History of Nursing Occupations Fozia Ferozali, RN., MSN
Who were..
the first ‘nurses’?
Throughout the middle ages, care was provided primarily by religious orders to sick and poor Some of the earliest nurses were nuns. Sisters of mercy order originated in 1830s by roman catholic church in Dublin (still exists today)
During the Middle ages continued…
No specific training was required for someone to become a nurse
Wealthy individuals received care at home by doctors
Besides nuns, other early nurses included: Women
of ill repute Poor, single women with no family or hope of marriage Prisoners, servants and slaves
Nursing prior to the late 1800s:
Required no specialized training Paid badly, if at all Was considered unrespectable Carried out under deplorable conditions Was NOT regarded as A profession Often did little to help patients recover
Nursing as a profession Emerged
in late 19th century Credit is given to Florence Nightingale
Who was Florence Nightingale?
She was born in 1820 and died in 1910 Born in Italy to wealthy English parents Frustrated by lack of options for women of her social background Defied parents and society and traveled to Germany and throughout Europe to train as a nurse Her big opportunity came when the Crimean war broke out in 1854
During Crimean War:
Secretary of War asked her to go take charge of the hospital at Scutari in Turkey. Nightingale showed up with 38 trained nurses and faced a death rate of 40% She was met by patients lying on boards among piles of filth, patients received only one meal a day, no supplies, no sanitation, and hostility from army doctors
Her accomplishments at Scutari in two years included: Death rate decreased to 2% She established cleanliness and sanitation rules Patients received special diets and plenty of food Improved water supply Patients received proper nursing care Nightingale established a reputation which allowed her to improve nursing standards at home
Florence Nightingale
Nightingale established nursing school at St. Thomas’ Hospital, London upon return By 1887, Nightingale had her nurses working in six countries and U.S. Nightingale developed basic philosophy re: the profession of nursing different from other existing programs Nightingale was a nurse, philosopher, statistician, historian, politician and more Today Nightingale is considered the founder of modern nursing
Nightingales ‘7’ basic tenets were that:
1. The content of nursing education must be defined by nurses.
2. Nurse educators are responsible for the nursing care provided by students and graduates of the nursing program.
3. Educators should be trained nurses themselves.
4. Nursing schools should be separate entities, not connected with physicians or hospitals.
Nightingale’s Basic tenets continued..
5. Nurses should be prepared with advanced education and should engage in continuing education throughout their careers.
6. Nursing involves both sick nursing and healthy nursing and includes the environment as well as the patient (holism).
7. Nursing must include theory.