History of Nursing in The World
History of Nursing in The World
History of Nursing in The World
Traditional
Before the foundation of modern nursing, nuns and the army often provided
nursing-like services.[2] The Christian churches have been long term patrons of
nursing and influential in the development of the ethos of modern nursing.
Elsewhere, other nursing traditions developed, such as in Islam.
From its earliest days, and following the edicts of Jesus, Christianity had encouraged
its devotees to tend the sick. Priests were often also physicians. According to the
historian Geoffrey Blainey, while pagan religions seldom offered help to the infirm,
the early Christians were willing to nurse the sick and take food to them - notably
during the smallpox epidemic of AD 165-180 and the measles outbreak of around
AD 250 and that "In nursing the sick and dying, regardless of religion, the Christians
won friends and sympathizers". Christian emphasis on practical charity gave rise to
the development of systematic nursing and hospitals after the end of the
persecution of the early church.[4] Ancient church leaders like St. Benedict of Nursia
(480) emphasized medicine as an aid to the provision of hospitality.[5] Ancient
Catholic orders like the Dominicans and Carmelites have long lived in religious
communities that work for the care of the sick. The religious and military roots of
modern nursing remain in evidence today in many countries, for example in the
United Kingdom, senior female nurses are known as sisters. Nurses execute the
orders of M.D.s, PAs, and NPs in addition to being responsible for their own practice.
The first nurse was Phoebe, mentioned in Romans 16:1. During the early years of
the Christian Church, St. Paul sent a deaconess Phoebe to Rome as the first visiting
nurse. She took care of both women and men.
According to Geoffrey Blainey, during the Middle Ages, the Catholic Church in
Europe provided many of the services of a welfare state: "It conducted hospitals for
the old and orphanages for the young; hospices for the sick of all ages; places for
the lepers; and hostels or inns where pilgrims could buy a cheap bed and meal". It
supplied food to the population during famine and distributed food to the poor. This
welfare system the church funded through collecting taxes on a large scale and
possessing large farmlands and estates. Monasteries of this era were diligent in the
study of medicine, as were convents.
The Eastern Orthodox Church had established many hospitals in the Mid-East, but
following the rise of Islam from the 7th century, Arabic medicine developed in this
region, where a number of important advances were made and an Islamic tradition
of nursing begun. Arab ideas were later influential in Europe. The famous Knights
Hospitaller arose as a group of individuals associated with an Amalfitan hospital in
Jerusalem, which was built to provide care for poor, sick or injured Christian pilgrims
to the Holy Land. Following the capture of the city by Crusaders, the order became a
military as well as infirmarian order.
A number of saints and orders like the Franciscans are recalled for tending the sick
during the devastating bubonic plagues, but these events exposed the near
impotence of the Medieval medicine to explain disease and prompted critical
examination.
During the Reformation of the 16th century, Protestant reformers shut down the
monasteries and convents, allowing a few to continue in operation hundred
municipal hospices. Those nuns who had been serving as nurses were given
pensions or told to get married and stay home. Nursing care went to the
inexperienced as traditional caretakers, rooted in the Roman Catholic Church, were
removed from their positions. These caretakers were scorned as the "consorts of
prostitutes and drunks," since many of the hospitalized ill were indigent. The
nursing profession suffered a major setback for approximately 200 years, only to be
rescued by individuals, not organizations, in the nineteenth century. In Catholic
nations and religiously tolerant areas however, the role of the nursing sister
continued uninterrupted.
19th century
Florence Nightingale was an influential figure in the development of modern
nursing. No uniform had been created when Florence Nightingale was employed
during the Crimean War. Both nursing role and education were first defined by
Florence Nightingale.
Saint Marianne Cope was among many Catholic nuns to influence the development
of modern hospitals and nursing.
The Crimean War was a significant development in nursing history when English
nurse Florence Nightingale laid the foundations of professional nursing. Her short
books Notes on Nursing became popular.
Other important nurses in the development of the profession include: Dame Agnes
Hunt from Shropshire, was the first orthopaedic nurse and was pivotal in the
emergence of the orthopaedic hospital called The Robert Jones & Agnes Hunt
Hospital in Oswestry, Shropshire.
Mary Seacole, who also worked as a nurse in the Crimea
Agnes Elizabeth Jones and Linda Richards, who established quality nursing schools
in the USA and Japan; Linda Richards was officially America's first professionally
trained nurse, graduating in 1873 from the New England Hospital for Women and
Children in Boston
Clarissa Harlowe "Clara" Barton, a pioneer American teacher, patent clerk, nurse,
and humanitarian, and the founder of the American Red Cross.
Saint Marianne Cope, a Sister of St Francis who opened and operated some of the
first general hospitals in the United States, instituting cleanliness standards which
influenced the development of America's modern hospital system.
New Zealand was the first country to regulate nurses nationally, with adoption of
the Nurses Registration Act on 12 September 1901.
Nurses have experienced difficulty with the hierarchy in medicine that has resulted
in an impression that nurses' primary purpose is to follow the direction of
physicians. This tendency is certainly not observed in Nightingale's Notes on
Nursing, where the physicians are mentioned relatively infrequently, and often in
critical tonesparticularly relating to bedside manner.
In the early 1900s, the autonomous, nursing-controlled, Nightingale era schools
came to an end schools became controlled by hospitals, and formal "book
learning" was discouraged. Hospitals and physicians saw women in nursing as a
source of free or inexpensive labor. Exploitation was not uncommon by nurses
employers, physicians and educational providers. Nursing practice was controlled by
medicine.
The modern era has seen the development of nursing degrees and nursing has
numerous journals to broaden the knowledge base of the profession. Nurses are
often in key management roles within health services and hold research posts at
universities.
services a priority as early as the 1850s. Methodists in America took note, and
began opening their own charitable institutions such as orphanages and old
people's homes after 1860. In the 1880s, Methodists began opening hospitals in the
United States, which served people of all religious backgrounds beliefs. By 1895 13
hospitals were in operation in major cities. Lutherans in the U.S. in 1884 brought
seven sisters from Germany to run the German hospital in Philadelphia. By 1963 the
Lutheran Church in America had centers for deaconess work in Philadelphia,
Baltimore, and Omaha.
Military
With British public opinion shocked by Nightingale's revelations about the poor care
of soldiers in the Crimean War, activists pushed for reform. In 1860 Queen Victoria
ordered a hospital to be built to train Army nurses and surgeons, the Royal Victoria
Hospital. The hospital opened in 1863 in Netley and admitted and cared for military
patients. Beginning in 1866, nurses were formally appointed to Military General
Hospitals. The Army Nursing Service (ANS) oversaw the work of the nurses starting
in 1881. These military nurses were sent overseas beginning with the First Boer War
(often called Zulu War) from 1879 to 1881.[21] They were also dispatched to serve
during the Egyptian Campaign in 1882 and the Sudan War of 1883 to 1884. During
the Sudan War members of the Army Nursing Service nursed in hospital ships on
the Nile as well as the Citadel in Cairo. Almost 2000 nurses served during the
second Boer War, the Anglo-Boer War of 1899 to 1902, alongside nurses who were
part of the colonial armies of Australia, Canada and New Zealand. They served in
tented field hospitals. 23 Army Nursing sisters from Britain lost their lives from
disease outbreaks.[22]
Schools
The Nightingale model of professional education spread widely in Europe and North
America after 1870. Even so, as late as the 1870s, "women working in North
American urban hospitals typically were untrained, working class, and accorded
lowly status by both the medical profession they supported and society at large".
Nursing had the same status in Great Britain and continental Europe before World
War I.
Hospital nursing schools in the United States and Canada took the lead in applying
Nightingale's model to their training programmers: standards of classroom and onthe-job training had raised sharply in the 1880s and 1890s, and along with them the
expectation of decorous and professional conduct.
World War I
Britain
By the beginning of World War I, military nursing still had only a small role for
women in Britain; 10,500 nurses enrolled in Queen Alexandra's Imperial Military
Nursing Service (QAIMNS) and the Princess Mary's Royal Air Force Nursing Service.
These services dated to 1902 and 1918, and enjoyed royal sponsorship. There also
were Voluntary Aid Detachment (VAD) nurses who had been enrolled by the Red
Cross. The ranks that were created for the new nursing services were Matron-inChief, Principal Matron, Sister and Staff Nurses. Women joined steadily throughout
the War. At the end of 1914, there were 2,223 regular and reserve members of the
QAIMNS and when the war ended there were 10,404 trained nurses in the QAIMNS.
Australian nurses served in the war as part of the Australian General Hospital.
Australia established two hospitals at Lemnos and Heliopolis Island Islands to
support the Dardanelles campaign at Gallipoli. During the course of the war,
Australian nurses were granted their own administration rather than working under
medical officers. Their work routinely included administering ether during
haemostatic surgery and managing and training male medical assistants (orderlies).
World War II
In early 1942, sixty-five front line nurses from the General Hospital Division in
Singapore were ordered back home aboard two ships. The Japanese sank one ship;
the 21 surviving nurses swam ashore but the Japanese captured and shot them at
the Banka Island massacre. Sister Vivian Bullwinkel was the only survivor. She
became Australia's premier nursing war hero.
United States
As Campbell (1984) shows, the nursing profession was transformed by World War
Two. Army and Navy nursing was highly attractive and a larger proportion of nurses
volunteered for service higher than any other occupation in American society.
The public image of the nurses was highly favorable during the war, as the
simplified by such Hollywood films as Cry 'Havoc' who made the selfless nurses
heroes under enemy fire. Some nurses were captured by the Japanese, but in
practice they were kept out of harm's way, with the great majority stationed on the
home front. However, 77 were stationed in the jungles of the Pacific, where their
uniform consisted of "khaki slacks, mud, shirts, mud, field shoes, mud, and
fatigues." The medical services were large operations, with over 600,000 men and
women, ten enlisted men for every nurse. The nurses were all women and all
officers. WACs (enlisted women) were used as hospital orderlies. Nearly all the
doctors were men, with women doctors allowed only to examine the WAC.
President Franklin D. Roosevelt hailed the service of nurses in the war effort in his
final "Fireside Chat" of January 6, 1945, and urged an induction act to raise the
number of nurses in the war service by Congress.
Britain
During World War II, nurses belonged to Queen Alexandra's Imperial Military Nursing
Service (QAIMNS), as they had during World War I, and as they remain today.
(Nurses belonging to the QAIMNS are informally called "QA"s.) Members of the Army
Nursing Service served in every overseas British military campaign during World
War II, as well as at military hospitals in Britain. At the beginning of World War II,
nurses held officer status with equivalent rank, but were not commissioned officers.
In 1941, emergency commissions and a rank structure were created, conforming
with the structure used in the rest of the British Army. Nurses were given rank
badges and were now able to be promoted to ranks from Lieutenant through to
Brigadier. Nurses were exposed to all dangers during the War, and some were
captured and became prisoners of war.
Germany
Germany had a very large and well organized nursing service, with three main
organizations, one for Catholics, one for Protestants, and the DRK (Red Cross). In
1934 the Nazis set up their own nursing unit, the Brown Nurses, absorbing one of
the smaller groups, bringing it up to 40,000 members. It set up kindergartens,
hoping to seize control of the minds of the younger Germans, in competition with
the other nursing organizations. Civilian psychiatric nurses who were Nazi party
members participated in the killings of invalids, although the process was shrouded
in euphemisms and denials.
Military nursing was primarily handled by the DRK, which came under partial Nazi
control. Front line medical services were provided by male medics and doctors. Red
Cross nurses served widely within the military medical services, staffing the
hospitals that perforce were close to the front lines and at risk of bombing attacks.
Two dozen were awarded the highly prestigious Iron Cross for heroism under fire.
They are among the 470,000 German women who served with the military.\
As a profession
The authority for the practice of nursing is based upon a social contract that
delineates professional rights and responsibilities as well as mechanisms for public
accountability. In almost all countries, nursing practice is defined and governed by
law, and entrance to the profession is regulated at the national or state level.
The aim of the nursing community worldwide is for its professionals to ensure
quality care for all, while maintaining their credentials, code of ethics, standards,
and competencies, and continuing their education. There are a number of
school placing it under the supervision of the Department of Health. The Civil
Hospital was abolished and the Philippine General Hospital was established.
St. Lukes Hospital School of Nursing (Quezon City, 1907)
The hospital is an Episcopalian Institution. It began as a small dispensary in 1903. In
1907, the school opened with three girls admitted. These three girls had their first
year in combined classes with the PGH School of Nursing and St. Pauls Hospital
School of Nursing. Miss Helen Hicks was the first principal. Mrs. Vitaliana Beltran
was the first Filipino superintendent of nurses and Dr. Jose Fores was the first
medical director of the hospital.
Mary Johnston Hospital and School of Nursing (Manila, 1907)
It started as a small dispensary on Calle Cervantes (now Avenida). It was called the
Bethany Dispensary and funded by the Methodist Mission for the relief of suffering
among women and children. In 1907, Sister Rebecca Parrish together with
registered nurses Rose Dudley and Gertude Dreisbach, organized the Mary Johnston
School of Nursing. The nurses training course began with three Filipino young girls
fresh from elementary as their first students.
Philippine Christian Mission Institute Schools of Nursing
The United Christian Missionary Society of Indianapolis, Indiana- a Protestant
organization of the disciples of Christ operated three schools of nursing:
Sallie Long Read Memorial Hospital School of Nursing (Laoag Ilocos Norte, 1903)
Mary Chiles Hospital School of Nursing (Manila, 1911)
The hospital was established by Dr. WN Lemon in a small house on Azcarraga,
Sampaloc, Manila. In 1913, Miss Mary Chiles of Montana donated a large sum of
money with which the preset building at Gastambide was bought. The Tuason Annex
was donated by Miss Esperanza Tuason, a Filipino Philantropist.
Frank Dunn Memorial Hospital (Vigan Ilocos Sur, 1912)
San Juan de Dios Hospital School of Nursing (Manila, 1913)
In 1913, through the initaiative of Dr. Benito Valdez, the board of inspectors and the
executive board of the hospital passed a resolution to open school of nursing. The
school has been run by the Daughters of Charity since then. Sister Taciana Tinanes
was the first Directress of the School
Emmanuel Hospital School of Nursing (Capiz, 1913)
In 1913, the American Baptist Foreign Mission Society sent Dr. PH Lerrigo to Capiz
for the purpose of opening a hospital. Miss Rose Nicolet assisted him. The school
offered a 3-year training course for an annual fee of Php 100.00. Miss Clara Pedroso
was the first principal
Southern Islands Hospital School of Nursing (Cebu, 1918)
The hospital was established in 1911 under the Bureau of Health. The school
opened in 1918 with Anastacia Giron-Tupas as the orginizer. Miss Visitacion Perez
was the first principal
Other Schools of Nursing
1.Zamboanga General Hospital School of Nursing (1921)
2.Chinese General Hospital School of Nursing (1921)
3.Baguio General Hospital School of Nursing (1923)
4.Manila Sanitarium Hospital and School of Nursing (1930)
5.St. Paul School of Nursing in Iloilo City (1946)
6.North General Hospital and School of Nursing (1946)
7.Siliman University School of Nursing (1947)
The FIRST Colleges of Nursing in the Philippines
University of Santo Tomas-College of Nursing (1946)
In its first year of existence, its enrolees were consisted of students from different
school of nursing whose studied were interrupted by the war. In 1947, the Bureau of
Private Schools permitted UST to grant the title Graduate Nurse to the 21 students
who were of advance standing from 1948 up to the present. The college has offered
excellent education leading to a baccalaureate degree. Sor Taciana Trinanes was its
first directress. Presently, Associate Professor Glenda A. Vargas, RN, MAN serves as
its Dean.
Manila Central University-College of Nursing (1947)
The MCU Hospital first offered BSN and Doctor of Medicine degrees in 1947 and
served as the clinical field for practice. Miss Consuelo Gimeno was its first principal.
Presently, Professor Lina A. Salarda, RN, MAN, EdD serves as its Dean.
University of the Philippines Manila-College of Nursing (1948)
The idea of opening the college began in a conference between Miss Julita Sotejo
and UP President. In April 1948, the University Council approved the curriculum, and
the Board of Regents recognized the profession as having an equal standing as
Medicine, Engineering etc. Miss Julita Sotejo was its first dean. Presently, Professor
Josefina A. Tuason, RN, MAN, DrPh is once more reappointed as the Dean of UP
Manila College of Nursing
In a glance
1909
3 female graduated as qualified medical-surgical nurses
1919
The 1st Nurses Law (Act#2808) was enacted regulating the practice of the nursing
profession in the Philippines Islands. It also provided the holding of exam for the
practice of nursing on the 2nd Monday of June and December of each year.
1920
1st board examination for nurses was conducted by the Board of Examiners, 93
candidates took the exam, 68 passed with the highest rating of 93.5%-Anna
Dahlgren theoretical exam was held at the UP Amphitheater of the College of
Medicine and Surgery. Practical exam at the PGH Library.
1921
Filipino Nurses Association was established (now PNA) as the National Organization
of Filipino Nurses
PNA: 1st President Rosario Delgado
Founder Anastacia Giron-Tupas
1953
Republic Act 877, known as the Nursing Practice Law was approved.
Josefina Laperal Tamayo, as its Vice-Chairman and Treasurer. With both co-founders
now deceased, the University of Perpetual Help System JONELTA is presently led by
the first born of the founders, Dr. Antonio L. Tamayo. He is currently the Chairman of
the Board and Chief Executive Officer of UPH System JONELTA. Incidentally, he is
also the Chairman of the Board and Chief Executive Officer the UPH System DALTA.
Dr. Tamayo earned his post-graduate courses in Hospital Administration at George
Washington University in Washington D.C., supplemented with special studies on
Hospital Management from Ateneo de Manila University, and a Ph. D in
Organizational Development from the Southeast Asian Interdisciplinary Institute.
On June 10, 2003, the helm of leadership of the University of Perpetual Help System
DALTA was transferred to, Dr. Daisy Moran Tamayo as Second President.
Dr. Daisy Moran Tamayo is a holder of a Masters Degree in Nursing from New York
University, USA. She is also a doctorate degree holder in Organization Development
from the Southeast Asian Interdisciplinary Institute.
Complementing the leadership and management functions of Dr. Antonio L. Tamayo
and Dr. Daisy M. Tamayo are their two sons, Anthony Jose and Richard Antonio who
are both outstanding cum laude graduates of the University of the Philippines.
Anthony Jose M. Tamayo assumed presidency of the UPHSD campuses on January
2010. He is a Certified Public Accountant, MBA degree holder from Kellogg School of
Management, Northwestern University and MA in Education degree holder from
Harvard University.
Likewise, Richard Antonio M. Tamayo was appointed as President of the University of
Perpetual DALTA Medical Center. He is currently finishing his Master of Business in
Hospital Administration at Ateneo de Manila University.
In subsequent years, the UPHSD established two branches as well as several agribusinesses which later incorporated into the DALTA Group of companies. The units
of DALTA Group are located in Las Pinas City; Molino, Cavite; and Calamba City in
Laguna. It also has a Medical Center in Las Pias City.
The University of Perpetual Help System DALTA Molino was established and
inaugurated in May 1995 with an initial enrolment of seven hundred students. Just a
year after, the University of Perpetual Help System DALTA Calamba was
established in inaugurated initially with 360 enrollees.
The University of Perpetual Help System DALTA subscribes to the institutional
philosophy that national development and transformation is predicated upon the
quality of education of its people. It is committed to the ideas of teaching,
community service and research, with Character Building is Nation Building as its
guiding principle. It is continuing in its efforts to achieve its objective of maintaining
and sustaining excellence in education. It has instituted an extensive network of