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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.
Written by two of the professionís most prominent midwifery leaders, this authoritative history of midwifery in the United States, from the 1600s to the present, is distinguished by its vast breadth and depth. The book spans the historical evolution of midwives as respected, autonomous health care workers and midwifery as a profession, and considers the strengths, weaknesses, threats, and opportunities for this discipline as enduring motifs throughout the text. It surveys the roots of midwifery, the beginnings of professional practice, the founding of educational institutions and professional organizations, and entry pathways into the profession. Woven throughout the text are such themes as the close link between midwives and the communities in which they live, their view of pregnancy and birth as normal life events, their efforts to promote health and prevent illness, and their dedication to being with women wherever they may be and in whatever health condition and circumstances they may be in. The text examines the threats to midwifery past and present, such as the increasing medicalization of childbearing care, midwiferyís lack of a common identity based on education and practice standards, the mix of legal recognition, and reimbursement issues for midwifery practice. Illustrations and historical photos depict the many facets of midwifery, and engaging stories provide cultural and spiritual content. This is a ìmust-haveî for all midwives, historians, professional and educational institutions, and all those who share a passion for the history of midwifery and women. Key Features: Encompasses the most authoritative and comprehensive information available about the history of midwifery in the United States Considers the strengths, weaknesses, threats, and opportunities for midwifery Illustrated with historical photos and drawings Includes engaging stories filled with cultural and spiritual content, introductory quotes to each chapter, and plentiful chapter notes Written by two preeminent leaders in the field of midwifery
In a unique and detailed historical study, Nurse-Midwifery: The Birth of a New American Profession, Laura E. Ettinger fills a void with the first book-length documentation of the emergence of American nurse-midwifery. This occupation developed in the 1920s involving nurses who took advanced training in midwifery. In Nurse-Midwifery, Ettinger shows how nurse-midwives in New York City; eastern Kentucky; Santa Fe, New Mexico; and other places both rebelled against and served as agents of a nationwide professionalization of doctors and medicalization of childbirth. Nurse-Midwifery reveals the limitations that nurses, physicians, and nurse-midwives placed on the profession of nurse-midwifery from the outset because of the professional interests of nursing and medicine. The book argues that nurse-midwives challenged what scholars have called the "male medical model" of childbirth, but the cost of the compromises they made to survive was that nurse-midwifery did not become the kind of independent, autonomous profession it might have been.
Francine Howard has her life all mapped out until the soldier she planned to marry at WWII's end writes to tell her he's in love with a woman in England. Devastated, Francine seeks a fresh start in the Appalachian Mountains, training to be a nurse midwife for the Frontier Nursing Service. Deeply affected by the horrors he witnessed at war, Ben Locke has never thought further ahead than making it home to Kentucky. His future shrouded in as much mist as his beloved mountains, he's at a loss when it comes to envisioning what's next for his life. When Francine's and Ben's paths intersect, it's immediately clear that they are from different worlds and value different things. But love has a way of healing old wounds . . . and revealing tantalizing new possibilities.
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.
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The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
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
Considerable controversy exists at the state and national level both within and among the professions of medicine, nursing, and pharmacy concerning the issue of granting and/or expanding the privilege of prescription to nurses. Arlene W. Keeling identifies and describes the informal and formal roles nurses played over the course of the twentieth century in dispensing, furnishing, and prescribing medications. The book is built around a series of case studies representing diverse geographic areas of the United States during different decades. The major thesis of Nursing and the Privilege of Prescription, 1893-2000 is that the amount of freedom nurses have had with regard to medications has been dependent on the particular setting in which they practiced, on individual practice negotiations between physicians and nurses at the grassroots level, and on the level of trust that developed between them. Even before they had legal prescriptive authority, nurses safely and effectively administered drugs at various times and places throughout the century. Providing care in underserved areas of the country--in urban slums, in the remote hollows of Appalachia, and on Indian reservations--nurses offered access to care for many who would otherwise have been denied it. The struggle between organized medicine and nursing over where, to whom, and in what circumstances a practitioner is licensed to dispense, furnish, or prescribe drugs is the central tension of the book. What is clear throughout this history is that the "elusive and fine line" between medicine and nursing is fluid, especially in times and places where nurses are particularly needed. Nursing and the Privilege of Prescription, 1893-2000 provides historical data that could inform health policy today.