Nurs04 WK3
Nurs04 WK3
HISTORY OF NURSING
PREFACE
During 1906, Filipino nurses was trained at Iloilo Mission Hospital and the health
institute also built. This has been the beginning of development of more nursing schools in
the
Philippines. Under Pensionado Act of 1903 or Act 854) was mandated, allowing Filipino
nursing student to study in United States. Nurses are actively involved in health care
research, management, policy deliberations, and patient advocacy. Nurses with post
baccalaureate preparation assume independent responsibility for providing primary health
care and specialty services to individuals, families, and communities.
Recurring themes of women’s roles and status, religious (Christian) values, war, societal
attitudes, and visionary nursing leadership have influenced nursing practice in the past.
Many of these factors still exert their influence today.
A. Women’s Roles
❖ Traditional female roles always included the care and nurturing of other family
members. Thus, the traditional nursing role has always entailed humanistic caring,
nurturing, comforting, and supporting.
B. Religion
❖ Many of the world’s religions encourage benevolence, it was the Christian value of
“love thy neighbor as thyself” and Christ’s parable of the Good Samaritan that had a
significant impact on the development of Western nursing. Some of these values
include: (1) self-denial, (2) spiritual calling, (3) devotion to duty, and (4) hard work.
❖ The nurse’s commitment to these values often resulted and in exploitation not much
in the way of monetary rewards or professionalism. It was a common belief for many
nurses themselves to feel it inappropriate to expect economic gain from their “calling”
into the nursing profession.
C. War
❖ The Crusades saw the formation of several orders of
knights, including the Knights of Saint John of
Jerusalem (also known as the Knights Hospitallers), the
Teutonic Knights, and the Knights of Saint Lazarus.
These brothers in arms provided nursing care to their sick
and injured comrades. These orders also built hospitals,
the organization and management of which set a standard
for the administration of hospitals throughout Europe at
that time.
❖ The Knights of Saint Lazarus dedicated themselves to
the care of people with leprosy, syphilis, and chronic skin conditions.
❖ During medieval times in the 14th century at Germany, there were many religious
orders of men in nursing. Alexian Brothers organized care for victims of the Black
Plague.
❖ During the third and fourth centuries, Fabiola a wealthy matron of the Roman
Empire, converted to Christianity and used their wealth to provide houses of care and
healing (the forerunner of hospitals) for the poor, the sick, and the homeless.
❖ On the same year, deaconess groups were suppressed by the Western churches.
Theodor Fliedner reinstituted the Order of Deaconesses and opened a small
hospital and training school in Kaiserswerth, Germany.
Department to recruit a contingent of female nurses to provide care to the sick and
injured in the Crimea.
❖ Nightingale and her nurses transformed the military hospitals by setting up
sanitation practices, such as hand washing and washing clothing regularly.
Nightingale is credited with performing miracles; the mortality rate in the Barrack
Hospital in Turkey, for example, was reduced from 42% to 2% in 6 months
❖ Florence Nightingale known as a founder of modern nursing and developed the
Nightingale Training School for Nurses that opened in 1860. Her greatest
achievement was probably in nursing education and published “Notes on Nursing:
What It Is, and What It Is Not”. This publication was intended for all women and
brought her the recognition of nursing’s first scientist-theorist.
During the American Civil War I (1861–1865), several women rushing to
volunteer their nursing services. These nurses endured harsh environments
and treated injuries. They die and buried in Arlington National Cemetery
this monument called “The Spirit of Nursing”.
E. Societal Attitudes
❖ The prevailing attitude for women during 1800 should be at home and no career. The
nurses in hospitals were poorly educated; some were even incarcerated criminals.
❖ Charles Dickens, made a book Martin Chuzzlewit (1896) reflected his attitude
towards nurses through his character Sairy Gamp. The nurses “cared” for the sick
but they are neglected and physically abusing.
❖ During this period nurses greatly influenced the negative image and attitude but
because of the work of Florence Nightingale during the Crimean War. After
Nightingale brought respectability to the nursing profession, nurses were viewed as
noble, compassionate, moral, religious, dedicated, and self-sacrificing.
❖ Florence Nightingale’s contributions to nursing are well documented. Her
achievements in improving the standards for the care of war casualties in the Crimea
earned her the title “Lady with the Lamp.” Her efforts in reforming hospitals and in
producing and implementing public health policies also made her an accomplished
political nurse.
I. Intuitive Nursing
1) BABYLONIA
➢ King Hammurabi – ruler from 1945 B.C. to 1902 B.C.
Code of Hammurabi
❖ Practice of Medicine
❖ Fees
❖ Discouraged experimentation
❖ Specialty for diseases
❖ Right of patient to choose (charms, drugs, surgery) to cure diseases ❖
Excavated 1849
2) EGYPT
❖ Embalming and record of 250 diseases
2) INDIA
❖ Men of medicine-built hospitals
❖ Practiced intuitive form of Asepsis
❖ Proficient in the practice of medicine and surgery
❖ Woman voluntarily took charge of taking care of the sick.
❖ Sushurutu/ Susruta- his writings (written 200 or 300 B.C.) is a list of functions and
qualifications of the nurses who were described as combination of pharmacists,
masseurs, physical therapists, and cooks.
❖ Buddhism- contributed to the decline of medical practice when the religion itself fell in
this era.
Hippocrates
❖ Born in Greece in 460 BC
❖ Father of Medicine due to his notable contributions to medical practice - in
reality, not in mythology.
❖ Developed a philosophy of medicine and practice medical ethics
❖ Rejected the belief that the origin of disease could be found in the supernatural
❖ Did not entrust care of the sick to untrained lay persons but to medical students.
❖ On-the-job training performed without any formal education: attributed to the religious
orders of the Christian church.
❖ Built hospitals were staffed by religious orders who dedicated their lives to the care of
the patients.
❖ Organized nursing was found in the military, secular and mendicant or begging orders
A. THE CRUSADES
❖ Military religious orders were founded to establish hospitals staffed with men who
served as nurses for those who were wounded in the war.
❖ Knights of St. John of Jerusalem & Teutonic Knights
❖ Knights of Saint Lazarus
❖ Alexian Brothers – established Hospital School of Nursing in Chicago which was the
largest school of nursing under religious auspices operated exclusively for men in the
U.S.
Religious Nursing Orders - founded by queens, princesses, and other royal ladies. Some
orders found before the reformation.
a. Augustinians
b. Poor Clares
c. Beguines
d. Benedictines
e. Ursulines
f. Tertiaries (lay people who were affiliates of the religious) of St. Francis and of St.
Dominic.
HOTEL DIEU (in Paris) - Hospitals were poorly ventilated, mattresses were hard and
cleaned only 3x a year, beds were shared by 2 or 3 patients, laundry was done by nurses,
linens were sometimes washed in the nearby river.
2. ST. CATHERINE OF SIENNA (1347- 1380) – the first to be called the “Lady with a
Lamp”. A nurse in the hospital of Santa Maria de la Scala.
1347 – Bubonic Plague – Sienna Catherine still took care of the victims.
b.2 LOUISE DE GRAS (nee de MARILLAC) = Co-foundress and the first superior
ELIZABETH SETON
❖ American who founded the Sisters of Charity of Emmetsburg in Maryland in 1809.
FLORENCE NIGHTINGALE
❖ Born on May 12, 1820 in Florence, Italy
❖ June 15, 1860 – cornerstone of nursing in England was laid
❖ 15 probationers entered St. Thomas Hospital in London to establish the Nightingale
system of nursing which enabled young women from upper class English society to
enter the profession of Nursing
NIGHTINGALE SYSTEM
❖ Decent living room quarters for students
❖ paid nurse instructors (by both school and hospital) correlation of theory and practice
❖ students should be taught of the “why not only the “how”
❖ limitations: non acceptance of new scientific discoveries: ignoring bacteriologic
research and germ theory felt that disease could be eliminated by cleanliness. ❖
1910 died at the age of 90
20th CENTURY
1900 – 1912 – development of other nursing services aside from hospital service,
private duty, public health, school, government, material, etc.
A. Age of Specialization
College and postgraduate nursing education program
B. Set Standards (1913 – 1937)
Standard curriculum and textbooks
C. World War I
Nurses were assisted by the National Red Cross D. The
Great Depression
Financial Crisis – increased number of unemployed nurses Military nurses.
The early life of the Filipinos had been mixed with superstitious beliefs. Some of these
beliefs continue persisting in some rural areas of the country. These beliefs affect the health
and sickness of the people. Sometimes this makes the work of health workers difficult for
they do not combat only disease and unsanitary condition, but they must also overcome
superstitious beliefs which may sometimes be dangerous to clients. Though the traditional
approaches have been approved and recognized as healing and scientific, some clients
should still be guided against certain hazardous practices and beliefs.
Examples:
❖ Any person afflicted with the disease with unknown cause was under the spell of
witchcraft ❖ Presence of herbolarios
❖ Presence of manggagaway or mangkukulam
❖ Aswang watching a pregnant mother
❖ Superstitious beliefs affecting childbirth and childcare; dressing the cord with ashes,
tobacco, sand, powder, coconut, tight bond around the waist of a pregnant mother.
❖ The first milk of the mother (colostrum) was supposed to be unfit food for the newborn
hence, the milk should be pumped out and thrown away.
Some hospitals in 15th century were established by the religious and by the Spanish
administrators for their nationals, especially for the soldiers. The Franciscan order is the one
responsible for the establishment of these hospitals. The religious men (hospitallers) did the
nursing care of the sick. They were assisted by Filipino attendant whom they instructed in
the art of caring of the sick.
In the early development of nursing, the work of the nurse and the physician were not
clearly defined. Fray Juan Clemente, a lay brother of the Franciscan order, performed both
functions. He devoted his time in the care of the sick in the Philippines. Nurse the lepers,
made ointment and purgatives from coconut oil. They used medical plants in the treatment of
disease. They also believe in cleanliness of the body and mind.
The women during the Philippine revolution took active part in nursing the wounded
soldiers. Without any training in nursing, they dressed the wound, alleviated pains, prepared
foods and gave comfort to the men engage in war. Among the prominent women who
volunteered were:
Josephine Bracken - attended and dressed the wounded soldiers with care, cheer with
soldiers. Escaped to Hongkong and died in 1902.
The effect of World War II brought unhappy situation to the Filipino people. Disease was
very rampant due to lack of food, clothing, shelter, medicine, and other prime necessities.
Hundreds of wounded soldiers needed immediate care so that several hospitals were
established because of the tremendous work of health rehabilitation of the country.
In SY 2003-2004, the newly hired Nursing faculty members took care of the Clinical
courses/subjects for sophomores. With an increasing demand for nursing and health
carerelated jobs abroad, the BSN population increased to 764 in SY 2004-2005 with
additional Clinical Instructors facilitating the Clinical/Related Learning Experiences (RLE) in
affiliated hospitals in Cavite. Still under the supervision of the BSD headed by Dr. Mila
Cueno, a total of 13 faculty members with teaching load ranging from 28 to 32 contact hours
per week were hired to accommodate the growing population of BSN students.
Among the programs handled by CAS, the Bachelor of Science in Nursing acquired
the highest enrollment equivalent to 15% of the total figure in the main campus, which is also
highest in the university system.
In June 2004, CAS started to offer a two-year diploma program in Midwifery wherein
graduates shall graduate in Diploma in Midwifery. Initially, Nursing instructors handled major
courses and eventually hired registered Midwifery clinical instructors to supervise Midwifery
clinical practicum in the different affiliated hospitals, RHU’s and lyin-in clinics in Cavite.
In October 18, 2005, a separate College of Nursing with a number of full time faculty
members/clinical instructors headed by its first designated dean, Prof. Lenila A. de Vera, RN,
MPH and Prof. Nenita B. Panaligan, RN as Clinical Coordinator to effectively manage and
accommodate the College of Nursing as per approval of the Board of Regents Resolution
No. 48, s. 2005.
For indeed, from an insignificant beginning to the College’s status as being one of the
biggest in the school community, it has grown to be one of the finest among state
universities. The College continued to upgrade its quality of education by producing
competent nursing graduates, provision of state-of the-art facilities for instruction and
research purposes for students as well as faculty members, recruitment of highly qualified
faculty members and establishing good and strong affiliations with various government,
private hospitals and health centers. The Diploma of Midwifery Program was officially turned
over to the College as one of its offering.
In April 2006, Prof. Elenita A. Mariano, RN, MAN was designated as the new dean of
CoN, with Prof. de Vera designated as Associate Dean and Prof. Ma. Angeles Lim as the
designated Principal of Midwifery department. There were 48 Nursing students and 3
midwifery students who successfully completed the requirements for graduation and were
considered as the first alumni of the College.
During the start of second semester AY 2006-07, Prof. de Vera, as Dean continued to
realize the vision and mission of the College. There were 908 BSN enrollees and 55
Midwifery students enrolled to the program. The masteral program, Master of Arts in Nursing
(MAN), was also proposed and was approved for its offering in coordination with the Office of
Graduate Studies as per BOR Resolution No. 73, s. 2007 in August 11, 2007.
In June 2007, the BSMT Program was officially transferred to the CoN for supervision
and management with Prof. Adelaida Sangalang as the designated Chairman of the Institute
of Medical Technology. The Department initially has a faculty contingent of 3 and an
enrollment of 5 Medical Technology students.
After five years of operation, the College also prepares for accreditation of its BS
Nursing program for AACCUP Preliminary survey. Self-survey of the program was
conducted on November 2007.
Eventually, with the University’s desire to answer the needs of the society, CON is
preparing the proposal to offer the Doctor of Medicine Program and Physical and
Occupational Therapy Program.
Our graduates have started to pave their own different paths toward the achievement
of their personal and professional goals. The reputation that we have created is starting to
reap rewards in terms of easy job placements and positive feedback from the different
affiliating agencies and institutions where we also have established good camaraderie and
professional relationship.
As success ultimately comes from hard work, perseverance and hopes, the College
will continue to conform within the University’s thrust to choose and have the best and
brightest. The good news is that we have more or less attained stability in terms of
recognition, facilities, programs and outreach. However, our fear in failure has put more
challenges for the College to perform much better by doing more than what it has already
done