The newer trends in curricula for schools of nursing contrast sharply with the earlier ones. During the pioneer period, each nursing school was an isolated unit and the content of the curriculum was determined solely by the director of the school. This resulted in a wide variation in the curricula of the school of nursing.
At this stage, nursing education was almost purely an apprenticeship system. The prospective nurse was placed directly in the hospital wards without any preliminary instruction and shown how to perform each task, as the need arose, by some older student or graduate. A few lectures were given by the staff doctor in the evenings after seven.
Hospitals became so dependent upon these “so-called” schools that every hospital thought that it must have a training school for nurses, and, indeed, the hospitals could not have developed as rapidly as they did without them.
Under the apprenticeship system, emphasis is always placed upon practical work and the primary end is production of service. The apprentice is a producer and other required to do routine work which as not educational value to the worker. This was true of the nurse apprentice. Hospitals were not primarily concerned with education of the nurse but with providing good nursing care for their patients at a low cost. To this end the nurse’s education, and often her health, were sacrificed. Page 111.
In 1918, John Sealy College of Nursing (in Galveston Texas, the oldest nursing school in Texas) gave the following (curriculum)
First Year Anatomy and Physiology 30 hours Fever Nursing 12 hours Theory of Nursing 12 hours Bacteriology 14 hours Preventive Medicine 14 hours Materia Medica 15 hours
Second Year Surgical Nursing 14 hours Medical Nursing 10 hours Gynecological Nursing 15 hours Obstetrical Nursing 15 hours Dietetics 15 hours Invalid Cookery 40 hours The total amount of teaching time for three years was three hundred and four hours. Page 114
Third Year Pediatric Nursing 8 hours Eye, Ear, Nose and Throat 8 hours Mental and Nervous Disease 6 hours Theory of Nursing 20 hours Ethics 6 hours Massage 32 hours
From the ForwardThis second revision of the National League of Nursing Education’s well-known and widely used publication, the Curriculum for Schools of Nursing, has been prepared by the Curriculum Committee (formerly the Education Committee) of the National League, under the immediate direction of its chairman, Isabel M. Stewart, and with the cooperation of many groups and individuals. …
While nurses do not control nursing schools, the kind of nursing education offered by schools of nursing is the vital concern of every member of the nursing group. Since the public holds each profession responsible in large measure for the kind of service its members give, and the kind of people who are admitted to its ranks, the chief responsibility for determining what educational standards and programs are necessary for the proper selection and preparation of its members lies with the profession. …
The League’s primary objective in preparing and publishing its Curriculum has been to encourage schools to study their own educational problems and to provide guidance to those interested in revising or building curricula for their nursing schools. However, in presenting this Curriculum Guide for Schools of Nursing it is the hope of the National League that its use will not be limited to nursing educators but that it will be read and studied also by hospital administrators, members of hospital boards or trustees and nursing school committees, and educators in other fields.
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| Diagram 1. Showing proportion of average school day available for organized instruction, practical experience, study, extra-professional program, and non-educational activities. | Diagram 2. Pattern of proposed nursing curriculum on the basis of 16 week terms. |
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| Table 1. Allotment of hours per week in different terms, for organized instruction, nursing experience, and study. | Table 2. Schedule of courses with time allotment and placement in the program of studies. |
… The practice of wearing uniform and cap, important symbols of nursing, grew out of its military and religious heritage, which had always placed high value on the wearing of uniforms. Until the 1850s, the religious orders had been the dominant factor in the evolution of nursing service. After this time, Florence Nightingale´s military nursing experience during the Crimean War exerted a powerful influence on the subsequent development of professional symbols. …
Not until the 1890s was a regulation uniform generally established as a distinguishing mark of each nurse training school….
Rounding out the proper attire for the well-dressed nurse was the cap and nursing “badge” or “pins”, as they later became known. The nurse´s cap was originally designed to cover the long hair fashionable during the late 19th century. … Each school developed its own distinctive cap, and the black band on some caps indicated a student´s rank. …
The first Nightingale School of Nursing in the United States, at Bellevue Hospital, also created the first school badge or pin, which was presented to the class of 1880. … The school of nursing pin was always worn very prominently on the uniform and proved to be lasting symbol of considerable pride for the wearer.
Nurses continued to wear their school caps, uniforms, and school pins after graduation, whether as private-duty nurses or superintendents. Physicians and patients, therefore, began to recognize the various caps and uniforms and to associate them with the reputations of various training schools. The distinctive uniform and pin began to symbolize the nurse´s pride in the high standards of the training school from which she had graduated.
The following articles on nurse's pins are available at the HAM-TMC Library, either on-line or in the bound journals section on the second floor.
The following articles on nurse's uniforms are available at the HAM-TMC Library on-line and/or in the bound journals section on the second floor.