Simplifications of Nursing Arts

Simplifications of Nursing Arts--No. 1

It s the purpose of this article to review simplifications of procedure which may be taught parallel with Nursing Arts, and which may be used while doing nursing in the home.

By M. ELLEN VOGEL, R. N., Assistant Director, White Memorial Hospital School of Nursing, Los Angeles

This material is part of a report which Miss Vogel compiled while enrolled in a field course in the Division of Nursing Education, Teachers College, Columbia University, New York City. The field work was done under the direction of the Henry Street Visiting Nursing Service, and many of the techniques described represent those used on that service. Practical features follow in subsequent numbers of the series. D. L. B.

It s the purpose of this article to review simplifications of procedure which may be taught parallel with Nursing Arts, and which may be used while doing nursing in the home.

If any profession is to meet the demands of the public, which incidentally licenses it for that purpose, it must give consideration to whether it is fully and satisfactorily meeting these needs. Is the public-health nurse co­operating with the hospital, so that the patient's services there will be a natural outgrowth of the home care he has thus far received ? Does the patient place greater weight on hospital "orders" because of the orientation the public-health nurse has given him? Is he impressed that the hospital and his visiting nurse are united in an endeavor for his recovery ? Like­wise, when he comes to the hospital, is he made to feel that this huge building with its strange atmosphere is but an extension of the kindly concern of his visiting nurse? Does he leave the hospital with knowledge of how to meet the newly created problems ? If these questions can all be answered in the affirmative, truly a near-Utopian state of affairs exists. Toward this ideal, nurses both. in public-health work and in hospitals should be intelligently and actively striving.

The aim of every good school of nursing in graduating professional nurses is defined in part as follows : "All professional nurses should be able to co-operate effectively with the fam­ily, hospital personnel, and health and social agencies in the interests of patient and com­munity."1

Upon graduation, student nurses do not un­derstand community problems and how they may best meet these problems unless the "com­munity viewpoint" has been woven throughout their basic course from the entrance into the school of nursing until commencement.

If a desirable integration program is carried out, it should be started at the student's en­trance into the school, and with her first sub­jects. Since the Nursing Arts course forms the core of the curriculum, it would seem de­sirable to introduce whenever possible with each new procedure, a simplification of the procedure which might be executed in the home, with the same efficiency and safety to the patient as are assured in the hospital with Its much more elaborate equipment.

Nursing literature has contained various simplifications. Why are these in need of greater emphasis today than formerly ? The answer is that there is a recognized need for more and more public-health nurses, and evi­dence seems to indicate that new graduates are choosing this field in greater numbers. Should not these prospective public-health nurses be somewhat acquainted with the work they plan to enter, so that choices may be more wisely made and adjustment may be easier ? And a still greater reason for a knowledge of simplifications is that every student nurse should be alert to each opportunity for instruct­ing the hospital patient in the simple ways in which he can care for himself, using in most cases equipment already in the home.

There is a growing recognition among nurs­ing educators that teaching is a responsibility in every aspect of the nurse's work.' The best teaching can be done only when the one who teaches is acquainted with the prospective student as an individual, and as a member of his family and his community. The learner, or patient, never is an isolated unit. Likewise, teaching which has been effec­tively grasped and utilized by the learner will affect the circle of individuals with whom he is acquainted.

It would appear that in some instances, hos­pitals in their effort to be "efficient" and "rou­tinized" often obscure the student nurse's vision of the patient as an individual—an individual in need of sympathetic analysis of his prob­lem as relates to the final health objective. Certain parts of the routine work can be done by less-skilled individuals. It seems that the student nurse's sole purpose in the hospital is to become educated so that she may in turn effectively restore the patient's health and pre­vent its subsequent failure.' A nurse who is unaware of his most important responsibility has missed an unusual opportunity.

How may the student be made to realize this unique opportunity ? If possible, by some contact in a home, a patient's home if this can be arranged, where simple equipment must be used. In this way the using of appropriate vocabulary and simple equipment is necessi­tated. When the student returns to the hospital surroundings, in a very real fashion she is pre­pared to use the right vocabulary in explaining to a patient how he is to carry out a technique in a simple manner, to achieve the results which in the hospital are obtained with more elaborate equipment. Thus the importance of simplifications.

Eight Tests by Which to Judge Simplifications

Simplifications are not makeshifts. They are attempts "to make less complex" the elaborate hospital techniques which often must be more in detail and longer, to prevent cross contamina­tions. The following criteria would seem to be valuable in judging the efficacy of any simpli­fication:

1. It must be safe for the patient.

2. It must be based on scientific principles.

3. It must be present in the home, be readily procured or easily contrived.

4. It must be financially attainable.

5. It must conserve time, effort, and ma­terials.

6. It must be easily cleaned or disposed of.

7. It must be capable of being understood by the individual in the household who is to use it.

8. It must be effective for the particular use to which it is to be put.

It is hoped that the student may through this added emphasis on home procedure gain a clearer insight into community needs as they are related to her nursing education, while still carrying on her basic course. This should then be more nearly an educative experience,' in that the situation set up in the Nursing Arts demon­stration room will more closely approxifnate that of a home than a mere verbal rehearsal of what might be found in the home situation.

There is no attempt to go into the exact sequence of procedures; only the differences or variations that will have to be made in hos­pital technique, as they are adapted to home needs, are noted.

_______ To be continued in October

Committee on the Grading of Nursing Schools, "Nursing Schools—Today and Tomorrow," pp. 67 ff. New York City, 1934.

Tittman, Anna L., "Employment in Nursing To­day," American Journal of Nursing, 39 :46, January, 1939.

Jensen, Deborah M., "Nursing Care Studies," Macmillan, rogo, pp. 26, 27.

Webster's Collegiate Dictionary, third edition. 'Dewey, John, "Experience and Education."

Advertisement - Digital Discipleship (300x250)

Ministry reserves the right to approve, disapprove, and delete comments at our discretion and will not be able to respond to inquiries about these comments. Please ensure that your words are respectful, courteous, and relevant.

comments powered by Disqus

By M. ELLEN VOGEL, R. N., Assistant Director, White Memorial Hospital School of Nursing, Los Angeles

September 1941

Download PDF
Ministry Cover

More Articles In This Issue

Direct Evangelism Our Primary Task

The work for which we have been called into existence is to proclaim in all the world God's message for this time, and "to make ready a people prepared for the Lord."

Adaptability Under War Conditions

Why we need to be flexible in changing times.

Evangelism Where There are No Churches

At times we hear discussions that so emphasize the value of the laity in the preparation and work during evange­listic efforts, that some might well conclude that it would be almost impossible to conduct a successful effort where there is not already a church.

Lay Evangelism and Bible Studies

How local pastors and lay members can equip themselves for soul-winning work.

The Canons of Sacred Music

What are the canons, or laws, of sacred music which should govern our choice of sacred music ?

Prophetic Guidance in Early Days

The final article in our series of our look at the influence of the spirit of Prophecy in 1844-1855 look at the development of later attitudes toward the prophetic gift.

What is the Chistian's Best Strategy?

How best do we engage with evolution?

Problems of Daniel 1 (Concluded)

In the article last month on the problems of A the I and their solution, five problems were stipulated, and we dealt with three, showing that they were no problem at all. We come now to problems 4 and 5, and their explanation.

Editorial Keynotes

From the Editor's desk.

A Call for Educational Evangelism

Recognizing the three phases of evangelism.

Safeguards and Responsibilities

A Christian character is the best se­curity to be obtained in the safeguard­ing of money and other values. Hon­esty, sincerity, integrity, and faithfulness in private relations and in public duties, are the qualities which give assurance of moral re­sponsibility.

A Spiritual Lesson from Physiology

There is a phenomenon exhibited by some of the outstanding tissues of the body which demonstrates the "all-or-none law."

The Missionary Doctor's Consultant

The challenging and difficult situations of an overseas physician.

The Medical Work in Evangelism

Presentation at a Bible workers' meeting, Gen­eral Conference, San Francisco.

Order of Progressive Bible Studies

Is there a best order for giving bible studies to those unacquainted with our faith?

Dealing With Feuds and Factions

It sometimes happens that feuds and factions spring up in churches, greatly hindering the progress of the work, and turning souls from the church in discouragement and disgust.

Capitalize the Pastor's Study

Let us think of the pastor's study, or office, not only as a medium for contact with church members, but also as an agency toward more efficient work for the pastor in his min­istry.

Editorial Postscripts

From the Ministry back page.

View All Issue Contents

Digital delivery

If you're a print subscriber, we'll complement your print copy of Ministry with an electronic version.

Sign up
Advertisement - Southern Adv Univ 180x150 - Animated


Recent issues

See All
Advertisement - Digital Discipleship (160x600)