need for trained caregivers. Florence
Nightingale is one of the most prominent
Chapter 1: Historical and
figures associated with war nursing, and her
Contemporary Nursing Practice
work during the Crimean War is often credited
with laying the foundation for modern nursing
Historical Perspectives
practices. Nursing became increasingly
Nursing practice has been significantly professionalized in response to the need for
influenced by various factors throughout systematic and effective care during wartime.
history. It evolved in response to societal
Societal Attitudes
needs, advancements in science, and cultural
shifts. These historical contexts shaped not Societal attitudes towards nursing have
only how nursing is practiced but also who can evolved significantly. Initially, nursing was
practice nursing and the status of the often seen as a low-status, menial task
profession. associated with women of lower
socioeconomic status. However, with the
Women’s Roles
professionalization of nursing and the
Traditionally, nursing has been closely contributions of prominent nursing figures like
associated with women due to their caregiving Florence Nightingale, society's view of nursing
roles in the family and community. Women's began to shift. Today, nursing is recognized as
intrinsic qualities of nurturing and caregiving a respected profession with a vital role in
were extended to formal nursing practices. healthcare.
However, women’s participation in nursing was
Nursing Leaders
often limited by societal norms, which confined
them to subordinate roles and excluded them Key nursing leaders throughout history have
from leadership positions. Over time, women’s significantly influenced nursing practice and
roles expanded as they became increasingly education. Figures such as Florence
involved in professional nursing through the Nightingale, Clara Barton (founder of the
influence of early nursing leaders. American Red Cross), and Lillian Wald (a
pioneer in public health nursing) helped shape
Religion
the principles of nursing practice, improve care
Religion played a central role in the for the vulnerable, and expand the reach of
development of nursing. Many early nurses the profession.
were part of religious orders, such as nuns,
Men in Nursing
who provided care to the sick and wounded.
These religious influences helped establish Historically, nursing was seen primarily as a
nursing as a service-oriented profession woman's profession. However, men have
rooted in compassion, morality, and always been involved in nursing, even if their
spirituality. Some notable examples include roles were less visible or formally recognized.
Catholic nuns who staffed hospitals and the Today, the number of men in nursing is
founding of institutions such as the Sisters of increasing, and their contributions are
Charity, which provided much of the early essential in addressing nursing shortages and
nursing care in Europe. providing diverse perspectives in patient care.
War
Nursing Education
War has had a profound impact on the nursing
The formalization of nursing education has
profession. Wars, such as the Crimean War and
been a cornerstone of the professionalization
both World Wars, catalyzed the development
, of nursing. Early nursing education was response, and advocacy in the care of
informal, with nurses learning on the job from individuals, families, communities, and
more experienced caregivers. Over time, populations.
nursing education evolved into a structured
and formalized process, including diplomas, Recipients of Nursing
associate degrees, and baccalaureate
Nurses provide care to a wide range of
programs.
recipients, including individuals, families, and
Types of Education Programs communities. Patients of all ages, from
newborns to the elderly, receive nursing care.
● Diploma Programs: These programs Nurses also work with other professionals to
were historically offered by hospitals manage public health and wellness.
and typically took three years to
complete. Diploma nurses were trained Scope of Nursing
primarily in clinical settings.
Nursing practice is broad and encompasses
● Associate Degree Programs (ADN):
various roles, including direct patient care,
Introduced in the 1950s, these
education, research, and leadership. Nurses
programs typically take two to three
work in various settings such as hospitals,
years and are offered by community
community health clinics, schools, and
colleges. ADN programs prepare nurses
long-term care facilities.
for entry-level positions in various
healthcare settings. Settings for Nursing
● Baccalaureate Degree Programs
(BSN): BSN programs typically take Nurses practice in a wide variety of settings,
four years and provide a broader including hospitals, clinics, community health
education, including public health, centers, schools, homes, and public health
research, and leadership skills. BSN departments. The diversity of practice settings
nurses are often preferred for positions allows nurses to specialize in specific types of
that involve more responsibility, such as care, such as acute care, psychiatric care, or
management or specialized clinical geriatric care.
roles.
Nurse Practice Acts
Contemporary Nursing Practice
Nurse Practice Acts are state laws that
Nursing today is a diverse and complex field regulate the practice of nursing. These acts
that encompasses a wide range of specialties define the scope of nursing practice, establish
and settings. Nurses are recognized as critical guidelines for licensure, and set standards for
members of the healthcare team who play education and practice to ensure public safety.
essential roles in patient care, health
Standards of Nursing Practice
promotion, and disease prevention.
Standards of nursing practice are
Definitions of Nursing
authoritative statements that describe the
Nursing is defined in various ways, depending responsibilities for which nurses are
on the organization or the framework in use. accountable. They provide a framework for
The American Nurses Association (ANA) safe and competent care and outline the level
defines nursing as the protection, promotion, of performance expected of nurses.
and optimization of health and abilities, the
Roles and Functions of the Nurse
prevention of illness and injury, the facilitation
of healing, the alleviation of suffering through
the diagnosis and treatment of human