Nursing 50 Years Back and Today: How the Nursing Field has changed over the last 50 Years

50 years is a long time in any life. In the life of the average nurse, the past 50 years has seen many changes in nurses in general and the profession as a whole. Gone are the days when nurses were thought of as little more than helpers or assistants for doctors. Today’s nurses are health care professionals in their own right. They are bright, capable, and often have a clearer picture of the overall situation than the doctors they work side by side with.

Outside the field of nursing the world has seen major changes over the past 50 years. Those changes, in many cases, are nothing when compared to the changes that the field of nursing has experienced in the same period of time.

What are some of these big changes the nursing field has seen in the last 50 years?

Nursing Uniforms in History

In the 1960′s nurses still wore dresses and stocking as their uniforms. It was during this decade that things began to be a little more “buttoned down” and less formal for nurses. The uniforms also take a turn in the direction of more fashionable than in the past. Some of the more modern touches include belts and feminine cuffs. Don’t forget the pillbox hat that was an essential part of the nurse’s uniform.

In the 1970′s more changes came to the way nurses dressed. Dresses were a little shorter. The caps were beginning to lose importance in some hospitals across the country.

The 1980′s saw the end of the nursing caps altogether. Most nurses will agree there were few tears shed over the loss. Nurses also began wearing disposable aprons at this point rather than cloth aprons and medical facilities became much less militant in regards to restrictions on jewelry and cosmetics.

During the 1990′s and today, nursing dresses have been replaced with much more user friendly scrub suits. Scrub suits can be found in a wide variety of colors and styles. Some hospitals have specific scrub suit colors for different types of hospital staff and others allow nurses and other staff to choose colors and styles that appeal to them. Today’s nursing uniforms are designed more for function than form but are also considered much more comfortable than those worn throughout history.

Salaries of Nurses over the Past 50 Years

Over the past 50 years nursing has experienced many changes when it comes to salaries. During this time there have been times when the supply of nurses outstrips demand by far and others when the demand for nurses is not able to keep up with the growing need. Recent years have seen a much greater demand than there is supply. This has made salaries over the past two decades grow at a surprising rate.

The good news for nurses entering the field today is that demand in the next decades is only projected to grow. Today’s nurses, RNs specifically, can make as much as $72,000 a year. Many registered nurses (RNs) in today’s market start out making as much as $40,000. Of course this largely dependent on where nurses live, the type of nursing positions that are being taken, and the demand for nurses in that area.

While this is definitely a respectable salary by today’s standards it’s something nurses in 1966, when a general duty nursed earned the whopping sum o $5,200 for a year’s worth of service could hardly have imagined.  Many nurses today bring home in a month what the nurses of the 1960′s and 1970′s earned in a full year of service. This salary change for nurses from an average salary of $2,100 in 1946 is the direct result of a nursing shortage that was deemed critical at the time.

Job Demand for Nurses over the Past 50 Years

There have been ebbs and flows in the demand for nurses over the past 50 years. During the 1960s there was an increased measure of demand for nurses as the result of several acts including The Economic Opportunity Act of 1964, the Child and Health and Medical Assistance Act of 1965, and the Public Assistance Act of 1965. It was also during this time that the Surgeon General made the announcement that a minimum of 40,000 new nurses must graduate each year in order to meet the growing needs of society’s overall health care.

Today the nursing shortage is even more critical than even in the 1960s. With new legislation looming and much uncertainty ahead in the future for those in the medical field it’s difficult to envision what the future holds for nurses, salaries, supply, and demand. It is projected that by 2025 there will be a shortage of 260,000 nurses in the U.S.

The Roles of Nurses in Health Care

Not only has demand for nurses changed over time but so has the role that nurses play in the overall medical health picture. Nurses have always been important to patient care. Today’s roles are taking on more technologically challenging roles than at any other point in history. Some nurses are taking over roles that were once reserved for physicians (nurse midwives, for example).

Nurses are beginning to become more and more specialized than in days past. Today there are specialties like OR (operating room) nurses, Geriatric nurses, medical-surgical nurses, labor and delivery nurses, pediatric nurses, ICU Nurses, and even psychiatric nurses. Education, continuing education, and clinical experience go a long way today to ensure that nurses are on top of their games from the moment they graduate nursing school until they retire from nursing. The workplace today is as much a part of ongoing education in the respective fields for nurses as colleges and other educational institutions.

This hasn’t always been the case. In recent years the nurses role has become less that of a caretaker for patients and more that of an advocate for patients. The nurse assesses the condition of patients, measures the ability of a patient to make informed decisions from him or herself or to provide informed consent for procedures. Today’s nurse is a respected part of a team that is dedicated to delivering excellent patient care.

In addition to the various types of nursing fields to pursue there are different nursing positions that can be obtained by further education as a nurse.

  • Licensed Practical Nurse (LPN)
  • Associate’s Degree Registered Nurse (ADRN or ADN)
  • Bachelor of Science Degree Registered Nurse (BSRN or BSN)
  • Master’s Degree in Nursing (MSN)
  • Nurse Anesthetists (CRNA)
  • Nurse Practitioners (NP)
  • Nurse Midwives (CNM)

The Role of Men and Women in Nursing

Nursing continues to be the one field in which women are able to approach the glass salary ceiling that separates them from men. In many careers men outpace women in earning. In this field, men and women, consistently earn the same amount of money. Nurses can earn a comfortable salary today and additional education and training can increase that salary.

With many hospitals offering tuition assistance or reimbursement for continuing education it makes sense for nurses interested in earning more or learning more to do so. Women in nursing face no glass ceiling and few limitations on where their education can take them.

They’ve come a long way when it comes to nursing but not quite so long as men in this field. There was a time when men were simply not nurses. Those days have long gone and though women still outnumber men in nursing there are many male nurses who earn great salaries and excel in the field.

The old stereotypes do not seem to apply when it comes to nursing as a career choice. Men and women are equally capable of handling the physical, mental, and emotional demands that a career in nursing presents.

Technology in Nursing

Technology today has made the job of nurses much easier than in the past. In many ways it frees up more time for nurses to devote to direct patient care. Technology allows nurses to measure vital signs quickly, record information efficiently, and to administer medications.

Modern marvels have not yet managed to replace the need for nurses to perform diagnostics that will not likely ever be managed by computer or machine. The imprint of new medical technology can be seen in steadily decreasing patient stays and lengthening life expectancy rates.

Nurses still need to rely on their eyes, their minds, and their intuition in order to read patients and reveal stories that vital signs and statistics alone don’t tell. Despite all these advances there is no reason to believe that demand for nurses will ebb as a result of the turning tides of technology.

Throughout the years there have been many changes in the nursing profession as a whole. We are looking towards a bright new future for nurses and the nursing field. Nurses continue to be the heart and soul of medical institutions across the country and around the world. It is with great interest that we look for the changes that will take place in nursing over the next 50 years.

Sources

History of American Uniforms

RN Hourly Rate

Changes in Nursing

Nursing Shortage

Winning Essays

Nursing Today and Yesterday

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Nursing Education & Licensing in view of Carnegie Foundation Report

As far as licensing of a CNA is concerned only nursing aide involved in performing their duty in a nursing care providing facility is entitled for getting their license.

As specified by the Bureau of Labor Statistics, to be eligible for getting the license, a nurse has to first complete CNA training of 75 to 100 hours depending on the state administered specifications, in a class room of a state approved training school or online state approved training school facility and practical clinical training in a hospital setting.

The completion of these trainings makes one eligible to appear in a written test and practical clinical experience test administered by the State Health Board. The candidates who pass both the written and practical test are registered as Certified Nursing Assistant, who works under a Registered Nurse.

Only a Registered Nurse after participating in online accelerated education and achieving associate’s degree are entitled to get a license.

Carnegie Foundation’s Views on ”Educating Nurses:

There is a demand expressed by Carnegie Foundation to make drastic changes in respect of nursing Education, because the presently followed system is out of date and is due for it’s overhaul for creating better education system and modifications in licensing conditions to bring in improvements in the functioning of Nursing Care.

Effectively & Efficiently Combating Shortage Scenario:

The Carnegie Foundation report is based on research carried out involving nursing schools, nursing students and teaching staff survey, with the participation of National League of Nursing, American Association of Colleges of nursing National Student Nurses Association. The said study has surfaced at a time, when the country needs large number of highly educated nurses, in view of the projected shortfall, and practical need of almost 90 % enhancement to the tune of 90 % of nursing school capacities for training nurses.

Practically the nursing schools at present reject very high number of applicants to their courses, which has reached an alarming state rejecting six times more applicant in comparison with the situation prevalent in 2002. The problem is due to deficit of nursing faculty numbers available.

The basic reason is that the Bachelor or master’s level of education to nurses, fail to make the nurses learn how to teach their profession. Very few who opt for teaching learning at the end to prefer to practice instead of adopting teaching profession?

Another reason for faculty shortage is that Nurses with bachelor degree do not go to nursing school for teaching. Many of the nurses are lacking in adequate education necessary to act as a faculty at the nursing school.

The nurses actually are good in for offering clinical training, but because of their inadequacy of knowledge in respect of nursing science, technology, humanities natural and social science, because they received their education which had lower standards. As a result the nurses find it difficult to have the understanding and are not in a position to provide their service at a higher level.

Provision for High Standard Education:

The study finds that the solution to the problem can be managed by abolishing associate level nursing degree.  According to the study the associate level programs lack in reliability resulting into blockage of further career options for these nursing graduates. Such nurses lack in the ability to practice.

Although the programs are of 2 years, but one spends at least three years for completion to take place. Some of the students spend up to 4 to 5 years due to exhaustive list of pre-requisites to be completed and some times they suffer because the capacity of the school becomes full. With the same duration a student can easily achieve a baccalaureate degree, which shall be a better option to them because they achieve their graduation as well as are well prepared to get graduate education as well as for advancing their practice.

The study put forward it’s recommendation that a Bachelor’s degree be the minimum qualification to get a nursing license. In addition the study feels that a nurse with baccalaureate should within a period of 10 years finish with master’s degree.

The contention of the report is that the recommendations made shall help by improvement in nurses’ higher level of education and building in them capability of teaching training by accessing master- and doctoral-level nursing education and respective degrees. Thus the new system shall help in solving academic difficulties, which in turn shall give impetus to find more number of faculty and graduates shall help in fulfilling the nursing shortage targets.

Opposing the Overhaul of Education System:

There is opposition to such a policy by community institutes offering their programs with their plea that the 2 year degree is more suitable for older persons with their families to support, who are in the look out to get a quick entry in the career. They state that the students, who spend more time, are the ones, who are simultaneously working at some other job, while studying in the school and their need is flexibility in timing and less course content. Due attention is given to the safety standards to be followed by the student, while on the job.

Other Related Suggestions Made:

The other profession related suggestions for making improvement in the education system are as given below:

Integrating Classroom learning with clinical practice:

Most of nursing curriculum is classification oriented or based on purely theoretical. The Nursing schools shall be in a position to make improvement in students’ grasping the vital concepts through proper guidance to them by practical use of their learning. The study states that such integration shall focus on improvement by introducing learning of new concepts related to role of diagnostics in actual clinical setting.

Broad Based Students’ mode of thinking:

There is stress of developing critical thinking instead of imagination in the light of scientific reasoning supported by creative participation. Such processes of thinking possessed by teachers, shall impart their abilities to the students in an effective manner.

The report appreciated the presence of ethics in American Nursing courses and the presence of clinical experience in nursing education, but the nursing schools need to integrate clinical experience in the class room education.

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