-1949-1957- Orem worked in Indiana University
                   - Her goal: is to upgrade the quality of  nursing in general hospitals throughout the state, she noted
                                    that nurses had difficulty articulating needs to hospital administrators in the face of demands
                                    made upon them regarding such issues as lenght of stay, scheduling admissions and
                                    discharges.
-1958-1960- she worked with US Department of Health, Education and Welfare where she helped publish
                                    "Guidelines of Developing Curricula for the Education of Practical Nurses" (1959)
-1959 - she served as acting Dean of School of Nursing, she became assistant professor at the Catholic University
                                     of America, where she continued to develop her concept of nursing and selfcare.
 -1960- Role of a nurse -identified as subordinate of the physicians , and negative image to the public through
                                     media. (eg movies, tv)
-1962- The role of nurses became positive and realistic.
-1971- "Nursing: Concept of Practice" - a time for change within the  nursing profession, being a time for
                                     planning, researching, expanding nursing roles. Nurisng was beginning to recognized as a
                                     legitimate science.
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