How Has Nursing Changed Over The Years

Before the existence of the Great War, America had fought in previous wars. In the years before the Great War nursing was not even a word for the women who had helped with the aid of fallen soldiers. Florence Nightingale, who helped in establishing nursing as a career used her efforts in organizing an emergency nursing service (Dahlman 2). Nightingale started off at first with forty women, some of whom were Sisters of Religious Nursing Orders and others hospital-taught women of the old school, not trained in the modern way, but experienced (Dahlman 3). Florence Nightingale founded the Nightingale Training School for Nurses at St. Thomas’ Hospital which was the parent of the modern system of nursing. From her, therefore, we may well date the story of nursing service of the American Red Cross (Dahlman 4).

A study was done at a 1,300 bed urban facility over a 13-week period. The purpose of the study was to describe the causes of inpatient falls in hospitals (Hitcho, et al., 2004). All falls were reported except falls in the psychiatry service and during physical therapy sessions. During the 13-week period, a total of 183 patients at an average age of 63.4 years old fell. Of the total number of falls 79% were unassisted, 85% happened in the patient room, 59% occurred during the evening or overnight shift, 19% were while walking, and 50% were elimination related (p. 732). In this study it was identified that many patients did not use their call bell before getting up because they did not believe they needed assistance. It was stated that, “perhaps patients need to be better educated on the effects that a new environment, decreased activity, medications, tests, and treatments can have on patients’ energy and ability to ambulate safely” (p. 737). The findings of this study showed that falls not only happen in the elderly, but in the younger population as well. Patients that fall in hospitals are often unaided and are due to elimination needs. To prevent falls and decrease injury rates, more studies need to be done.

Nursing as a profession has faced many barriers over the centuries. One of the most defining barriers discussed in regard to the historical experience of nurses is the effects of its being considered, and for the most part being, work done by women. In evaluating nursing history it is necessary therefore to evaluate the ways in which society has evolved over time in terms of its views on the roles of nurses of women within the society and its institutions. In the U.S., the inception of nursing both as an occupation and later as a profession, has strong ties to the challenge of women's perceived role as a wife and mother whose sphere was solely domestic. In many ways, significant progress has been made from that time in what women and

One aspect of nursing that has changed since the early 1800’s is nursing education. There was no question about the credibility of the women providing care to soldiers after the war. For many years untrained nurses and consequently nursing students cared the sick without any supervision. In 1873, the need for educated nurses was sought but was opposed by untrained physicians who thought trained nurses would pose a threat to their jobs (Gary & Hott, 1988). “Nurses have evolved

The future of nursing definitely needs assistance from the present day nurses, we as present day nurses should help form and mold the future nursing field. Present day nurses should help the future nurses by showing the future nursing our mistake, misconception, dilemma, and unsatisfactory patient care that has plague our time error. Furthermore, we as present day nurses we can help the future nurses learn more about cultural sensitivity, cultural competency, and interprofessional collaboration.

Envision for a moment what the responsibilities of a working nurse consist of each day. As you can imagine their days are filled with patient care, paperwork, doctor calls, and busy hospital activities. That was not always the case, nursing during the 1940’s was nothing like today. There was a lack of Organized nursing because institutions providing formal nursing education were unavailable. In fact most nurses at that time were stay at home moms. These women volunteered at local military hospitals. Virginia Benson 2013 stated, “At first nurses of both sides confined their duties to religious counsel, aiding in mortally wounded soldier to face a “good death”, and writing about that death to his family.” All of these new changes for women occur during

In the healthcare facility there are many things that can benefit from change. Bedside rounding with the inclusion of the entire care team would be a beneficial change to any healthcare facility. By doing bedside rounding it promotes patient and family involvement in the exchange of information and planning of their care. This also allows for the interdisciplinary team to be completely involved rather than picking up bits and pieces of information throughout the day from multiple different people. This is also a great opportunity for the patient and their family to ask questions with the entire care team available for answers.

Nursing is a profession that has been around in one form or another since the beginning of civilizations. It has moved from an art that was handed down from generation to generation to the formal education and training programs of today. During this evolution, nursing has been influenced by four main themes: the folk, religious, military and servant images (Ellis, 2012, pp. 3-45, 71).

It was the twentieth century when two-thousand hospitals were put up in the United States. After the wars ended, there were few nursing jobs because of the large number of nurses. As a result, nursing became an “honorable profession,” which required college degrees. Technological advances were well thought out and processed as nursing began to thrive. People began to study an environment in which the sick healed. Scientists and doctors developed a routine that would help them study the human body more precisely.

Since its establishment as a profession more than a century ago, Nursing has been a source for numerous debates related to its course, methods and development of nursing knowledge. Many nursing definitions and theories have evolved over time. Furthermore it is in a constant process of being redefined.

Throughout history, society has considered women to be the natural caregivers of children, family, and community. Women were naturally thought of as nurses because the act was said to be an extension of their role in the home. They were called in to homes to help deliver babies or as wet nurses to breastfeed. In the 1800’s, women began taking care of soldiers. It was then that Florence Nightingale cared for soldiers in the Crimean War. During this time she revolutionized the role by setting standards of cleanliness and reducing infection. The legacy of nursing continues to be enriched by those who continue to follow the example of nursing pioneers. They refuse to be bound by others’ views

In 1873 there were four hospitals with a school of nursing with in them. These hospitals were the New England Hospital for Women and Children; Massachusetts General Hospital; New Haven Hospital; and Bellevue Hospital.( 1996.Nursing. Dictionary of American History) The number of hospitals and hospital with nursing schools inside of them increased, because the hospitals soon found that the mortality and morbidity decreased with improved nursing care.( Nursing. Dictionary of American History) The shaping and molding of the nursing profession made the hospitals that we know today to be possible. In the 1860’s and 1870’s more Americans went to the hospitals for treatment because of the emphasis on hospital cleanliness, and the professional nurse.( Kellison, Kimberly. 1997-1998) Mary Eliza Mahoney became the first black graduate nurse in 1879.( Hine, Darlene,C., 1996) From 1893 to 1900 the number of nursing schools inside hospitals increased 225 to 432, and the number of hospitals increased from 178 to over 4000.( 1996.Nursing. Dictionary of American History) Nursing became considerably more popular and “by 1920, 54,953 women were in nursing

Like any scientific discipline, the nursing profession has evolved over time. Nurses, once regarded as housemaids and lower class citizens, now hold positions of authority and stature in our modern society. These changes in the profession are attributed to the many nurse theorists who devoted their lives to the improvement of patient care. Through their theoretical advancements, the public perception of nursing has gone from dismissive to reverential. Today, our culture considers the nursing profession to be one of the most rewarding and respected career paths an individual can pursue. Through a review of one such patient theorist, Dorothea Orem, one can witness this change in the perception of the nursing profession. As a first semester student in a professional nursing course of study, Orem has already influenced my personal nursing philosophy.

The roles and functions of nurses have a very fascinating history and have evolved since the 19th century. Landale (1895), in her letter to the editor of the Nursing Record and Hospital World gave us a glimpse of what a nurse should be during that period. Referring to a nurse as a woman in uniform, it gave us an idea that nursing was a female dominated vocation and not to be treated as an economical occupation for financial gain. Landale (1895) placed an emphasis on the characteristic of being a servant and being devoted to service in order to be a nurse who was worthy of the uniform.

The nursing profession has been around for a very long time. Through many changes and reforms, it has drastically evolved into the nursing profession we have today. Nurses have an important role within the healthcare industry in the treatment and medical care of the sick. These trusted healthcare professionals continue to make up the largest majority of the healthcare field, as well as the fastest growing occupation. Nursing is a job that allows people to not only care for the sick but also to experience, learn and further their interest in the human body. This course has definitely provided me an insight to the roots of the profession I would like to pursue. I think it is important to know the history of nursing to understand fully on the problems that are affecting the profession. I believe that we cannot effectively address important issues without a foundation of historical knowledge. In other words, by examining the nursing history, I will be able to appreciate my important role as a nurse in the healthcare system. The topics I will be including in my reflection are the works of Florence Nightingale, the affects of World War II, the challenges of Filipinos aspiring to be nurses, and excerpts in Chapter 10 of “A History of American Nursing.”