HMED 3075 Lecture Notes - Lecture 6: Stethoscope, Moral Character, Paternalism
Document Summary
Nurse confined to hospital for both home and workplace-shared physical space with patients. Rigid rules for behavior to regulate daily life of patients and hospital workers. Invention of the modern hospital depended on the invention of the trained nurse. Increasing numbers of native-born young rural women looking for work in the cities (urbanization) Nursing reform was to help reorder the hospital and provide suitable employment for respectable women. Nursing was to become an apprenticeship to duty : character-behavior and demeanor (as much as bed-making skill) was to distinguish the trained nurse. Nightingale model of reform: sought to bring efficiency and moral order. Emphasized hierarchy, duty, and discipline: moral training and nursing education. Technical competence (complete repetition until the task became automatic: female hierarchy with deference and loyalty to physician authority. Hospital training schools: first established in boston, new haven, and new york 1873, segregated training. African american women could only train at schools established at black hospitals.
