Signos do vestuário de enfermeira na formatura / Señales de ropa de enfermería en la formatura / Signs of the nurse's clothing at graduation

Resumo Objetivo Analisar os uniformes usados na cerimônia de formatura de enfermeiras e seus significados para a identidade profissional. Método Estudou-se uma escola de enfermagem de Minas Gerais, no período de 1947 até 1964. Pesquisa qualitativa, histórico-social, mediante a qual foram analisados documentos escritos, fotográficos e orais, considerando as bases conceituais de identidade profissional, do sociólogo Claude Dubar, e de vestuário e seus significados simbólicos, de Roland Barthes. Resultados O uniforme das enfermeiras, usado na formatura, possuía signos de identidade institucional e profissional. Foi constituído pelo clássico vestido branco, com touca e outros acessórios. Conclusões e implicações para a prática O uniforme de formatura de enfermeiras correspondeu aos avanços da moda e da cientificidade, configurando-se uma marca na construção do papel e consolidação da identidade profissional, contribuindo para a identificação de uma categoria profissional em formação.

Resumen Objetivo Analizar los uniformes utilizados en la ceremonia de graduación de enfermeras y sus significados para la identidad profesional. Método Se estudió una escuela de enfermería de Minas Gerais, relativo al periodo de 1947 a 1964. Investigación cualitativa, histórico-social, en la que se analizaron documentos escritos, fotográficos y orales, considerando las bases conceptuales de la identidad profesional, del sociólogo Claude Dubar, y de vestuario y sus significados simbólicos, de Roland Barthes. Resultados El uniforme de las enfermeras, utilizado en la graduación, presentaba señales de identidad institucional y profesional. Consistía en el clásico vestido blanco, con gorra y otros complementos. Conclusiones e implicaciones para la práctica El uniforme de graduación de enfermeras correspondió a los avances de moda y cientificidad, convirtiéndose en una marca en la construcción y consolidación de la identidad profesional, contribuyendo para la identificación de una categoría profesional en formación.

Abstract Objective to analyze the uniforms used in the graduation ceremony of nurses and their meanings for professional identity. Method A nursing school in Minas Gerais was studied from the period of 1947 to 1964. Qualitative, social-historical research, through which written, photographic and oral documents were analyzed, considering the conceptual bases of professional identity, by the sociologist Claude Dubar, and of clothing and its symbolic meanings, by Roland Barthes. Results The nurses' uniform used at graduation had institutional and professional identity signs. It consisted of the classic white dress, with a cap and other accessories. Conclusions and implications for practice The nurse's graduation uniform corresponded to the advances in fashion and scientificity, becoming a mark in the construction of the role and a consolidation of professional identity, contributing to the identification of a professional category in training.

The Flu Pandemic of 1918: A Nurse's Story.

ABSTRACT: In the spring of 1918, a virus swept across the world, killing approximately 50 million people by the summer of 1919. My grandmother, Kathryn ("Katie") Ann Darmody-an Irish immigrant who settled in New York State in 1904-was among the nurses who responded to this pandemic, which became known as the 1918 influenza pandemic (or, erroneously, the Spanish flu). Today, as the world contends with the COVID-19 pandemic, my grandmother's experiences resonate with new meaning-a reminder of how, then as now, nurses have been at the forefront of public health. Her story, transmitted across generations, is one I now share with a new generation of nurses.

Understanding failings in patient safety: lessons from the case of surgeon Ian Paterson.

While rare, incidents of inappropriate and/or unnecessary surgery do occur, so effective surveillance of surgical practice is required to ensure patient safety. This article explores the case of Ian Paterson, a consultant surgeon who was sentenced to 20 years in prison in 2017 for wounding with intent and unlawful wounding, primarily by undertaking inappropriate or unnecessary mastectomies. The article details the main points of the Paterson case, with reference to the subsequent government-commissioned inquiry and its recommendations. It also outlines various strategies for enhancing patient safety, including applying human factors theory, improving auditing, and rationalising NHS and private healthcare. The author concludes that nurses have a crucial role in the surveillance of surgical practice and that combined reporting of surgeons' practice across NHS and private healthcare organisations is required.

A career open to the talents-Nurses' doing and focus during the history.

Based on a historical and a contemporary fieldwork at a Danish hospital, this article offers a genealogical and philosophical exploration of the development of nurses' doing and focus within a hospital setting from the 1800 s to the present day. This exploration finds that nurses' doing has changed during history, which is reflected in their focus. Thus, nurses' focus has developed from, what the Danish philosopher Uffe Juul Jensen refers to as a situation-oriented, to a disease-oriented practice, and while new values are established, the conception of care as a core value in nursing seems to have receded. This article also argues that today's nurses are doing what doctors did in the 19th century. The French philosopher Michel Foucault discusses how things repeat themselves in new ways and new contexts. The nursing profession has become 'a career open to the talents' where nurses with the appropriate skills and talents are able to build a career, within which they provide status, position and legitimacy. The conclusion of the article discusses the significance of this development for patients and the nursing profession.

History of the Military Nurse Corps and the 1918 Influenza Pandemic: Lessons for the 2019 Coronavirus Pandemic.

During World War I, the 1918 influenza pandemic struck the fatigued combat troops serving on the Western Front. Medical treatment options were limited; thus, skilled military nursing care was the primary therapy and the best indicator of patient outcomes. This article examines the military nursing's role in the care of the soldiers during the 1918 flu pandemic and compares this to the 2019 coronavirus pandemic.

The perils of not knowing the history of the nurse practitioner role.

Historians tell us there are perils to not knowing history and that studying history allows us to understand our past as well as our present. The how and why of our nurse practitioner (NP) role today lies in our history. The NP role was created in the 1960s by Dr. Loretta Ford and Dr. Henry Silver in Colorado out of need to increase patients' access to pediatric care. Today, Dr. Ford believes NPs providing high-quality primary care can solve what ails the country: access to care. To better understand how the NP role developed, what pushback was met from health care professionals and patients that hindered practice and how this was resolved, how NP practice has changed, and pearls of wisdom for contemporary NPs were questions asked of six pioneer NPs (female, n = 5; male, n = 1). Their collated responses illuminate myriad ways the role was established and how each one overcame restrictions and barriers to practice. These pioneer NP participants highlighted ways NP practice has changed since those early days. They imparted a variety of pearls of wisdom that can guide contemporary NPs to address scope of practice barriers and overcome patient's and other health professionals' objections to NP practice. Loretta Ford cautions us to remember the most important word in NP is "Nurse" and we need to be mindful of our professional roots. Many of these pioneer respondents noted the importance of collective voices when dealing with professional and practice issues; they urge all NPs to join and be active in professional organizations that are invested in promoting and protecting the NP role.

The UK haemophilia specialist nurse: Competencies fit for practice in the 21st century.

INTRODUCTION: Nurses play a central co-ordinating role in delivering comprehensive care for people with haemophilia and allied bleeding disorders, for which they need a broad range of competencies. The UK Haemophilia Nurses Association (HNA) published a role description in 1994 which was developed into a competency framework in 2014. This has now been updated to reflect current educational and clinical practice. AIM: To summarize the evidence supporting the nurse's advanced role within haemophilia care and develop new competencies to deliver comprehensive care within a multidisciplinary team. METHODS: Systematic reviews were identified by PubMed literature search. The HNA conducted workshops to consult its membership, and the authors incorporated this input to update its competency framework within the structure outlined by Health Education England in multiprofessional framework for advanced clinical practice in England (2017). RESULTS: The proposed framework includes five domains (Clinical knowledge, Clinical/direct care, Communication and support, Collaborative practice and Research) supported by indicators for four levels of practice (beginner, competent, proficient and expert). The framework is a tool which nurses and their managers can use to assess skills and knowledge, and identify learning needs appropriate to personal development and improve patient care and outcomes. CONCLUSION: The HNA has developed a new competency framework to provide a strong foundation for haemophilia specialist nurses to continue improving services for people living with bleeding disorders and their families, as well as supporting personal development alongside new therapeutic options, models of care and follow-up.

Quo Vadis? A question of historical awareness.

AIM: To emphasize the role of history in shaping clinical nursing identity and opportunities, and encourage nurses' contribution to the story of contemporary clinical nursing. APPROACH: Drawing upon history frameworks and approaches to history research, greater engagement of clinical nurses in recording nursing history is canvassed. A basic framework for developing historical research from practice narratives is suggested as a feasible option. OUTCOMES: Topics identified: a) nurses' awareness of their history and nursing's professional standing; b) the importance of oral history in nursing development; and c) digital influences on history research and constructing historical narratives. CONCLUSION: Clinical nurses' stories contribute to historical research. All nurses are responsible for gathering and distributing contemporary local narratives on clinical nursing. Oral history research provides a framework for nurses to record and share stories. IMPLICATIONS: Recorded history can prevent nursing from being trivialized or misrepresented. Missing accounts of contemporary nursing create gaps in our narrative and risk future professional disempowerment.

Florence Nightingale: creator of modern nursing and public health pioneer.

In his 2008 series of articles on notable women in healthcare, Professor Harold Ellis celebrates Florence Nightingale's contribution to nursing, research and public health. This month, we republish his article to coincide with the 2020, 'Year of the Nurse and Midwife', celebrating the famous lady with the lamp's work in the Crimean War, as well as her pioneering work in the fields of nursing and public health, that helped shape current practice and research.

Precarização do trabalho da enfermeira: militância profissional sob a ótica da imprensa / Precarización del trabajo de enfermeras: militancia profesional bajo la óptica de la prensa / Precariousness of the work of the nurse: professional militancy from the perspective of the press

Resumo Objetivo Analisar a militância profissional de enfermeiras frente à precarização do trabalho apresentada pela mídia impressa baiana nas décadas de 1970 e 1980. Métodos Pesquisa histórico-documental, com abordagem qualitativa, cuja fonte foi o jornal baiano A Tarde. O recorte temporal abarca marcos históricos como a criação do Conselho Federal de Enfermagem e suas seções regionais (1973); a criação do Sindicato dos Enfermeiros do Estado da Bahia (1981); e a aprovação da Lei do Exercício Profissional (1986). O contexto nacional era o período da ditadura militar, que adotava um modelo de proteção social e caminhava para a abertura política Utilizou-se os termos de busca "Enfermeira" e "Enfermeiro", resultando em 24 reportagens. A análise de conteúdo na modalidade temática embasou a organização dos dados. Resultados A militância profissional de enfermeiras frente à precarização do trabalho se fez presente na mídia por meio das entidades representativas, evidenciada pelos seguintes aspectos: Desvalorização da força de trabalho, marcada pela baixa remuneração e substituição de enfermeiras por pessoal sem qualificação adequada; Sobrecarga de trabalho, evidenciada pelo subdimensionamento e qualificação deficiente; e busca por determinação legal da jornada de trabalho e do piso salarial. Conclusão As enfermeiras utilizaram-se da mídia para denunciar e conscientizar a sociedade sobre os determinantes da precarização do trabalho, porém, as ações efetivas de combate foram pouco abordadas. A atuação militante esteve concentrada no âmbito das entidades representativas, não sendo evidenciado um movimento coletivo das enfermeiras.

Resumen Objetivo Analizar la militancia profesional de enfermeras frente a la precarización del trabajo presentada por los medios de comunicación impresos del estado de Bahía en la década de los setenta y ochenta. Métodos Investigación histórica y documental, con enfoque cualitativo, cuya fuente fue el periódico bahiano A Tarde. El recorte temporal abarca marcos históricos como la creación del Consejo Federal de Enfermería y sus secciones regionales (1973), la creación del Sindicato de Enfermeros del Estado de Bahía (1981) y la aprobación de la Ley de Ejercicio Profesional (1986). El contexto nacional era el período de la dictadura militar, que adoptaba un modelo de protección social y caminaba hacia la apertura política. Se utilizaron los términos de búsqueda "enfermera" y "enfermero", que dio como resultado 24 reportajes. La organización de los datos se basó en el análisis de contenido en la modalidad temática. Resultados La militancia profesional de enfermeras frente a la precarización del trabajo se hizo presente en los medios de comunicación a través de las entidades representativas, evidenciada por los siguientes aspectos: desvalorización de la fuerza de trabajo, marcada por la baja remuneración y reemplazo de enfermeras por personal sin la cualificación adecuada; sobrecarga de trabajo, demostrada en el subdimensionamiento y cualificación deficiente; y la búsqueda de determinación legal de la jornada de trabajo y del piso salarial. Conclusión Las enfermeras utilizaron los medios de comunicación para denunciar y concientizar a la sociedad sobre los determinantes de la precarización del trabajo, pero las acciones efectivas del combate fueron poco abordadas. La actuación militante estuvo concentrada en el ámbito de las entidades representativas y no se observó un movimiento colectivo de enfermeras.

Abstract Objective To analyze the professional militancy of nurses in the face of the precariousness of the work, presented by the Bahian print media in the 1970s and 1980s. Methods Historical-documentary research, with a qualitative approach, whose source was the Bahia newspaper A Tarde. The time continuum includes historical landmarks, such as the: creation of the Federal Nursing Council and its regional sections (1973); creation of the Union of Nurses of the State of Bahia (1981); and the approval of the Professional Exercise Law (1986). The national context was the period of the military dictatorship, which adopted a model of social protection and moved towards a political opening. The search terms "Enfermeira" and "Enfermeiro" were used, resulting in 24 reports. The content analysis in the thematic modality supported the organization. Results The professional nurse militancy confronted by the precariousness of work was present in the media through the representative entities, evidenced by the following aspects: devaluation of the workforce, marked by low remuneration and replacement of nurses by personnel without adequate qualification; work overload, evidenced by understaffing and poor qualification; and the search for legal determination of the working day and minimum wage. Conclusion Nurses used the media to denounce and make society aware of the determinants of the precariousness of work, but the effective actions of combat were minimally approached. The militant activity was concentrated in the scope of the representative entities, but did not demonstrate a collective movement of the nurses.