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History and Evolution of Nursing Dr. walaa Nasr. Historical Overview. Nursing is an ancient profession that has evolved alongside human civilization. Religion heavily influenced this evolution. During the industrial revolution , scientific methods became more important.
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History and Evolution of Nursing Dr. walaa Nasr
Historical Overview • Nursing is an ancient profession that has evolved alongside human civilization. • Religion heavily influenced this evolution. • During the industrial revolution, scientific methods became more important.
Florence Nightingale • The founder of modern nursing. • She established the first school for nurses that provided theory-based knowledge and clinical skill-building. • Encouraged the belief that there is a body of nursing knowledge distinct from medical knowledge.
Nightingale’s Accomplishments • Demonstrated the value of nursing care in reducing morbidity rates in the Crimean War • Established the Nightingale School for Nurses at Thomas’ Hospital in London • Advocated the principles of cleanliness and nutrition in promoting health • Developed public awareness of the need for nurses.
The Civil War & Nursing • America’s tragic conflict underscored the need for nursing. • Clara Barton (1821-1912) volunteered her nursing skills and organized the Red Cross in the United States after the war.
Pioneers of Nursing • Lillian Wald: First community health nurse. • Isabel Hampton Robb: Founded nursing organizations. • Adelaide Nutting: First nurse appointed as university professor. • Lavinia Dock: Author of early textbooks. • Mary Breckenridge: Serviced rural America. • Mamie Hale: Educator of midwives. • Linda Richards: America’s first trained nurse.
“Practical” Nursing • Women who cared for others, but who had no formal education, often called themselves “practical nurses.”
Early Practical Nursing Schools • Ballard School. Opened in 1892 in New York City. • Thompson Practical Nursing School. Established 1907 in Brattleboro, Vermont. Still operating today. • Household Nursing School. Founded in 1918 in Boston.
Nursing Education Changes • The Goldmark Report: Published in 1923, this report concluded that for nursing to be on an equal footing with other disciplines, nursing education should occur in the university setting.
Nursing Education: LP/VNs • LPNs (Licensed Practical Nurses) and LVNs (Licensed Vocational Nurses) work under the supervision of an RN or other licensed provider such as a physician or dentist. • Education is focused on basic nursing skills and direct client care. • Educated in community colleges, hospitals, vocational programs.
Nursing Education: RNs • RNs (Registered Nurses) may operate autonomously and may supervise LP/VNsLVNS. • Education is focused on basic nursing skills and direct client care. • Educated in universities, community colleges, hospitals.
Diploma Programs • Typically 3 years in length and offered by hospitals. • Graduates receive diploma rather than a college degree. • Program emphasizes basic skills particularly suited for hospital clients. • Such programs contribute 6% of nurse graduates.
Associate Degree Programs • 2-year program offered through community colleges or as options at four-year universities. • Graduate receives Associate Degree in Nursing (ADN). • Program stresses basic skill preparation with clinical practice • Such programs contribute 60% of nurse graduates.
Baccalaureate Degree Programs • Typically 4 years in length, offered through colleges and universities. • Graduate receives Bachelor of Science in Nursing (BSN) • Emphasizes preparation for practice in non- hospital settings, broader scientific content, and systematic problem-solving tools. • Such programs contribute 34% of all nursing graduates.
Nursing OrganizationsAmerican Nurses Association (ANA) • Purpose: To improve the quality of nursing care. • Established 1911. • Establishes standards for nursing practice. • Establishes a professional code of ethics. • Develops educational standards • Oversees a credentialing system. For RNs only. Publications: American Journal of Nursing; American Nurse
Nursing OrganizationsNational Association for Practical Nurse Education and Service, Inc. (NAPNES) • Purpose: To improve the quality, education, and recognition of nursing schools and LP/VNs in the U.S. • Established 1941. • Provides workshops, seminars, and continuing-education programs. • Evaluates and certifies continuing-education programs of others. For LPs/VNs. Publications: Journal of Practical Nursing; NAPNES Forum.
Nursing OrganizationsNational Federation for Nursing (NFN) • Purpose: To identify the nursing needs of society and to foster programs designed to meet these needs. • Established 1952. • Accredits nursing education programs. • Conducts surveys to collect data on education programs. • Provides continuing-education programs. Open to all nurses and non-nurses. Publication: Nursing & Health Care.