NRS 430 Discussion Evolution Of Nursing

NRS 430 Discussion Evolution Of Nursing

NRS 430 Discussion Evolution Of Nursing

NRS 430 Topic 3 DQ 1

How has nursing practice evolved over time? Discuss the key leaders and historical events that have influenced the advancement of nursing, nursing education, and nursing roles that are now part of the contemporary nursing profession.

Lina Rogers, the first school nurse to be named by New York City in 1902 (Whitney, 2022). First, I’d like to make it clear that I never thought I would become a school nurse, it was a retirement job in my eyes. I came out of nursing school, guns blazing and ready to conquer telemetry and make my way to the Cath lab, but life had other plans for me. I am a school nurse at an elementary school in my hometown, and I am proud. School nursing is not what I thought it would be, and I honestly did not think I would be reading about it in my studies. School nursing is often at the bottom of the list for nurses (it was on mine), but my mentality quickly changed about it, because I grew to love it. As I was reading the paragraph about Lina Rogers, I caught myself re-reading the paragraph because it resonated with me. Rogers served the poor and those living in unsanitary conditions, spreading illness and disease to their neighbors (Whitney, 2022). I work in a very underserved part of the city out in the county limits, houses are made up of different materials people can afford and it is made up of Mexican immigrants. Healthcare isn’t a priority because it is not affordable, they result to getting antibiotics for everything in Mexico. In a school made up of almost 600 students, I am able to provide Telemed (telehealth) services to my students from my nurse’s office. This alleviates trips to the doctor when transportation is an issue, and it often is for these families. School nursing is mentally and emotionally draining, and I guess if I could converse with Rogers, I’d ask her “How did you do it with the little you had?” Technology has advanced so much since her time but how can I educate better and how can I reach a demographic that does not want to be educated? How can I promote health that starts at home if home continues to be the contributing factors to acute illness.

Whitney, S. (2022). History of professional nursing. (2nd ed.) Dynamics in Nursing: Art &

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Science of Professional Practice. Grand Canyon University.


Things change. That’s life. The nursing profession is no exception. Although the primary focus of nursing– taking care of patients– is still the same, almost everything else has been modified. The evolution of nursing doesn’t stop in the present, either. New breakthroughs, medicines and technologies are constantly being made. This means nurses and their employers must keep up or risk becoming obsolete. It has become an industry of adaptation.

The Evolution of Nursing

Nursing in the Past

Nursing, in its most basic form, started out in the home. Before hospitals were built to house the sick, they were taken care of by their family members in their home. Medicine was not yet considered a science.

Nursing as a practice is said to begin between 1840 and 1845. In Great Britain, Florence Nightingale led several women to a group of sick or injured Crimean War soldiers and began to give them supervised care. On the other side of the sea, American doctor Joseph Warrington wrote a book for society nurses and midwives, the first example of a regulated nursing text.

From there, women started receiving training to become nurses in small to mid-size hospital systems. Their education was observation-based and took normally two to three years. When they graduated, the hospital that owns the education center would bring them on as full-time nurses.

As time went on, hospitals grew larger and education became more comprehensive. Nurses of all races and backgrounds were accepted into programs and became part of the workforce. Technology was brought into hospitals in the form of advanced patient beds, stethoscopes and blood pressure devices.

In the 1960s, it became commonplace for hospitals to require nurses to have a specialty instead of being proficient in several different areas.

With the advancement of technology and medicine came the need for more education. A certain certification means some can work in nursing homes, a degree or two grants access to patient care in hospitals, and so on. Nurses learned mostly in the classroom and then implemented what they learned on the job.

Re: Topic 3 DQ 1

Medicine men provided nursing care initially, and women were considered witches for attempting to provide nursing care. Women now dominate nursing. Nursing care in the early days was based on trial and error because science and research were not available (Whitney, 2018). Florence Nightingale was a pioneer of nursing who helped care for soldiers during the Crimean War. Her actions started the evolution of nursing as a profession (Steele, 2017). Nursing has evolved, but the fundamentals of caring for the sick, injured, and dying have not changed. Nightingale and her team of nurses helped soldiers dying from unsanitary conditions. She demonstrated this by her coxcomb diagram, which showed a decrease in the mortality rate (Samardi, 2014). Nightingale established the first nursing school in London to help train nurses. In the US, Lilian Wald, a public health pioneer and a social worker, and her friend, Mary Brewster, started Visiting Nurse Service of New York to take care of the poor immigrants. Wald assigned Lina Rogers to provide nursing care for poor kids absent from school and spreading infection (Whitney, 2018). During the American civil war, Clara Barton volunteered as a nurse and founded the American Red Cross. Jane Delano also founded the American Red Cross Nursing Service during the civil war (Whitney, 2018).

The nursing profession has evolved from Nightingale’s time to nursing training established at hospitals, and now nursing education is available at various colleges and universities. To become a nurse today, one needs education and to take a standardized test called NCLEX to get a license to practice. Colleges and universities offer associate and Baccalaureate programs. It has led to higher education among nurses, helping to incorporate evidence-based and critical thinking into the profession. Nursing keeps evolving and adapting to the changing needs of society to ensure the safe delivery of care and improved patient outcomes.

NRS 430 Discussion Evolution Of Nursing References

Sarmadi, M. T. (2014). Florence Nightingale who raised nursing as a highly profession. International Journal of Nursing Science4(3), 33-36.

Steele, N. M. (2017). A time to celebrate: Florence Nightingale. Urologic Nursing37(2), 57–59.

Whitney, S. (2018). History of professional nursing. In Grand Canyon University (Eds.), Dynamics in nursing: Art and science of professional practice.

Re: Topic 3 DQ 1

Nursing was not an educated professional in its beginning times. People with illness and disease were often thought of as evil and avoided. As religion and science became more prevalent the nursing role changed. Hospitals began to pop up to care for ill and wounded soldiers. Surgeries, treatments, and medication such as anesthesia were putting more pressure on hospitals and physicians to be better educated. As medicine began to be seen as science, people understood the need for training nurses. Nurses have progressed from working in households to working in hospitals, schools, and outpatient clinics. Nurses, as one of the oldest professions, have seen and inspired a wide range of developments. The most notable improved not only the profession, but also patient outcomes and the quality of health care. Florence Nightingale is a well-educated British woman who is credited as the creator of modern nursing. Nursing as a profession began in the mid-nineteenth century.

The British government solicited Nightingale’s assistance at a military hospital in Turkey during the Crimean War in 1854. The fatality rate of British soldiers dropped drastically within weeks of her small team’s arrival. The public was impressed by Nightingale’s achievements, and she eventually persuaded the Western world of the dignity and worth of educated nurses (Texas Woman’s University, 2019). A decade later, during the American Civil War, the evolution of the nursing profession quickened. Women, often mistresses or wives of soldiers, began following the troops when war erupted in the North and South. They were primarily responsible for the care of sick troops. The most common infections were pneumonia, typhoid, diarrhea or dysentery, and malaria.

NRS 430 Discussion Evolution Of Nursing REFERENCE

Evolution of the nursing profession. (n.d.). Online Nurse Practitioner Programs | Texas Woman’s University. 2019.

How nursing has changed over time. (2019, February 28). Minority Nurse.

Dorothea Orem’s self-care deficit theory is a notable contribution to nursing practice, and I am keen to understand how she developed this theory and refined her ideas over time. I know that a conversation with Orem would be a great opportunity to gain insights into her experience as a nurse and how it influenced her theoretical work. My main goal in speaking with Orem would be to improve my patient care by helping them achieve better self-care. Orem’s work on self-care has had a significant and lasting impact on nursing theory, and speaking with her could provide valuable insights into how nursing theory is developed and applied in practice. By understanding the development of her self-care deficit theory, I can better understand how to apply this theory to my own work as a nurse. Furthermore, I am interested in learning more about the challenges that Orem faced when developing her theory and how she overcame them. I would also like to know how Orem’s self-care deficit theory has been received by the nursing community and how it has influenced nursing practice over time. Additionally, I would like to ask Orem about the relationship between patient empowerment and self-care, and how nurses can encourage patients to take an active role in their own care. This would help me to better engage with my patients and support them in achieving better outcomes. Overall, a conversation with Dorothea Orem would be a valuable opportunity to gain insights into nursing theory and its practical applications. It would help me to improve my patient care and to better understand the relationship between patients and their ability to care for themselves. Orem’s work has had a lasting impact on the field of nursing, and I am excited to learn more about her experiences and insights.

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