1. -established the first nursing philosophy based on health maintenance and
restoration
-developed the first organized program for training nurses
-first practicing nurse epidemiologist
-saw nursing as in charge of someone else's health
-lady with the lamp
-improved sanitation (linked poor sanitation with cholera and dysentery; re-
duced mortality rates from 42.7% to 2.2% in 6 months): Florence Nightingale
2. The Nightingale Training School for Nurses at St. Thomas Hospital in Lon-
don: First organized program for training nurses
3. -volunteer women demonstrated effectiveness of skilled nursing on im-
proved outcomes
-emergence of nurse training schools based on Nightingale apprenticeship
model: American Civil War (1861-1865)
4. -provided physicians and hospitals with an inexpensive and skilled work-
force
-provided working-class women with the opportunity for employment outside
the home: Nightingale's Apprenticeship Model of Nursing
5. -pupil nurses under direction of nursing superintendent
-required 2-3 years of intense hospital work
-upon program completion, they could be employed as graduate private duty
nurses
-women who were trained nurses saw social status elevated as a result of
training: 1873: Establishment of the First Three Training Schools for Nurses in US
6. -long days of patient service
-training classes were held at end of long days on wards
-nursing duties included patient care, cleaning wards and operating rooms,
meal preparation, sterilization of instruments, and assisting physicians: Nurse
Training Program
7. -focus was to advance and standardize training of nurses
-goal was to promote fellowship and establish/maintain universal standard of
training: 1894: Society of Superintendents of Training Schools for Nurses of the US
and Canada
8. National League for Nursing Educators (NLNE): What was society of superin-
tendents of training school for nurses of the US and Canada renamed?
9. -US Bureau of Census: 109,000 untrained nurses and midwives compete
with 12,000 graduate nurses
-Nurses' Associated Alumnae of the US and Canada focused on legal recog-
, NSG-310 Exam 1
nition of trained nurses (to protect the public: legal registration for trained
nurses): Early 1900's
10. -purpose to achieve legal recognition for trained nurses to counter the
belief that "an ignorant woman who is not fit for anything else is good enough
for a nurse": 1896: Nurses' Associated Alumnae of the US and Canada
11. American Nurses Association (ANA): What was the Nurses' Associated Alum-
nae of the US and Canada renamed in 1912?
12. -a registered nurse had attended an acceptable nursing program and
passed a board evaluation examination
-1923: all states enacted nurse registration laws: Enactment of Nurse Licensure
13. -hospitals (student nurses and head nurse)
-private duty nurses (registry, autonomous practice, contagious disease,
childbirth, fractures, strokes, mental illness): Nursing Practice in Early 20th
Century America
14. -graduated nurses employed by the middle/upper class households
-seasonal work: busy winters and slow summers
-1920 surplus of nurses
-1928 burgess report: a study of the plight of the graduated nurse: Private Duty
Nurses
15. -before, many physicians and hospital administrators did not value the
presence of graduate nurses in their hospitals
-many private duty nurses increased their clinical medical knowledge and
skills on their own
-physicians and families requested these nurses
-hospitals began to add registered nurses to the staff in the late 1930s: Opin-
ions of Nursing Change
16. -social change: urbanization, industrialization, influx of European immi-
grants (overcrowding, filthy streets, and poor working condition)
-Lillian Wald: established role for nursing in the community because the needs
of NY residents were limitless: Progressivism and Public Health Nursing
17. Henry Street Settlement House and Henry Street Visiting Nurse Services-
: What did Lillian Wald and Mary Brewster establish?
18. -expansion to: school nursing, industrial nursing, TB nursing, and infant
welfare nursing
-worked with Metropolitan Life Insurance Company and organized home visits
to the company's customers who were ill: Lillian Wald and Visiting Nurses
19. The National Organization for Public Health Nursing: What did Lillian Wald
found in 1912?
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