Ordered To Care

1. Ordered To Care Chapter Two

2. Chaos and order in Hospital Nursing • 19th Century hospital were for the sick, poor, displaced citizens of society. • Most Americans lived and died with out ever seeing or stepping foot in a formal hospital institution. • Watch this short video to understand why. • http://www.youtube.com/watch?v=PTkL3w9hq3k • Hospitals and Nurse facts • In 1873 there were only 120 hospitals in the US • Nurses were at the bottom of paid labor • Florence Nightingale quote on nurses

3. Women who were • dregs of female society • drank themselves into oblivion • endured thankless and wretched labor • responsible for feeding, cleaning, and watching over hospital inmates • Hospital nurses were women “who were too weak, too drunken, too dirty, too stolid, or too bad to do anything else.” Hospital Nurses

4. Most early hospitals were intended for the deserving and respectable poor who were ill -Most hospitals reserved space for those who could pay -Rooms for paying patient's had nice furniture and drapes In early days hospital nurses were expected to live in the same institution as the patients.

5. Early Hospitals problems Filth and cross infection

6. What was life like for patients? Prison like conditions and treatment Strict order and discipline Regulated visiting hours Limited tobacco /alcohol consumption Restrictions imposed for rules violation Infractions could result in being put in cells similar to jail cells

7. Who is in charge? All of the above Patients Head nurse Visiting physician Hospital trustee or Superintendent

8. What was it like for the nurse? May responsible for recruitment of nurses Lived at the hospital (maybe in the same space as sick) Fed patients Washed bandages Long hours, low pay with little respect and backbreaking labor

9. An order of their Own More organization between staff and management More conflict with physicians with lack of difference Nurse continue to improve skills Seek more autonomy Nurses begin to organize their work

10. The Rights of Caring Linda Richards-New England Hospital for Women and Children Paved the way for Americas first trained nurse More assertion of individual rights Nurse become more mobile in job sites More structure and ritual introduced in hospitals