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Ordered to Care

Ordered to Care. Chapter 10 Great transformation, small change Natasha Colvin BEF 644 Fall 2013. Stepping through the hospital Doors. Stock Market Crash 1929 (Nursing stepping through the hospital doors all begin with the Great Depression)

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Ordered to Care

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  1. Ordered to Care Chapter 10 Great transformation, small change Natasha Colvin BEF 644 Fall 2013

  2. Stepping through the hospital Doors • Stock Market Crash 1929 (Nursing stepping through the hospital doors all begin with the Great Depression) • Unable to afford private duty nurse (therefore sought services in hospitals) • Greater division of labor • Nurses were forced to accept the necessity for a greater division of labor in the hospital nursing work force • Hospitals had to be convinced that graduate nurses were cheaper and more dependable work force than students; also more skilled and disciplined • Graduate nurses vs. student nurses • At this time 60 percent of hospital beds were in hospitals with nursing schools for room, board, and meals; graduate nurses were looked at as expensive commadity

  3. Hospital Care • Complex and specialized • Traditionally defined tasks shifted to complex tasks • Private -duty specials • Hospital closings became common • Public relations consultants • Cash in advance vs. charitable concept • Third party payers

  4. Group Nursing • Patients “grouped” in a special unit • Extra charge • Advantages/Disadvantages • Criticism (Shirley Titus) • Hours Restriction (8 vs. 12)

  5. Late 1930’s • Second World War/Post War • More responsibilities within the hospitals with less recognition • Better-paying/war-industry jobs • Married/house wife • Decreased enrollment in the training schools • Hospitals turned to the “new” comer (Licensed Practical or Vocational Nurse)

  6. Reference • Reverby, S. (1987). Ordered to care : the dilemma of american nursing, 1850-1945 . Cambridge, NY: Cambridge University Press. Retrieved from http://www.bamaed.ua.edu/ELPTS/644/Readings/OC/4.pdf

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