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AIIMS DELHI 01 Nursing full course
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AIIMS DELHI Nursing full course by Dr. Latha venkatesan
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NURSINGPart-1:-Foundation of nursing practise
ch-1:-Introduction to nursing
❖ History & evolution of nursing
The history and evolution of nursing is a rich and complex
journey, reflecting changes in society, health care, and the role of
women. Nursing has evolved from an informal, often home-based role
to a structured profession, guided by scientific knowledge and ethical
standards.
### Ancient to Medieval Times
1. **Early Beginnings (Ancient Civilizations):**
- Nursing care has existed since ancient times, as caring for the sick
is a basic human instinct. In ancient civilizations like Egypt, Greece,
and Rome, healing practices were typically tied to religious or
spiritual beliefs.
- In Egypt, the care of the sick was often performed by family
members or religious figures. Similarly, in ancient Greece, the
temples of the god Asclepius (god of healing) were centers for medical
care, and "nurses" were often priestesses who helped treat patients.
, - In Rome, the concept of organized care for soldiers and the poor
emerged, marking one of the earliest examples of structured nursing
care.
2. **Medieval Era (5th to 15th Century):**
- Nursing during the medieval period was largely managed by
religious orders. Monasteries and convents were important centers
for care, and nuns were often the primary caregivers.
- The Christian Church played a key role, establishing hospitals and
orders such as the Knights Hospitaller and Sisters of Charity. These
institutions laid the groundwork for organized nursing care, focusing
on charity and service to the sick, poor, and wounded.
- Nursing at this time was primarily an act of religious service, and
it was seen as a spiritual duty.
### Renaissance to 19th Century
3. **Renaissance and Enlightenment (14th to 18th Century):**
- The Renaissance brought advances in science and medicine, yet
the nursing profession remained largely informal, lacking formal
education or standards. However, as scientific understanding grew,
the need for more skilled caregivers increased.
- Hospitals became more secular, especially after the Reformation
(16th century), when the Church’s control over hospitals diminished.
Nursing care in secular hospitals was often provided by untrained
workers, sometimes seen as low-status jobs performed by women
who had few other options.
,4. **Florence Nightingale and the Birth of Modern Nursing (19th
Century):**
- The Crimean War (1853-1856) marked a significant turning point in
nursing history. Florence Nightingale, often called the "founder of
modern nursing," revolutionized nursing care by introducing
sanitation practices, statistical analysis of patient outcomes, and
advocacy for better hospital conditions.
- Nightingale's work in battlefield hospitals demonstrated the
importance of hygiene, ventilation, and nutrition in patient care. She
dramatically reduced mortality rates during the war and, upon
returning to England, established the first scientifically based nursing
school, the Nightingale School of Nursing at St. Thomas’ Hospital in
London in 1860.
- Nightingale’s approach to nursing emphasized professionalism,
discipline, and education, setting a new standard for what nursing
could be. Her focus on sanitation, patient observation, and data
collection influenced modern hospital care.
### 20th Century: Professionalization of Nursing
5. **The Rise of Professional Nursing:**
- The 20th century saw the growth of formal nursing education,
professional organizations, and licensure. Nursing schools based on
Nightingale's model were established worldwide.
- Nursing became a respectable career for women, offering
independence and education. The profession grew rapidly during
World War I (1914-1918) and World War II (1939-1945), as the demand for
trained nurses in military and civilian hospitals skyrocketed.
, - In the early 1900s, professional organizations like the American
Nurses Association (ANA) were formed, advocating for the rights of
nurses, standardized education, and ethical practice.
6. **Specialization and Research:**
- The mid-20th century brought increased specialization in nursing,
with roles in areas like pediatrics, psychiatry, midwifery, and surgical
nursing.
- Nursing research and nursing theory also began to develop, with
figures like Virginia Henderson, Hildegard Peplau, and Jean Watson
contributing to the understanding of nursing’s role in patient care.
Nursing shifted from simply assisting physicians to becoming a
distinct discipline focused on holistic patient care.
7. **World Wars and the Nursing Profession:**
- The World Wars played a crucial role in shaping nursing as a
profession. Nurses were instrumental in battlefield care, leading to
recognition of their skill and the establishment of nursing corps in
various armies.
- In response to the wars, new nursing programs and organizations
emerged. The Red Cross became highly active in training and
organizing nurses for war efforts.
### Late 20th Century to Present: Expansion and Globalization
8. **Advances in Education and Autonomy:**
- In the latter half of the 20th century, nursing education moved into
universities. The introduction of Bachelor's, Master's, and Doctoral
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