Journal Week 14/15

Finishing up my NURS-490R class.  I have really enjoyed learning about the history of nursing.  I have learned a lot from how nursing came to be and through the years how it has grown and changed.  The nursing work field will continue to change and grow.  Nursing will always be a popular work field and will always be needed.  

This week I finished off by reading an interesting article about the future of nursing. The nursing profession now has more than 3 million members. It is the largest segment of the nation’s health care workforce. “A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system. These barriers need to be overcome to ensure that nurses are well- positioned to lead change and advance health.” Nurses are always needed. Nurses work in hospitals, schools, homes, health clinics, care facilities, battlefields, and community health centers. There is always a need and always a place to work. In this article is says that in the future nurses may need to have a greater education. For now nursing schools are getting harder to get into and becoming harder to stay in. There are four points that this article mentioned. 1. Nurses should practice to the full extent of their education and training. This means that as a registered nurse and advanced practice registered nurse, they should always use their degree to the fullest. 2. Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression. The main reasoning behind this is that nurses need to be able to take care of almost all cases. 3. Nurses should be full partners with physicians and other health care professionals, in redesigning health care in the United States. This will prepare nurses with the skills that are needed to improve health care and advance their profession. 4. Effective workforce planning and policy making require better data collection and an improved information infrastructure. Nurses will have to be ready and will be required to meet future needs when dealing with required comprehensive data. In conclusion the United States has the opportunity to transform its health care system and nurses should play a big role in this.  

After reading this article and learning more about what my team mates from class had to say,  I still have a lot of ambition and excitement to become a nurse.  I would really like to go and advance my nursing education after getting my bachelors.  I know that I will be able to do more and possibly enjoy it more.  

Journal Week 13

This week I read about the Nurses in the beginning of the 21st century and specifically about nurses in wars. The nurses who were first deployed during the early days of the Iraq and Afghanistan wars had it much worse. They were living in not the best or safest places. They were eating pre-packaged, dehydrated meals. The nurses couldn’t be in contact with their families like they can now. They were all trained properly but you can’t totally prepare someone for war.  Many nurses said that it is not the same when there is a real life trauma case you have to deal with. Some were assigned to “Fast-Forward Surgical Teams,” which performed “meatball surgery,” the terminology used for patching up trauma patients quickly to stabilize them before sending them to larger hospitals for more specialized care. At times, some nurses were expected to collect the bodies of fallen soldiers in the field because there was no one else to do so.  Nurses expressed horror at what they saw and had to do to save lives, ameliorate suffering, and allow death with dignity.  After serving in the war for awhile many nurses couldn’t return to work as trauma nurses.

Journal Week 12

In the 1960s, nurses still wore dresses and stocking as their uniforms. A little later on, things began to be a little more “buttoned down” and less formal for nurses and became more fashionable. The pillbox hat became very popular. In the 1970s, the nurses dressed changed a little. They wore shorter dresses and the caps began to fade out. The 1980s nurses also began wearing disposable aprons rather than cloth aprons and medical facilities became much less strict about jewelry and cosmetics. During the 1990s and today, nursing dresses have been replaced with scrub suits. Scrub suits can be found in a wide variety of colors and styles. Some hospitals have specific scrub suit colors for different types of hospital staff and others allow nurses and other staff to choose colors and styles that appeal to them.  I also read about how the salaries have changed and roles of nurses have changed.  What a nurse can make in a month salary is what nurses in the 1960’s made in a year.  More men are nurses now then they were back then.  Now women and men are treated equally in the nursing field.  

Journal Week 11

This week I read about WWII.  Almost all nurses were recruited for WWII. From 1943-1948 the US government provided free education for nursing students. In 1944 army nurses were granted allowances and a good pay. The age rules were strict and nurses had to be between the ages 21-40 with no kids under the age of 14. Training was not necessary for nurses in 1943 until later that year when army nurses need specific training and that is why the government paid for their schooling. Army nurses were trained in sanitation, mental health, and anesthetics. This was an important role for women at the time so that they could make a difference and support the war.  

WWII brought nurses closer than ever to the front lines. They needed to be able to take care of patients on time. They worked under harsh conditions and were making emergency decisions for wounded soldiers. Nurses were always at risk. Some became prisoners in Japan and 201 nurses died in the war. After the war many nurses did not receive benefits or recognition for their efforts. Later President Reagan honored WWII nurses but many had passed away. Nurses who served in the wars will always be remembered for their efforts and actions. I think that the war wouldn’t have been the same without them. Many more people would have died. I don’t think people realize what an impact and sacrifice that nurses made.

Journal Week 10

I read an article about nursing in the US and how it began to grow. During World War I, it became harder for nurses because they were expected to work long hours and were not getting paid very much. By the 1920s, there were so many nursing students that there were not enough jobs to go around. Many hospitals were using student nurses as cheap labor and not hiring them when they graduated. With the Great Depression, student nurses were having an even harder time finding jobs in the late 1920s and 1930s.  During 1929, people could not afford the health care that was needed and more nurses went to hospitals to become employed. In hospitals duties included washing floors, cleaning, serving meals and caring for patients. Hospitals had ads for 15.00 a month for pay for nurses. The Works Progress Administration and the Works Administration helped nurses out by giving them employment. The nursing world was still scarce for jobs. By the later 1930’s nurses were able to find permanent jobs. 

It was really interesting reading this because now days nursing jobs are always needed.  During The Great Depression nurses would work for any job needed. 

Journal Week 9

This week I researched about nursing in the early 1900’s.  The Council of National Defense was created in 1916 and composed of cabinet secretaries and civilian representatives from the fields of industry, finance, transportation, labor and education, was charged with coordinating the country’s defenses and planning for possible war. When the United States entered World War I, the General Medical Board was formed to coordinate medical services. In June 1917, the Committee on Nursing was a group previously organized as a voluntary body by American nursing leaders. They planned how nurses would serve in the war. Financial support for the committee came from private individuals and nurses. The Committee on Nursing worked closely with the American Red Cross to develop a cohesive plan to meet national nursing needs, both militarily and civilian.

World War I utilized a base hospital system to deliver medical services. Base hospitals were composed of medical and nursing staff from large hospitals. Smaller hospitals also participated by sending staff. Whether it sent a base hospital or a hospital unit, the civilian hospital was responsible for organizing the staff and obtaining supplies. During World War I, 22,736 nurses served in the military, enrolled in the Nurse Corps of the Army, Navy and Red Cross.

Journal Week 8

This week I read an article about Rochester Regional Health.  It was the 12th nurses’ training school in the country and the third in New York State. It opened in 1880. It became a huge hospital. Studies included the rudiments of nursing, but no instruction in anatomy or physiology was given. The nurses were provided on basic hygiene, bandaging and massage. The nurses slept in any unoccupied room because there was no dorms for them to stay in.  I also read that during this time the Civil War was just ending and so a lot was changing.  Hospitals were constantly being built and hygiene was very much improving.  

Journal Week 7

I read a timeline about the 1870’s. Three schools of nursing inspired by the work of Florence Nightingale opened in New York City, New Haven, Connecticut, and Boston, Massachusetts in 1873.   The trianings and teachings of Nightingale shaped the idea of these hospitals.  Many thing I have read about this time period have all been about Nightingale.  This women changed the history of nursing.  In 1873 the fist set of missionary nurses were sent to take care of the poor. In 1979 Mary Eliza Mahoney was the first African American professional nurse to graduate from the New England Hospital and Training School for Women and Children. This school provided one African American and one Jewish student per year.  It amazes me how that schools started letting in African Americans this time of year and the U. S. continued to have struggles with color all the way through the 1900’s.  

Journal Week 6

This week I searched about the 1830’s through the 1850’s.  I found a lot of information about Florence Nightingale.  She gave nursing a high reputation in the 1850’s and became an icon of Victorian culture. She served as a nurse and trainer in the Crimean War helping wounded soldiers. News got back to Brittan about the wounded. She had trained over 38 women to help out taking care of the soldiers. There was a shortage of medicine and hygiene simply. After Nightingale sent a plea to the government for solutions to the poor condition of the facilities. The British Government commissioned a hospital that could be built in England and shipped to the Dardanelles. The result was Renkioi Hospital. The death rate was reduced from 42% to 2%. During this decade was the change and importance in her career.

Journal Week 5

This week I read articles about what nursing was like from 1800-1829. By this time nursing was expanding tremendously especially in Europe and slowly moving over to America. Nuns that’s had been working as nurses were forced to leave the profession and stay at home. There were not enough hospitals for everyone. Nurses were in high demand. Those who practiced nursing were beginning to develop new services as well like offering care to those within the estate of their patron’s. While staying at the estate, these nurses would often be required to perform the duties of apothecaries, physicians and surgeons.

Reading this I thought it was so interesting that nursing has and always will be a high demanding work profession.  There are always nursing opportunities.