The Lasting Influence of the Progressive Visiting Nurses of the Late 19th Century

Nursing has a long history of advocacy and activism on behalf of vulnerable populations. For Women’s History Month, we have been drawing attention to the theme of the intimate connection between nursing history and women’s history. In this post, we share an image of nurses at the Henry Street Settlement in New York’s Lower East Side in the late 19th century, where nurse and social worker Lillian Wald organized nurses to bring essential health services and much more to the poor immigrant populations of the area.

A new model of possibility.

These early visiting nurses established a new model of possibility that has echoed through efforts since to improve the health and living conditions of millions. The following text, from the editorial comment in the January 1902 issue of the American Journal of Nursing, suggests that the efforts of these progressive nurses in the Lower East Side threw into relief some of the forces of corruption in New York City’s famed and powerful political machine that were keeping the poor in such abysmal and unhealthy living and working conditions.

Henry Street Settlement Nurse, Lower East Side, New York City

“After the downfall of Tammany, […]

2019-03-15T11:07:58-04:00March 15th, 2019|Nursing|0 Comments
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Women’s History is Nursing’s History

We would be remiss not to highlight Women’s History Month—after all, nursing’s history is intrinsically tied to women’s history. As women became more independent, so too did nursing. And it’s important to acknowledge our history of contributions to shaping this country’s health care system. As I note in a March 2015 editorial:

“The story of nursing continues to be one of social commitment, innovation, and problem solving. It legitimizes and supports our inclusion on governing boards and our presence at policymaking tables. It can infuse each of us with pride and energy for the work we do.”

One hundred and nineteen years of archives.

Linda Richards, first American trained nurse

AJN has 119 years of archives documenting nursing’s legacy (all free to read for subscribers). To mark Women’s History Month, each Friday this month we are highlighting an archive article and making it free until April 1. Today we’re sharing “Recollections of a Pioneer Nurse,” which was published in January 1903 (click through to the PDF version for the best version).

First trained nurse in the United States.

The article was written by Linda Richards (1841-1940), considered the first trained nurse in the United States. It’s a vivid first-person account of her experiences in nursing at the turn of the century, and […]

2019-03-15T10:04:27-04:00March 8th, 2019|Nursing|0 Comments
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Babies at the Border: Reflections on Nursing on Ellis Island

Immigrants at Ellis Island. Library of Congress.

For the past few years, the nation’s attention has been repeatedly drawn to “the immigration problem” on the southern borders of the United States. This past summer, images of babies screaming for their mothers as families were separated, and photos of teens and young children peering through chain-link fences—with foil blankets crumpled in the background—tugged at heartstrings. With recent fear-mongering about a caravan of refugees making their way through Mexico toward the United States, the issue is once again taking center stage.

A nation of immigrants.

With each image, my thoughts turn to our nation’s long history of regulating immigration. After all, we are a nation of immigrants. Many of our ancestors sought religious freedom, freedom from persecution, or economic opportunity in America. That history is replete with conflicting policies: from the exclusion of Chinese, prejudice against those of Irish and Italian descent, and the deportation of those who were seen as “unfit” physically or mentally to enter the country, to decrees from the president that all immigrants be treated with respect.

A history of working with immigrants ‘in a middle place.’

For over a century, nurses have worked with immigrants in “a middle place”—balancing the needs of newly arrived families with their […]

2018-11-02T10:17:29-04:00November 2nd, 2018|Nursing, nursing history, Public health|0 Comments
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November Issue: Patient Handling in Nursing Curricula, Pediatric Pressure Injury Risk, More

“The technical skills and knowledge needed for nursing can be learned. For some nurses, this is enough. They do nursing, but nursing isn’t part of their identity. So how do we change that?” —EIC Maureen (Shawn) Kennedy in her November editorial

The November issue of AJN is now live. Here are some of the articles we’re pleased to have a chance to publish this month.

CE: Original Research: Patient Handling and Mobility Course Content: A National Survey of Nursing Programs

What do nursing programs teach students about lifting, turning, transferring, repositioning, and mobilizing patients? Despite evidence supporting the use of safe patient handling and mobility practices, the authors’ findings suggest that most curricula need updating in this area.

CE: How to Predict Pediatric Pressure Injury Risk with the Braden QD Scale

This article offers guidance on use of the Braden QD Scale—a pediatric risk assessment instrument that reliably predicts both immobility-related and medical device–related pressure injuries. Readers can test their skills by assigning scores to patients in a variety of scenarios.

Looking Back: Nurses Fight for the Right to Vote

The author shares the stories of four nurse suffragists—Lavinia Lloyd Dock, Mary Bartlett Dixon, Sarah Tarleton Colvin, […]

2018-10-26T08:30:41-04:00October 26th, 2018|Nursing|0 Comments
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Recognizing the Value of Nurses, Health Care’s Often Silent Majority

“Inspire. Innovate. Influence.” That’s the theme the American Nurses Association set for this year’s Nurses Week. But for much of our recent history, however, nurses have not been considered particularly influential or innovative—despite the fact that during the 19th and early 20th centuries, nurses organized hospital systems (Isabel Hampton Robb), designed the public health system and implemented school nursing and community-based care (Lillian Wald), and demonstrated improved outcomes (Mary Breckenridge).

Somehow, as health care became more technology and intervention focused, we were relegated into the “background”—the silent majority at the point of care, but rarely the ones consulted on strategies and planning decisions. (My take: we didn’t directly bring in the revenue to support the higher cost of high-tech care.)

A dawning realization that nurses matter.

But I feel things are changing. Organizations whose goals were driven by quality care began to shift perspective when it became clear that nurses made a big difference in whether those goals could be realized. And as government and insurance reimbursements became increasingly tied to quality, safety, efficiency, and patient satisfaction with care, nurses began to matter even more. We’ve also come to realize that our costly health care system is not meeting the needs for too many Americans.

Now nurses are more visible than ever before. RNs in many areas, from acute and […]

2018-05-04T09:05:32-04:00May 4th, 2018|Nursing|0 Comments
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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