Historically, women have made up a large majority of the profession and academic discipline of nursing. [1] Women's nursing roles include both caring for patients and making sure that the wards and equipment are clean. In the United States, women make up the majority of the field of nursing, comprising 86% of Registered Nurses (RNs) in 2021; [2] globally, women comprise 89% of the nursing workforce. [3]
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Nurses in the past were often required to work long days and care for many patients, for very little pay. In addition, the typical university setting where nurses learned the work of the trade was not in existence back then. Instead, nurses learned the trade while working in the field. Another difference was that nursing students were called probationers. As probationers, they were required to follow the strict rules and regulations that were set forth by the institution. Additionally, probationers were required to follow all physicians’ orders without question and perform various household duties. After learning how to take orders, probationers were then sent to the operating room for a 6-week rotation. During that 6-week period, probationers learned how to inventory sterile bandages, keep operating room meticulously clean and provide sterile water for surgeons during surgery. Upon completion of their training, probationers turned into nurses.
As nurses, some of their roles included providing patient education concerning nutrition and child related illnesses when needed. In general, nurses were the ones responsible for bathing patients, inserting catheters, dispensing medications, administering enemas, keeping the ward clean, and making sure that everything was documented correctly. During that time, there were no nurses' aides available to help with the daily care of patients. Thusly, all tasks fell upon the nurse. To add to that long list of tasks, a nurse was also responsible for preparing any holistic medications that were needed at the time to treat the various alignments that patients presented with. In the present time, holistic medications are hardly used, and any medications that are required are generally handled and prepared by a pharmacy. This is with the expectation of some intravenous (IV), antibiotics, and insulin preparations that the nurse will prepare on the floor (after receiving an order from a doctor). [4] [ clarification needed ] Listed below are more duties of nurses in these time periods.
Following the completion of the war nurses were able to receive benefits as well as a more diverse workforce. [8] During this time frame as well patient care technician was introduced, their tasks were to conduct basic care to patients. It helped the nurses a lot giving them a helping hand. [12]
Nurses in this period today we are being introduced to newer technology such as the electronic medical record, which made it easier providing medications, progress notations, and any concerns. In this time as well stimulation labs were provided to give nursing students a better education. Until this day nurses are being introduced to new advancements. [12]
During this time nursing uniforms were very similar to "servants’ uniforms, which consisted of a full black or printed gown with a white gathered or banded cap and a white apron." Around 1840, the field of nursing gained more respect and nurses were trained more. With this said the uniforms worn at this time started to change from the servant uniforms to the more classic "ladylike gowns with white aprons and caps to indicate that they were nurses." During this time, Florence Nightingale introduced new forms of education and uniforms for nurses, including the introduction of different colored hat bands to illustrate rank. "Fresh nurse students would wear ribbon bands of pink, blue, or other pastel colors. Senior nurses and nursing teachers would wear black ribbon bands to indicate seniority."
This period brought about the start of change in the uniforms by adding white bibs and pockets to the dresses. In addition, large hats were worn that resembled a nun's hat and veil. These types of uniforms stayed in practice up until the First World War, when it was decided that the uniforms needed to be revamped to make them more practical and improve nurses' efficiency. For instance, the sleeves on the uniforms were changed so that they rolled up, the bulky aprons were removed, and the shirts shortened. All these things helped with convenience and allowed nurses to function better, and were often coupled with shoulder-covering capes, which were usually navy or dark blue in colour on the outside with red lining on the inside. [15]
By the 1950s, paper hats and simple folded hats replaced the large, elaborate crown-like caps that were worn by nurses during the First World War. The simple paper hats were more comfortable. The policy to use hats to denote seniority level was abolished, since the morale of nurses was affected by the discrimination. Dresses also evolved, since no one has the time to launder elaborately tailored clothing anymore. Dresses became less form fitting and were easy to wash, iron and wear." [15]
By the 1970s with the appearance of males in the field wearing scrubs, the female uniforms once again changed, they "became less gendered". The hat was lost and uniforms become less formal. In addition, they started to resemble normal clothing. [16] By the 1980s, the cap and the cloth apron were gone. To replace the cloth apron, nurses started to wear disposable ones. [17]
Nurses today continue to wear scrubs with many different colors and patterns available. The scrubs usually consist of drawn string pants and a V-neck top. The formal uniform (i.e. color and patterns allowed) though varies by policy. In some facilities it is required that the different types of employees all wear different color scrubs so that their specific job title can be determined by their scrub color. For example, "nurses in one color, techs in another, etc." Additionally "some hospitals are even going back to requiring that nurses wear white, though they haven't yet returned to skirts, hats, and stockings." [16]
See List of nurses.
A uniform is a variety of costume worn by members of an organization while usually participating in that organization's activity. Modern uniforms are most often worn by armed forces and paramilitary organizations such as police, emergency services, security guards, in some workplaces and schools, and by inmates in prisons. In some countries, some other officials also wear uniforms in their duties; such is the case of the Commissioned Corps of the United States Public Health Service or the French prefects. For some organizations, such as police, it may be illegal for non-members to wear the uniform.
A nurse uniform is attire worn by nurses for hygiene and identification. The traditional nurse uniform consists of a dress, apron and cap. It has existed in many variants, but the basic style has remained recognizable.
Hospital volunteers, also known as candy stripers in the United States, work without regular pay in a variety of health care settings, usually under the direct supervision of nurses.
An operating theater is a facility within a hospital where surgical operations are carried out in an aseptic environment.
A nursing home is a facility for the residential care of older people, senior citizens, or disabled people. Nursing homes may also be referred to as care homes, skilled nursing facilities (SNF) or long-term care facilities. Often, these terms have slightly different meanings to indicate whether the institutions are public or private, and whether they provide mostly assisted living, or nursing care and emergency medical care. Nursing homes are used by people who do not need to be in a hospital, but require care that is hard to provide in a home setting. The nursing home staff attends to the patients' medical and other needs. Most nursing homes have nursing aides and skilled nurses on hand 24 hours a day.
Psychiatric nursing or mental health nursing is the appointed position of a nurse that specialises in mental health, and cares for people of all ages experiencing mental illnesses or distress. These include: neurodevelopmental disorders, schizophrenia, schizoaffective disorder, mood disorders, addiction, anxiety disorders, personality disorders, eating disorders, suicidal thoughts, psychosis, paranoia, and self-harm.
A stereotype is a widely held and fixed notion of a specific type of person and is often oversimplified and can be offensive. Stereotypes of people and groups are harmful, especially when they lack factual information. Nursing as a profession has been stereotyped throughout history. The stereotypes given to nursing as well as women in nursing has been well documented. A common misconception is that all nurses are female; this misconception has led to the emergence of another stereotype that male nurses are effeminate. These generalized perceptions of the nursing profession have aided in the misrepresentation of nurses in the media as well as the mischaracterization of nurses in the eyes of the public. The image of a nurse depicted by the media is typically of a female being over-sexualized as well as diminished intellectually. This notion is then portrayed in get-well cards, television, film and books. The over-sexualized nurse is commonly referred to as a naughty nurse and is often seen as a sex symbol or nymphomaniac. Along with these common stereotypes, studies have identified several other popular images used in media such as handmaiden, angel, torturer, homosexual male, alcoholic, buffoon and woman in white. Common stereotypes of nursing and portrayal of these misrepresentations have fueled a discussion on the effects they have on the profession.
A licensed practical nurse (LPN), in much of the United States and Canada, is a nurse who provides direct nursing care for people who are sick, injured, convalescent, or disabled. In the United States, LPNs work under the direction of physicians, mid-level practitioners, and may work under the direction of registered nurses depending on their jurisdiction.
Home health is a nursing specialty in which nurses provide multidimensional home care to patients of all ages. Home health care is a cost efficient way to deliver quality care in the convenience of the client's home. Home health nurses create care plans to achieve goals based on the client's diagnosis. These plans can include preventive, therapeutic, and rehabilitative actions. Home health nurses also supervise certified nursing assistants. The professional nursing organization for home health nurses is the Home Healthcare Nurses Association (HHNA). Home health care is intended for clients that are well enough to be discharged home, but still require skilled nursing personnel to assess, initiate and oversee nursing interventions.
Primary nursing is a system of nursing care delivery that emphasizes continuity of care and responsibility acceptance by having one registered nurse (RN), often teamed with a licensed practical nurse (LPN) and/or nursing assistant (NA), who together provide complete care for a group of patients throughout their stay in a hospital unit or department. While the patient is on the nurses' unit, the primary nurse accepts responsibility for administering some and coordinating all aspects of the patient's nursing care, with the support of other members of the nursing staff. This results in the nurse having greater insight into the patient's condition, both medical and emotional.
Emergency nursing is a specialty within the field of professional nursing focusing on the care of patients who require prompt medical attention to avoid long-term disability or death. In addition to addressing "true emergencies," emergency nurses increasingly care for people who are unwilling or unable to get primary medical care elsewhere and come to emergency departments for help. In fact, only a small percentage of emergency department (ED) patients have emergency conditions such as a stroke, heart attack or major trauma. Emergency nurses also tend to patients with acute alcohol and/or drug intoxication, psychiatric and behavioral problems and those who have been raped.
A surgical nurse, also referred to as a theatre nurse or scrub nurse, specializes in perioperative care, providing care to patients before, during and after surgery. To become a theatre nurse, Registered Nurses or Enrolled Nurses must complete extra training. Theatre nurses can focus on different speciality areas, depending on which they are interested in.
A nurse's cap or nursing cap is part of the female nurse's uniform, introduced early in the history of the profession. The cap's original purpose was to keep the nurse's hair neatly in place and present a modest appearance. Male nurses do not wear caps.
A flight nurse is a registered nurse specializing in the field of providing comprehensive pre-hospital, emergency critical care, and hospital care to a vast scope of patients. The care of these patients is generally provided during aeromedical evacuation or rescue operations aboard helicopters, propeller aircraft, or jet aircraft. On board a rescue aircraft, is a flight nurse, accompanied by flight medics and respiratory practitioners, as well as the option of a flight physician for comprehensive emergency and critical transport teams. The inclusion of a flight physician is more common in pediatric and neonatal transport teams. A critical care flight nurse must be able to deal with all age groups with broad critical emergencies. With no physicians on site, the nurses scope of practice is expanded. The critical care experience is transferred over to a flight nurse with impacting factors such as altitude and changes in pressure, gravitational forces, and weather. Some patients may experience exacerbations because of factors related to the cabin environment, including hypoxia, limited mobility, gas expansion, and the risk of injury related to turbulence. Resources for definitive care are limited. Aeromedical evacuation crews coordinate with other organizations to plan for the safe and timely care and evacuation of patients. Crews must be prepared for patients with trauma and mental health illnesses.
Nursing is a health care profession that "integrates the art and science of caring and focuses on the protection, promotion, and optimization of health and human functioning; prevention of illness and injury; facilitation of healing; and alleviation of suffering through compassionate presence". Nurses practice in many specialties with varying levels of certification and responsibility. Nurses comprise the largest component of most healthcare environments. Shortages of qualified nurses are found in many countries.
Scrubs, sometimes called surgical scrubs or nursing scrubs, are the sanitary clothing worn by physicians, nurses, dentists and other workers involved in patient care. Originally designed for use by surgeons and other operating room personnel, who would put them on when sterilizing themselves, or "scrubbing in", before surgery, they are now worn by many hospital personnel.
Nurses in South Africa practise in a wide variety of specialties, with a wide variety of training and experience.
Obstetrical nursing, also called perinatal nursing, is a nursing specialty that works with patients who are attempting to become pregnant, are currently pregnant, or have recently delivered. Obstetrical nurses help provide prenatal care and testing, care of patients experiencing pregnancy complications, care during labor and delivery, and care of patients following delivery. Obstetrical nurses work closely with obstetricians, midwives, and nurse practitioners. They also provide supervision of patient care technicians and surgical technologists.
Perioperative nursing is a nursing specialty that works with patients who are having operative or other invasive procedures. Perioperative nurses work closely with surgeons, anaesthesiologists, nurse anaesthetists, surgical technologists, and nurse practitioners. They perform preoperative, intraoperative, and postoperative care primarily in the operating theatre.
Unlicensed assistive personnel (UAP) are paraprofessionals who assist individuals with physical disabilities, mental impairments, and other health care needs with their activities of daily living (ADLs). UAPs also provide bedside care—including basic nursing procedures—all under the supervision of a registered nurse, licensed practical nurse or other health care professional. UAPs must demonstrate their ability and competence before gaining any expanded responsibilities in a clinical setting. While providing this care, UAPs offer compassion and patience and are part of the patient's healthcare support system. Communication between UAPs and registered nurses (RNs) is key as they are working together in their patients' best interests. The scope of care UAPs are responsible for is delegated by RNs or other clinical licensed professionals.
