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Problem: With the wide adoption and use of smart home applications, there is a need for examining ethical issues regarding smart home use at the intersection of aging, technology, and home environment. Purpose: The purpose of this review is to provide an overview of ethical considerations and the evidence on these ethical issues based on an integrative literature review with regard to the utilization of smart home technologies by older adults and their family members. Review Design and Methods: We conducted an integrative literature review of the scientific literature from indexed databases (e. g., MEDLINE, CINAHL, and PsycINFO). The framework guiding this review is derived from previous work on ethical considerations related to telehealth use for older adults and smart homes for palliative care. Key ethical issues of the framework include privacy, informed consent, autonomy, obtrusiveness, equal access, reduction in human touch, and usability. Results: Six hundred and thirty-five candidate articles were identified between the years 1990 and 2014. Sixteen articles were included in the review. Privacy and obtrusiveness issues appear to be the most important factors that can affect smart home technology adoption. In addition, this article recommends that stigmatization and reliability and maintenance of the system are additional factors to consider. Implications: When smart home technology is used appropriately, it has the potential to improve quality of life and maintain safety among older adults, ultimately supporting the desire of older adults for aging in place. The ability to respond to potential ethical concerns will be critical to the future development and application of smart home technologies that aim to enhance safety and independence.

The purpose of this article is to review 12 completed studies that have used the Resilience Scale (Wagnild & Young, 1993). Completed studies were identified through PubMed and CINAHL. Studies that identified Resilience Scale scores, sample descriptions, and tested relationships between the Resilience Scale and study variables were selected for inclusion. Cronbach's alpha coefficients ranged from .72 to .94 supporting the internal consistency reliability of the Resilience Scale. Hypothesized relationships between the Resilience Scale and study variables (e.g., forgiveness, stress, anxiety, health promoting activities) were supported strengthening the evidence for construct validity of the Resilience Scale. In the studies reported here, the Resilience Scale has been used with a variety of individuals of different ages, socioeconomic, and educational backgrounds. The Resilience Scale has performed as a reliable and valid tool to measure resilience and has been used with a wide range of study populations.

Purpose: To describe the development of a conceptual model to guide research focused on lung cancer screening participation from the perspective of the individual in the decision-making process. Methods: Based on a comprehensive review of empirical and theoretical literature, a conceptual model was developed linking key psychological variables (stigma, medical mistrust, fatalism, worry, and fear) to the health belief model and precaution adoption process model. Results: Proposed model concepts have been examined in prior research of either lung or other cancer screening behavior. To date, a few studies have explored a limited number of variables that influence screening behavior in lung cancer specifically. Therefore, relationships among concepts in the model have been proposed and future research directions presented. Conclusion: This proposed model is an initial step to support theoretically based research. As lung cancer screening becomes more widely implemented, it is critical to theoretically guide research to understand variables that may be associated with lung cancer screening participation. Findings from future research guided by the proposed conceptual model can be used to refine the model and inform tailored intervention development.

Most undergraduate students today are part of the millennial generation. However, the next wave of students—Generation Z—are just beginning to enter universities. Although these groups share many similarities, they each have unique characteristics that create challenges in the classroom. Incorporating technology, engaging students with adaptive learning activities, and understanding basic generational differences are ways to limit the effects of generational conflict while keeping both millennials and Generation Z students engaged in learning. It is important to understand basic differences and distinctions across generations for developing pedagogy that reaches these unique student populations.

The history of health care in the United States-a story governed largely by the free market-looks much different, for example, if one shifts the focus away from physicians to consider the earning power of patients and the availability and access to quality care. These articles show us how children played a vital role in the history of 20th-century health care, not simply as those merely acted upon but as agents themselves. Placing children center stage, we see the multiple sites where health care occurred, and the multiplicity of expert and nonexpert knowledge that went into effort of keeping the nation's children healthy and safe. References

This article presents both community practices and professional practices as parallel forms of folk medicine. Using definitions drawn from folklore studies, I consider physicians as a folk group with a set of values, a body of knowledge, and core beliefs. I assume they have an identity formalized through rituals and an informal vocabulary that promotes group cohesion and operates externally as part of a broader effort to sustain their social status. I am not making an argument against the science of medicine ; I am asserting that in the realm of infant care, some of what professionals prescribed was (and continues to be) professional folklore. As historians can ask how professional folklore enhanced physicians' collective identity and shaped their individual practices. This requires that we read folklore and history of medicine side by side to see the parallels, conflicting theories and practices, and their overlap References

Abstract This article analyzes the national discourse over \"the problem\" of midwifery in medical literature and examines the impact of this dialogue on Rhode Island from 1890 to 1940. Doctors did not speak as a monolithic bloc on this \"problem\": some blamed midwives while others impugned poorly trained physicians. This debate led to curricula reform and to state laws to regulate midwifery. The attempt to eliminate midwives in the 1910s failed because of a shortage of trained obstetricians, and because of cultural barriers between immigrant and mainstream communities. A decrease in immigration, an increase in trained obstetricians, the growing notion of midwives as relics of an outdated past, and the emergence of insurance plans to cover \"modern\" hospital births led to a decline in midwifery.