Community Nursing and Primary Healthcare in Twentieth Century Britain 1st Edition by Helen Sweet, Rona Dougall 0415541107 9780415541107

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ISBN 10: 0415541107

ISBN 13: 9780415541107

Author: Helen M. Sweet, Rona Dougall

This book takes a fresh look at community nursing history in Great Britain, examining the essentially generalist and low profile, domiciliary end of the professional nursing spectrum throughout the twentieth century. It charts the most significant changes affecting the nurse’s work on the district including compulsory registration for general nursing, changes in organization, training, conditions of service, and workload. A strong oral history component provides a unique insight into the professional images of district nursing and the complexities of inter- and intra-professional relationships as well as into the changing day-to-day working experiences of the district nurse at ‘grass-roots’ level. Use of oral history and records of individual nurses attempts to rectify the tendency of nursing history to view nurses as if they were a homogenous group of professionals, thereby recognizing the different experiences of nurses in different regions and environments. The book also considers the degree of influence of medically related technologies and of developments in drugs, materials, communications, and transport on the professional development of district nursing. The work addresses issues of gender relationships central to a nursing profession largely composed of women (throughout much of the period) working alongside a largely male-dominated medical profession.

Community Nursing and Primary Healthcare in Twentieth Century Britain 1st Table of contents:

Part I The History of District Nursing

1 Historical Trajectories: Background, c. 1850–1919

WIDE OPEN VISTAS

TRAINED NURSES FOR NURSING THE SICK POOR IN THEIR OWN HOMES

THE FOUNDING OF THE QUEEN’S INSTITUTE: A PROFESSIONAL RATIONALE?

PUBLIC AND PROFESSIONAL PERCEPTION OF ROLES: A NEED FOR CLARIFICATION

CONDITIONS OF SERVICE UNDER WHICH THE DISTRICT NURSES WORKED

CONCLUSION

2 What Became of the Lady? The Interwar Period, 1919–1939

NURSES’ REGISTRATION AND THE IMMEDIATE POSTWAR PERIOD

ORGANISATIONAL AND INSTITUTIONAL DEVELOPMENT OF DISTRICT NURSING

INTER- AND INTRAPROFESSIONAL PROBLEMS

RECRUITMENT AND THE HOSPITAL DILEMMA

DISTRICT NURSES, THE ASSOCIATIONS, COMMITTEES, AND THE “LADIES”

THE CHANGING ROLE AND PUBLIC HEALTH RESPONSIBILITIES

TERMS OF EMPLOYMENT AND CONDITIONS OF SERVICE DURING THE INTERWAR PERIOD

CONCLUSION

3 War to Welfare State, 1939–1948

RAIDS AND ROUTINES: THE INITIAL DISRUPTION OF THE EARLY WAR YEARS

REORGANISATION AND RECONSTRUCTION

AFTER THE WAR: RECRUITMENT AND THE PUBLIC AND PROFESSIONAL IMAGE

CONCLUSIONS

4 Changing Places, 1948–1979

POSTWAR ATTITUDES TO DISTRICT NURSING: CHANGING PUBLIC AND PROFESSIONAL IMAGES

OUTCOME OF TRANSFER OF RESPONSIBILITY OF DISTRICT NURSING TO THE LOCAL HEALTH AUTHORITIES

TO TRAIN OR NOT TO TRAIN: THE DILEMMA

CHANGING INTERPROFESSIONAL RELATIONSHIPS

THE TEAM APPROACH AND THE MEDICALISATION OF NURSING

ROLE OF WELFARE STATE: CHANGES IN PATIENTS’ NEEDS AND IN NURSES’ RELATIONSHIPS WITH PATIENTS AND COMMITTEES

CONCLUSIONS

Part II Themes and Issues

5 Town Nurse, Country Nurse: District Nursing Landscape

INTRODUCTION

CITY AND TOWN DISTRICTS

RURAL AND SEMIRURAL AREAS

REMOTE DISTRICTS: THE HIGHLANDS AND ISLANDS OF SCOTLAND

INDUSTRIAL AREAS

CONCLUSION

6 Technology, Treatment, and TLC

DRESSINGS AND EQUIPMENT

PILLS, POTIONS, AND INJECTIONS

DEVELOPMENTS IN TRANSPORT

COMMUNICATIONS TECHNOLOGY

CONCLUSION

7 Generalists and Generals: District Nursing Professionalisation

WHAT IS A PROFESSION?

THE DESIRABILITY OF PROFESSIONALISATION AND OF PROFESSIONAL STATUS TO NURSING

GENERALISTS OR SPECIALISTS?

CONCLUSION

8 Language of Caring: Care and Nurses’ Lives

NURSING CARE AS A POLITICAL EXPEDIENT

DEFINING NURSING TASKS

GENDER, CARING, AND MORAL GOOD

NURSING CARE AS MOTHERING

MOTHERHOOD AND MARRIAGE

CARE AND SPIRITUALITY

MALE DISTRICT NURSES

THE LIMITS OF CARE

CONCLUSION

9 Portraits of a District Nurse

OFFICIAL IMAGERY: TEXTBOOKS AND DOCUMENTARY FILM

NOVELS AND TELEVISION DRAMA: THE UNOFFICIAL VIEWPOINT

CONCLUSION

10 Discussion and Conclusion

Endnotes

Sources and Bibliography

MANUSCRIPTS

Dorset Record Office

Glamorgan County Archives and Records Office

Liverpool Record Office

National Archives, Kew

National Film and Television Archives

RCN Archives

Wellcome Trust Library, CMAC

CMAC Queen’s Institute Archives

CMAC Moving Image and Sound Collections

CMAC General Practitioners Oral History Collection

OFFICIAL PAPERS AND REPORTS

JOURNAL ARTICLES

BOOKS AND CHAPTERS WITHIN BOOKS

UNPUBLISHED PAPERS AND UNPUBLISHED PROJECTS

UNPUBLISHED THESES

ORAL AND PERSONAL TESTIMONY

ELECTRONIC SOURCES

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