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In 1925 Mary Breckinridge (1881-1965) founded the Frontier Nursing Service (FNS), a public health organization in eastern Kentucky providing nurses on horseback to reach families who otherwise would not receive health care. Through this public health organization, she introduced nurse-midwifery to the United States and created a highly successful, cost-effective model for rural health care delivery that has been replicated throughout the world. In this first comprehensive biography of the FNS founder, Melanie Beals Goan provides a revealing look at the challenges Breckinridge faced as she sought reform and the contradictions she embodied. Goan explores Breckinridge's perspective on gender roles, her charisma, her sense of obligation to live a life of service, her eccentricity, her religiosity, and her application of professionalized, science-based health care ideas. Highly intelligent and creative, Breckinridge also suffered from depression, was by modern standards racist, and fought progress as she aged--sometimes to the detriment of those she served. Breckinridge optimistically believed that she could change the world by providing health care to women and children. She ultimately changed just one corner of the world, but her experience continues to provide powerful lessons about the possibilities and the limitations of reform.
This is the autobiography of Mary Breckinridge, the woman who founded the Frontier Nursing Service (FNS) in the mountains of eastern Kentucky in 1925. Riding out on horseback, the FNS nurse-midwives proved that high mortality rates and malnutrition did not need to be the norm in rural areas. By their example and through their graduates, the FNS exacted a lasting influence on family health care throughout the world.
A biography of the woman who gave up the riches and comfort of her aristocratic birth to serve as a nurse in the Kentucky mountains where she established the Frontier Nursing Service.
The fourth edition of the only text to focus on nursing concepts, theory, and practice in rural settings continues to provide comprehensive and evidence-based information to nursing educators, researchers, and policy-makers. The book presents a wealth of new information that expands upon the rural nursing theory base and greatly adds to our understanding of current rural health care issues. It retains seminal chapters that consider theory and practice, client and cultural perspectives, response to illness, and community roles in sustaining good health. Authored by contributors from the United States, Canada, and Australia, the text examines rural health issues from a national and international perspective. The 4th edition presents new chapters on: Border health issues Palliative care Research applications of rural nursing theory Resilience in rural elders Vulnerabilities Health disparities Social disparities in health Use of rural hospitals in nursing education Establishing nursing education following disaster Public health accreditation in rural and frontier counties Developing the workforce to meet the needs for rural practice, research, and theory development Key Features: Provides a single-source reference on rural nursing concepts, theory, and practice Covers critical issues regarding nursing practice in sparsely populated regions Presents a national and international focus Updates content and includes a wealth of new information Designed for nurse educators and students at the graduate level
Offers brief profiles of nine Kentucky women, including a pioneer, slave, suffragist, educator, teacher, sculptor, nurse, newspaper woman, and country music singer
Uniquely focuses on nursing history through the lens of leadership " This book is perfect for men and women who aspire to lead nursing and society into a better future. It will equally benefit undergraduate students enrolled in leadership courses, graduate students preparing for leadership roles, and nurses already established in leadership roles. [This book] deepened my love for nursing and reinforced why nursing is repeatedly ranked the most trusted profession." -Susan B. Hassmiller , PhD, RN, FAAN Robert Wood Johnson Foundation Senior Adviser for Nursing Director, Campaign for Action With an emphasis on the qualities that have fostered strong nursing leadership, this book provides a unique perspective on the lives and achievements of the most revered nurses throughout history. It is comprised of biographies of many of nursing's most important activist agents of change, with a focus on those characteristics that enabled them to accomplish their goals and implement changes that improved nursing, health, healthcare, and society. These biographies examine the evolution of nursing and society around the globe and underscore the resourcefulness and political savvy these nurses used to meet the increasingly complex needs of society. Using Kouzes and Posner's five practices of exemplary leadership as a framework, the biographies demonstrate how the nurses used these processes to achieve their goals. Placed within the context and dynamics of each nurse leader's lifetimeóincluding gender roles, science and technology, religion, politics, and economics--each biography includes a personal history, timeline, accomplishments, anecdotes, and legacy. The book honors such well-known nurse leaders as Florence Nightingale, Clara Barton, and Dorothea Dix, along with less well-known nurse leaders. By telling the stories of these prominent luminaries, the book showcases nursing's rich history and its influence on society. Ultimately fostering an understanding of the very nature of leadership, it provides a strong foundation and inspiration for nurses to lead nursing, healthcare, and society into a better future. Key Features: Focuses on nursing history through the lens of leadership Uses the framework of Kouzes and Posner's five practices of exemplary leadership to analyze the achievements of nurse luminaries Considers the lives of well-known and lesser-known figures in nursing history Focuses on leadership characteristics that enabled historic nurse leaders to implement important changes in global healthcare
Servant Leadership in Nursing: Spirituality and Practice in Contemporary Health Care embraces the philosophy that a true leader, in any venue, must be a servant of those he or she leads. This text includes current information on the relevance of servant leadership for nurses practicing in a health care setting with extensive literature review on leadership in nursing and healthcare as well as on servant leadership. This unique text also includes many powerful and poignant perceptions and experiences of servant leadership elicited in tape-recorded interviews with 75 nursing leaders currently practicing in the contemporary healthcare system.
From 1950 to 2001, Lovie Beard Shelton practiced midwifery in eastern North Carolina homes, delivering some 4,000 babies to black, white, Mennonite, and hippie women; to those too poor to afford a hospital birth; and to a few rich enough to have any kind of delivery they pleased. Her life, which was about giving life, was conspicuously marked by loss, including the untimely death of her husband and the murder of her son. Lovie is a provocative chronicle of Shelton's life and work, which spanned enormous changes in midwifery and in the ways women give birth. In this artful exploration of documentary fieldwork, Lisa Yarger confronts the choices involved in producing an authentic portrait of a woman who is at once loner and self-styled folk hero. Fully embracing the difficulties of telling a true story, Yarger is able to get at the story of telling the story. As Lovie describes her calling, we meet a woman who sees herself working in partnership with God and who must wrestle with the question of what happens when a woman who has devoted her life to service, to doing God's work, ages out of usefulness. When I'm no longer a midwife, who am I? Facing retirement and a host of health issues, Lovie attempts to fit together the jagged pieces of her life as she prepares for one final home birth.
Survival was their dearest hope...these mountain people. Their children were their greatest asset...but they died one by one, long before they reached the age of six, many times at birth along with their mother. When a mother died in childbirth the family was usually broken into tiny pieces...but Mary Breckenridge changed all that with her midwives and nurses. They rode their horses in the middle of the night, in the coldest of winter, to save a mother and her child...but they did more than that...they treated gunshot wounds, snake bites, gave shots, but most of all they gave hope to this mountain community where few had cared until this great woman came into their midst. Mary Breckenridge had vowed never to love again, but she fell in love with these mountain people and served them well...with the courage of Job, she began to live again...a different life, but a full one, and she took an entire mountain of people with her on this journey, along with her nurses and midwives. This is the story that might have been her own.
Kentucky is most commonly associated with horses, tobacco fields, bourbon, and coal mines. There is much more to the state, though, than stories of feuding families and Colonel Sanders’ famous fried chicken. Kentucky has a rich and often compelling history, and James C. Klotter and Freda C. Klotter introduce readers to an exciting story that spans 12,000 years, looking at the lives of Kentuckians from Native Americans to astronauts. The Klotters examine all aspects of the state’s history—its geography, government, social life, cultural achievements, education, and economy. A Concise History of Kentucky recounts the events of the deadly frontier wars of the state’s early history, the divisive Civil War, and the shocking assassination of a governor in 1900. The book tells of Kentucky’s leaders from Daniel Boone and Henry Clay to Abraham Lincoln, Mary Breckinridge, and Muhammad Ali. The authors also highlight the lives of Kentuckians, both famous and ordinary, to give a voice to history. The Klotters explore Kentuckians’ accomplishments in government, medicine, politics, and the arts. They describe the writing and music that flowered across the state, and they profile the individuals who worked to secure equal rights for women and African Americans. The book explains what it was like to work in the coal mines and explains the daily routine on a nineteenth-century farm. The authors bring Kentucky’s story to the twenty-first century and talk about the state’s modern economy, where auto manufacturing jobs are replacing traditional agricultural work. A collaboration of the state historian and an experienced educator, A Concise History of Kentucky is the best single resource for Kentuckians new and old who want to learn more about the past, present, and future of the Bluegrass State.