chapter 10 great transformation, small change natasha colvin bef 644 fall 2013

ORDERED TO CAREChapter 10

Great transformation, small changeNatasha ColvinBEF 644Fall 2013

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

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

Group Nursing

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

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)

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