Oficiais enfermeiros no hospital militar no ano de 1995 / Oficiales enfermeros en el hospital militar en el año de 1995 / Nursing officers at the military hospital in the year of 1995

Resumo Objetivo analisar a lotação e distribuição da primeira turma de oficiais enfermeiros, ao término do Curso de Formação de Oficiais, com a patente de 2º Tenente, no Hospital Central da Polícia Militar do Estado do Rio de Janeiro, em 1995. Método estudo histórico em fontes documentais escritas e orais produzidas por meio de 19 entrevistas, sendo 18 oficiais enfermeiros e um civil. Os conceitos de poder simbólico e capital de Pierre Bourdieu consubstanciaram a análise dos achados. Resultados a classificação obtida no curso de formação de oficiais e a experiência profissional, embora com menor peso, foram preponderantes na distribuição nos setores do hospital. Considerações finais e implicações para prática os critérios de antiguidade da vida militar influenciaram na configuração da equipe de enfermagem no hospital militar. Destaca-se que a ocupação das chefias pelos oficiais enfermeiros foi determinada pelo capital incorporado no estágio probatório, o qual foi institucionalizado pela patente.

Resumen Objetivo analizar la capacidad y la distribución de la primera clase de oficiales enfermeros al término del Curso de Formación de Oficiales, con el grado de 2º Teniente, en el Hospital Central da Polícia Militar do Estado do Rio de Janeiro, en 1995. Método estudio histórico en fuentes de documentos escritos y orales producidos a través de 19 entrevistas, 18 de las cuales fueron enfermeras y una civil. Los conceptos de poder simbólico y capital de Pierre Bourdieu fundamentaron el análisis de los hallazgos. Resultados la clasificación obtenida en el curso de formación para oficiales y la experiencia profesional predominaron en la distribución en los sectores hospitalarios, aunque con menor peso. Conclusión e implicaciones para práctica los criterios de antigüedad en la vida militar influyeron en la configuración del equipo de enfermería. Se destaca que la ocupación de los comandos por oficiales enfermeros fue determinada por el capital incorporado en la etapa probatoria, institucionalizada por el grado.

Abstract Objective to analyze the capacity and distribution of the first class of nurse officers, at the end of the Officer Training Course, with the rank of 2nd Lieutenant, at the Hospital Central da Polícia Militar of the State of Rio de Janeiro, in 1995. Method historical study in written and oral documentary sources produced through 19 interviews, of which 18 are nurse officers and one civilian. Pierre Bourdieu's concepts of symbolic power and capital substantiated the analysis of the findings. Results the classification obtained in the training course for officers and professional experience, although with less weight, were preponderant for the distribution in the hospital sectors. Final considerations and implications for practice the criteria of seniority in military life influenced the configuration of the nursing team at the military hospital. It is noteworthy that the occupation of the heads by the nurse officers was determined by the capital incorporated in the probationary period, which was institutionalized by the patent.

'A very valuable fusion of classes': British professional and volunteer nurses of the First World War.

Public perceptions of the work of nurses and VAD-volunteers in the First World War have been heavily influenced by a small number of VAD-writings. The work of trained, professional nurses in supporting and supervised the work of VADs has been largely overlooked. This paper examines several of the writings of both volunteers and professionals, and emphasises the overlooked supervisory, managerial and clinical work of trained nurses. In this centenary year of the First World War's opening months, the paper also explores the ways in which the British mass-media--notably the BBC--have chosen to cling to a romantic image of the untrained nurse, whilst at the same time acknowledging the significance of trained, professional nursing.

Do ward sisters have influence over care?

The role of the ward sister has changed significantly since modern nursing began in the 19th century. This article looks at the history of the ward sister, explores the impact of political and professional changes on the role and discusses how ward sisters can help maintain the quality of care in today's NHS.

Is the ward sister role still relevant to the quality of patient care? A critical examination of the ward sister role past and present.

AIMS AND OBJECTIVES: To examine the UK ward sister role in contemporary and historical context. BACKGROUND: The ward sister role once key to nursing is now confused. DESIGN: A critical examination of the changing role of the ward sister. Sources consulted: nursing textbooks 1877-1971, nursing and medical periodicals 1912-2010, official government reports 1947-2010, research studies on nursing 1960-2010, secondary works on nursing history. METHOD: An historiographical analysis of archival sources which interrogates primary and secondary evidence to make transparent interconnection, coherence, consistency and reliability. RESULTS: As a consequence of professional, educational and managerial changes, the traditional authority of the ward sister for nursing standards, ward services and ward facilities is diminished. Ward sisters are primarily motivated by nursing rather than managerial values. Hence, there is disparity in the title 'ward sister' espoused by ward sisters and the public and the title 'ward manager' espoused by non-nursing managers. This is not just terminology, but concerns the kind of values enshrined by the term and entrusted to the role. CONCLUSIONS: Until the late 1970s, the ward sister was key to maintaining standards of care. She was the trustee of a tradition and transmitted its values. Subsequent organisational and professional changes have diminished the authority of the role. History may suggest the need to examine and strengthen the ward sister role in the light of its original orientation. RELEVANCE TO CLINICAL PRACTICE: The ward sister role could have a fundamental effect on the quality of patient care if it were to regain its former scope and authority.

How to develop exceptional ability in nurses. 1930.

This historical reprint from The Public Health Nurse, Volume 22, Number 11, published in November 1930, came from a speech presented at the National Organization for Public Health Nursing Round Table for Supervisors at the Biennial NOPHN convention in Milwaukee, Wisconsin, June 30, 1930. Ruth Telind was a supervisor with the Henry Street Visiting Nurse Service of New York. Her message about the orientation and development of staff nurses has relevance today. The work of visiting nurses has changed substantially, of course. The methods by which the aims of community education, recreation, health promotion, child welfare, and care for those who are chronically and acutely ill are accomplished today may seem far removed from the makeshift approaches of this Depression-era supervisor's experience. Nevertheless, the message that nurses have unique talents and interests that can be fostered to improve outcomes for the organization and to increase the satisfaction and retention of those nurses reminds supervisors, nurse educators, and executive directors of any nursing organization that the same principles apply 80 years later.

Por dentro da história: o ensino de administração em enfermagem / Inside history: the teaching of administration in nursing

Este artigo tece algumas considerações reflexivas sobre o ensino de Administração em Enfermagem, desde a sua origem até os dias atuais. Ressalta o papel de Florence Nightingale e suas idéias modernizadoras na Enfermagem, destacando a visão administrativa presente no trabalho do enfermeiro. A seguir, apresenta a trajetória desse ensino na Educação em Enfermagem no Brasil. Assim sendo, tem como objetivo registrar a sua evolução, analisando suas diferentes fases e os fatores que determinaram as mudanças ocorridas. Podemos afirmar que esse ensino até a década de 70 foi marcado por um viés conservador e autoritário. A partir dos anos 80, vem mudando essa postura e isso se expressa pelas publicações mais críticas e pelo debate no interior da profissão, em sintonia, naturalmente, com o processo de abertura democrática que se instalou no país.

[The head nurses as figure-type in the middle of the XX century]. / A enfermeira-chefe como figura-tipo em meados do século XX.

UNLABELLED: Social-historical study about the actuation of the head nurse in the hospitals, in the middle of the XX century. OBJECTIVES: describe the meaning of the matter published in the Revista Anais de Enfermagem ("Annals of Nursing Journal") about the head nurse; analyze the instructors actuation of the Anna Nery School (EAN) in the stage fields and compare the minutes registrations of the meetings about this actuation with the content selected in the cited Journal. Patrimony: Center of Documentation, Library of Post-Graduation and Nuphebras, all of the EEAN. It evidenced a consensus between authors of the papers and the nurses graduated from the EAN who, as service heads and the students' instructors, were ruled by a strong coordinator and centralizing action of the EAN head, contributing decisively for the raise of the nursing service pattern in the hospitals where they worked.

A enfermeira-chefe como figura-tipo em meados do século XX / The head nurse as figure - type in the middle of the XX century / La enfermera-jefe como figura-tipo en mediados del siglo XX

Estudo histórico-social sobre a atuação da enfermeira-chefe nos hospitais, em meados do século XX. Objetivos: descrever o teor da matéria publicada na Revista Anais de Enfermagem sobre a enfermeira-chefe; analisar a atuação das instrutoras da Escola Anna Nery (EAN) nos campos de estágio e comparar os registros das atas de reuniões sobre essa atuação com os conteúdos selecionados na citada Revista. Acervos: Centro de Documentação, Biblioteca de Pós-Graduação e Nuphebras, todos da EEAN. Evidenciou-se um consenso entre autoras dos artigos e as enfermeiras diplomadas da EAN que, como chefes de serviço e instrutoras das alunas, eram regidas por uma forte ação coordenadora e centralizadora da diretora da EAN, contribuindo decisivamente na elevação do padrão do serviço de enfermagem dos hospitais onde atuavam.

Social _ historical study about the actuation of the head nurse in the hospitals, in the middle of the XX century. Objectives: describe the meaning of the matter published in the Revista Anais de Enfermagem ("Annals of Nursing Journal") about the head nurse; analyze the instructors actuation of the Anna Nery School (EAN) in the stage fields and compare the minutes registrations of the meetings about this actuation with the content selected in the cited Journal. Patrimony: Center of Documentation, Library of Post-Graduation and Nuphebras, all of the EEAN. It evidenced a consensus between authoresses of the papers and the nurses graduated from the EAN who, as service heads and the students' instructors, were ruled by a strong coordinator and centralizing action of the EAN head, contributing decisively for the raise of the nursing service pattern in the hospitals where they worked.

Estudio histórico-social sobre la actuación de la enfermera-jefe en los hospitales, en mediados do siglo XX. Objetivos: describir el tenor de la materia publicada en la Revista Anais de Enfermagem ("Revista Anales de Enfermería") sobre la enfermera- jefe; analizar la actuación de las instructoras de la Escuela Anna Nery (EAN) en los campos de práctica laboral y comparar los registros de las actas de reuniones sobre esa actuación con los contenidos seleccionados en la citada Revista. Acervos: Centro de Documentación, Biblioteca de Pos grado y Nuphebras, todos de la EEAN. Se evidenció un consenso entre las autoras de los artículos y las enfermeras diplomadas de la EAN que, como jefes de servicio y instructoras de las alunas, eran regidas por una fuerte acción coordinadora y centralizadora de la directora de la EAN, contribuyendo decisivamente para la elevación del padrón del servicio de enfermería de los hospitales donde trabajaban.

Traditional models of care delivery: what have we learned?

Traditional models of patient care delivery include total patient care and functional, team, and primary nursing. These models differ in clinical decision making, work allocation, communication, and management, with differing social and economic forces driving the choice of model. Studies regarding quality of care, cost, and satisfaction for the models provide little evidence for determining which model of care is most effective in any given situation. Despite lack of evidence, newer models continue to be implemented. This article compares the advantages and disadvantages of models, critiques the existing studies, and offers recommendations regarding the evidence needed to make informed decisions regarding care delivery models.