OBJECTIVES
By the endof the lesson you should be able to:
•Explain the historical background of nursing.
•Analyze the critical issues in the development of
nursing internationally and nationally
REFLECTION
A moment whenyou were a patient
• How were you cared for by
• Your guardians
• The nurse
• What was good about the care?
• What was bad about the care?
• How would you have loved to be treated and why?
• As you join the profession, how do you plan to change or promote the
care that you received
ct
Kindness, skill, compassion,intelligence.
White uniform, nursing caps, needles, bedpans
•Modern nursing encompasses such images and
unique perspectives on what the profession involves
•Social, political and cultural events of the 20th
and
21st
century have influenced todays practice
7.
NURSING
•Nursing is caring,commitment and dedication to meet the
functional health needs of all people
•Within the functional health pattern framework, nurses direct
care to promote, maintain and restore health in various health
setting
•Nurses are prepared to identify and to assist with the health
needs of individuals, families, communities and groups
8.
ct
•Nursing means caringfor communities and groups of
people such as the homeless and addressing far reaching
social implications i.e human rights
•Nursing means being socially responsible, involved and
committed to the health of all people
From Ancient hx
•Traditionally roles of women have always included the care and
nurturing of family members because these women have an inborn
tendency to preserve life.
• Men and women engaging in practices that may be associated with
nursing
• In ancient Egypt, maternal – child nursing was the responsibility of
midwives and wet nurses were hired to breast feed infants
• Priest were primarily responsible for healing practices. ….. Still a
current practice.
12.
ct
•Rich families werethe primary recipients of nsg care.
•Nursing outside worthy homes – nurses were primarily
servants
•Women’s low status combined with society’s negative
attitudes towards the sick provided major obstacles to
nursing development (Dolan, Fitzpatrick & Herrmann,
1983)
13.
ct
•In early civilizationbeliefs about causes of diseases
were embedded in superstition and magic, evil spirit
and anger of the gods.
•Therefore treatment involved magic.
•As these societies evolved, practice theory of
medical care emerged as non-magical causes were
observed.
14.
ct
•Later the Greeks, Hippocrates (the father of
medicine) made a major advance in medicine by
rejecting the belief that diseases had supernatural
causes
•He is also credited for developing assessment
standards for clients, establishing overall medical
standards for clients and recognizing the need for
nurses.
15.
ct
•In early Christianity,women performed duties that
reflected components of todays nursing practice: care
related to nutrition, mobility, medication administration,
personal counselling, hygiene and comfort measures
•Men and women committed to the church spread the
philosophy of Christianity while providing nsg care to
the ill
16.
THE ROLE OFRELIGION IN THE
DEVELOPMENT OF NURSING
•Many of the workers of the religion encouraged the
benevolence (doing good or doing no harm) to
others.
•It was the Christian value “of love thy neighbour as
thyself” that impacted significantly on western
nursing.
17.
•The principle ofcaring was established with
Christ’s parable of the good Samaritan
providing care to the tired and injured stranger.
(Luke 10 vs 25-35)
18.
ct
•In Rome duringthe 3rd
and 4th
centuries,
converts to Christianity included several
wealthy matrons who used their wealth to
provide houses of care and healing for the poor,
the sick and the homeless.
19.
ct
•Marcella who convertedher palace into a
monastery, encouraged other Roman matrons to join
her in caring for the sick and the poor.
•Fabiola, a follower of Marcella, contributed her
great wealth to the care of the poor and the sick.
20.
ct
•Paula was awealthy and learned friend of Fabiola
and upon her husband’s death, she converted to
Christianity and studied with Marcella.
•Later she moved to Palestine where she built
hospitals for the sick.
21.
ct
•In the 3rd
centuryin Rome, women were not
the sore providers of nursing services but
there was an organization of men called
Parabolan Brotherhood which provided care
to the sick during the great plague in
Alexandria.
22.
ct
•In the 12th
centuryduring the crusades, several
Knighthood Orders were formed to provide
care to the injured.
•The most famous of these is the Order of the
Knight of St John (St Johns Ambulance
Association)
23.
ct
•In the 17th
century,French nurses directed by
priests gave nursing care.
•Vincent de Paul decided that nurses should be
educated and take orders from the doctors in
order to be more efficient.
24.
ct
•The revival oflearning during the Renaissance
spurred the advance of medicine.
•This revival contributed to recognition of the need
for sound educational preparation in nsg. However
poverty and lack of sanitation resulted in serious
health care problems further delaying nsg education
progress
25.
ct
•During reformation, therole of women changed
dramatically as women were viewed as subordinates
to men and were expected to remain at home caring
for children; this decreased the number of qualified
women practicing nsg (Mtchell & Grippando,
1993).
26.
Development of Modernnursing
•18th
century
•Revolutions and epidemics resulted in the expansion of
nursing roles
•There was still problems with poor sanitation and low
standards of living
•By the end of the century, nsg was present in hospitals
but working conditions were poor, resulting in a loss of
social status for members of the profession
•Few qualified individuals chose to enter the profession
27.
Ct
•19th
Century
•Society’s attitudes aboutnursing during this time were
reflected in Charles Dickens’ novel : Martin Chuzzlewit
(1844) in which criminals and women of low moral stds
provided care
•One character Sarah Gamp was a nurse who abused
alcohol and treated her clients cruelly.
•Such negative portrays of nursing seriously damages the
profession’s image ……. Available in todays nsg
28.
Ct
•Social, political andeconomic influences
•Continued emphasis was placed on the need for proper
preparation for nurses
•Religion once again was influential; the caring image of
the nurse was believed to be based on a spiritual calling
to the profession
•Poverty, innocence and submissiveness were qualities
associated with potential nursing candidates
THE COMING OFA LEADER
•Florence Nightingale was born on 12th
May 1820 in
Florence City in Italy
•She was named after the city.
•She was born to British parents who were wealthy,
intellectual, cultured and remarkable for their sincerity
and high ideas.
32.
ct
•She was highlyeducated and her education included the
mastery of several ancient and modern languages,
literature, philosophy, history, and liberal arts (science,
mathematics, art and music).
•Her family expected her to be intelligent, wealthy woman
who would marry, bear children and maintain an elegant
home.
33.
Ct
•She was determinedto become a nurse in spite of
opposition from her family.
•Her hope was to replace the “Sarah Gamp” image
with one of education, intelligence, and kindness
(Kalisch & Kalisch, 1995)
•She travelled to many countries and was able to talk
to government and other influential leaders.
34.
Ct
•She was thesuperintendent of nurses at king’s
college hospital and was asked by the British war
department to go to assist in nursing the wounded
soldiers
•She found that the hospital conditions were poor.
•Together with other 38 nurses, they transformed the
hospitals by infection prevention practices (hand
washing, clean clothes)
35.
•Mortality rate reducedby
half with her efforts
•She soon became “the lady
with a lamp "because of her
midnight rounds to the
soldiers”.
•In 1860, she published
Notes on Nursing
36.
Ct
•When the warwas over , money was donated and she started
the Nightingale Training School for nurses at St Thomas
hospital in London in 1869.
•Nightingale was gracious and hard working and her many
contributions to nursing continue to influence the profession
•Florence raised the status of nursing to a dignified occupation.
•She improved the quality of nursing education.
•She was the founder of the modern nursing education
37.
Assignment
• Read onFlorence Nightingale and write a short paragraph on what inspires you
more about her.
38.
Nsg during theAmerican civil war
•More hosp and better prepared nurses were
needed
•Dorothea Dix established the Nurse Corps
•Clara Barton practiced nursing on the civil war
battle field and she founded the American Red
Cross
39.
Nursing Education inthe 19th
Century
•In 1869 the American Medical Association
developed the committee on the training of
Nurses; and as a result of this committee's
recommendations, hospital based school of
nursing under medical supervision emerged
40.
Nsg in the20th
Century
•There is a lot of military influence on nursing
education
•Casualties brought critical nursing shortages
causing a setback in the move towards university
based nursing education
•However, Esther L. Brown published a report that
nursing education belonged in colleges and
universities
41.
Professional development inthe 20th
Century
• Professional organizations emerged: ANA, NLN CNA, ICN, and
AACN
• Nursing journal developed and research was being conducted
• 1923 report by Goldmark advocated for financial support for University
based school of nursing – eased a transition from hosp based nsg
• In 1965, a report by the National Commission on Nursing and Nursing
Education addressed several issues including the supply and demand
for nurses, clarification on nursing roles and functions, nursing
education, and availability of career opportunities
• Rapid scientific advances and increased technology
42.
Reflect
What do youlearn from what others have
done in the history of nursing
What can you do as a student nurse?
#10 Why is the history of nursing important to current practice?
An overview of the historical evolution provides the background necessary to understand current practice
The idea of who is a nurse and what constitutes nursing practice has changed over time. An understanding of the profession's history provides nurses with knowledge of their practice relationships with other health-care professionals and encourages critical reflection on the value of nurses' contributions in the past.
THE VALUE OF NURSING HISTORY TODAYCNA POSITION CNA believes that learning from nursing history is critical to advancing the profession in the interests of theCanadian public. Knowledge of nursing history socializes new nurses1into the profession and encourages different forms of critical thinking among nurses.CNA believes that an understanding of nursing history is critical to participation in health-care reform today.Nursing history provides the public with valuable perspectives on emerging health technologies, health-care reform, transformations of nursing practice and gender issues in Canadian society.
#26 An epidemic (from Greek ἐπί epi "upon or above" and δῆμος demos "people") is the rapid spread of infectious disease to a large number of people in a given population within a short period of time, usually two weeks or less.
#34 a person who manages or superintends an organization or activity
#41 American Nurse Association - (ANA)
National League for Nursing – NLN
National Student Nurse Association – (NSNA)
American Organization of Nurse Executives – (AONE
International Council of Nurses – ICN
American Association of Colleges of Nursing – AACN
Canadian Nurses Association - CNA
http://www.rncentral.com/blog/2011/5-organizations-nurses-should-know-about/