duplication, and disorder created by the lack of a framework. The identification of a framework would facilitate and expedite the orderly development of specialization.

Eye Diseases↗

Nonpenetrating trauma in the right eye induces anterior uveitis and secondary glaucoma in the contralateral eye.

A 31-year-old woman was shot with a toy bullet OD. Intracameral cells and fibrin were found, but no penetrating wound was noticed. Flare was observed in the left anterior chamber three days after the incident, and the intraocular pressure OS had increased. No specific type of uveitis or systemic inflammatory disease was identified. We believe that bilateral uveitis was precipitated in our patient by the nonpenetrating trauma.

Adult↗