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History of the Nurse’s Cap and Why Nurses No Longer Wear It
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The old-fashioned nurse’s cap left a polarizing legacy among nurses.
Whether you’re an aspiring nurse in school or an experienced practicing one, today’s nurses have a variety of fashionable, comfortable, and unique scrubs to wear. Gone are the days of the starchy, pressed white dress and white nurse’s cap. Even though nursing apparel has consistently evolved, the old-fashioned white cap, or hat, continues to live on as a nursing symbol for many.
You can still find the cap in nursing illustrations , stock photos, and Halloween costumes. And discussions around the cap can stir up both fond memories , or strong detest among nurses who did have to wear them.
So when did the nursing industry do away with the cap? Why don’t nurses wear the infamous white cap today? Let’s take a look at the nursing cap’s history and what nurses have to say about it.
Used as a way to keep hair neatly tucked away, the cap originated in the early Christian era as a head covering for deaconesses or nuns who cared for the sick. During the 1800s, the head covering evolved into the more familiar white cap worn. It’s also believed the first nursing caps were worn by the Sisters of Charity of St. Vincent de Paul in Paris as part of the uniform for one of the first official nursing schools in the mid-1800s.
At one time, caps also symbolized a nurse’s educational background. Different nursing schools had specific caps for their nursing students . For example, first-year nursing students wore a cap with a simple design. In comparison, final-year nursing students wore caps of a different shape or ribbon color. Nurses also used caps in the workplace as a way to be identified in the hospital and differentiate their ranks and themselves from other hospital employees.
Nursing apparel has undergone many changes, from mandatory dresses and measured skirt lengths to pantsuits. By the late 1980s, the cap, along with the symbolic white uniform, had almost completely disappeared in the United States. As more men joined the nursing profession, unisex scrubs became popularized in the ’90s.
The cap is still very much symbolic in the nursing field. Some nursing schools still “cap” their graduates to symbolize their completion of the program and the transition into the workforce. However, pinning ceremonies have become more of a traditional replacement for graduates.
Dr. Lorraine Hover, Aspen University nursing faculty member, recently explored the significance of the cap for one of the university’s live National Nurses Week events , Nursing Apparel Throughout History . During the presentation, some faculty members reflected on how unpractical the required cap was, as it often fell off or got stuck in the IV, while other attendees showed off their caps they still have to this day.
And any year during National Nurses Week , you can scroll through Instagram or Facebook newsfeed and see nurses commemorating or reminiscing with pictures in their caps. In private Facebook groups for nurses, sentiments range from cherished memories and nurses proudly posting photos in their caps to others who are glad the apparel is long gone and recognize the white cap as a sexist, subservient symbol.
With the nursing industry and standards always changing , how we view the role of the nurse evolves with it. Whether it’s a crisp, white dress and cap or colorful scrubs, a nurse’s uniform should represent respect and provide comfort. What are your thoughts on the nurse’s cap?
If you’re a nurse looking to advance your nursing career, consider Aspen University’s online RN to BSN , MSN , and DNP programs. And for those who want to become a registered nurse, check out the BSN Pre-Licensure program .
Portia Wofford is an award-winning nurse, writer , and digital marketer. After dedicating her nursing career to creating content and solutions for employers that affected patient outcomes, these days, Portia empowers health practices to increase growth opportunities and become the number one providers in their communities through engaging content that connects and converts. Follow her on Instagram and Twitter for her latest.
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This article needs additional citations for verification . Please help improve this article by adding citations to reliable sources . Unsourced material may be challenged and removed. Find sources: "Nurse's cap" – news · newspapers · books · scholar · JSTOR ( July 2022 ) ( Learn how and when to remove this template message )
This section needs additional citations for verification . Please help improve this article by adding citations to reliable sources . Unsourced material may be challenged and removed. Find sources: "Nurse's cap" – news · newspapers · books · scholar · JSTOR ( July 2022 ) ( Learn how and when to remove this template message )
^ Jump up to: a b c d Catalano, Joseph T. (2012). Nursing Now!: Today's Issues, Tomorrow's Trends (6th ed.). Philadelphia, PA: F.A. Davis . pp. 29–30.
^ Hardy, Susan and Corones, Anthony, "The Nurse’s Uniform as Ethopoietic Fashion", Fashion Theory , Vol.21, No.5. (2015), pp. 523-552. doi=10.1080/1362704X.2016.1203090
^ Houweling, Lynn (2004). "Image, function, and style: A history of the nursing uniform". American Journal of Nursing . 104 (4): 40–8. PMID 15171114 .
A nurse's cap or nursing cap is part of the female nurse's uniform , introduced early in the history of the profession. The cap's original purpose was to keep the nurse 's hair neatly in place and present a modest appearance. Male nurses do not wear caps.
In some schools, a capping ceremony presents new nursing students their caps before beginning their clinical (hospital) training.
The nurse's cap originated from a group of women in the early Christian era, called " deaconesses ." Deaconesses are now recognized as religious order nuns. These women were distinguished from other women during this time by white coverings worn on their heads. This particular head covering was worn to show that this group of women worked in the service of caring for the sick. Originally, this head covering was more of a veil, but it later evolved into a white cap during the Victorian era. It was during this era that women were required to keep their heads covered. The cap worn was hood-shaped with a ruffle around the face and tied under the chin, similar to cleaning ladies of that day. Longhair was fashionable during the Victorian era, so the cap kept the nurse's hair up and out of her face, as well as keeping it from becoming soiled. [1]
The nurse's cap was derived from the nun's habit and developed over time into two types:
The nursing cap was originally used by Florence Nightingale in the 1800s.
Different styles of caps were used to depict the seniority of the nurse, the frillier and longer the more senior the nurse.
The nursing cap is a nearly universally recognized symbol of nursing. It allows patients to quickly identify a nurse in the hospital from other members of the health team. [2] Additionally, some designs of caps serve the same function as hair nets.
Some claim the cap is a potential carrier of bacteria and other disease-causing pathogens that could then be transmitted from patient to patient. [3] However, such incidents can be prevented when infection control procedures are followed.
Around 1874, the Bellevue Hospital School of Nursing in New York City adopted a special nursing cap as a way to identify nurses who had graduated from Bellevue. The Bellevue cap covered the entire head except the ears, and can be compared to a current ski hat, although it was made out of white linen and had fringe around the bottom (put simply, it resembled an upside-down cupcake wrapper, with a fringe around the bottom of the opening). As the number of nursing schools increased, so did the need for unique caps. Each nursing school decided to design their own style of nurse's cap. Some became very elaborate and some were even different shapes. Because each school had their own cap, it became very easy to determine from which school the nurse had graduated. [1]
It was common for a black stripe (usually a black velvet ribbon) on the cap to signify a Registered Nurse. In some regions, two thinner stripes were used to signify the award of a Bachelors of Science in Nursing (BSN). The caps needed to be washed regularly and the black stripe(s) needed to be easy to remove and reattach. Water-soluble lubricants such as KY jelly become solid when dried and were plentiful in hospitals. Nurses often used a thin layer of these lubricants applied to the back of the ribbon to attach stripes to their caps.
In a global perspective, the nurses' cap continues to be widely used. However, the use of the nurses' cap had begun to slowly decline in Western Europe and Northern America by the late 1960s. The use of nurses' caps in the medical facilities of the United States all but disappeared by the late 1970s with the near universal adoption of scrubs . [ citation needed ]
In areas where healthcare facilities no longer required their nurses to wear nurse's caps, nursing schools eliminated the cap as a mandatory part of the students' uniform. In addition, with the growth of technology in the health-care setting, some felt that the nurse's caps were an obstacle for nurses wearing them, while others disagreed. [1] With the rapid growth of the number of men in nursing, some also felt a need for a unisex uniform, while others saw no difficulty with gender specific uniforms as is the case in many uniformed professions. However, nurses' caps can still be found in many developing and developed nations. Japan and South Korea are examples of developed countries with near universal use of the nurses' cap. It is also common for students of nursing to have their graduation portraits taken while wearing nurses' caps. [ citation needed ]
In countries where the nursing cap is no longer required as a part of a nurse's uniform, it still holds the same significance that it did during the time of Florence Nightingale. The nursing cap symbolizes the goal of the nurse, which is to provide "service to those in need." Furthermore, the cap is a sign of the industry's ageless values of dedication, honesty, wisdom, and faith. [1]
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Although more and more Americans are receiving the COVID-19 vaccine, a number of military medical professionals are being mobilized to augment hospitals across the nation that continue to have a high number of COVID-19 patients.
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When I took my husband to the hospital for hip-replacement surgery recently, I envisioned myself playing the part of Florence Nightingale during his post-operative convalescence at home: propping his pillows, retrieving fresh ice packs, delivering steaming bowls of soup and neatly quartered sandwiches, topping off his water with candy-striped...
U.S. Navy Lt. Shauna Ralston, a nurse with Robert M. Casey Naval Family Branch Clinic Iwakuni, poses for a photo during a nursing symposium at Marine Corps Air Station Iwakuni, Japan, May 9, 2019.
National Nurses Week is a time for everyone to recognize the vast contributions and positive impact of more than four million registered nurses in the United States.
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I posted this under pinning ceremonies also, but thought, since it was a tradition that some might like to read this.
I found this at a website ( http://www.civilization.ca/hist/infirm/inban01e.html ) while I was "surfing"...hope this answers some of your questions about stripes on caps
Many, but not all, nurses' caps had coloured bands which indicated level of training. At the Hamilton and District Regional School of Nursing, for example, first year students wore white bands (1999.267.35), second year students, pink bands (1999.267.37), and graduates, black bands (1999.267.36). Black invariably indicated the graduate nurse, while other colours were used to indicate the first and second year of training. Some say that the black band was introduced as a memorial to Florence Nightingale. The use of bands may also have had its origin in the bands or stripes on military uniforms, and certainly the graduate black had a military look. But interestingly, undergraduate colours such as pink, turquoise or yellow were more traditionally feminine.
There are several reasons why nurses' caps, along with the rest of the uniform, began to disappear in the 1970s. As nursing became more professionalized, nurses wanted to identify more with doctors and other professionals who wore no uniform. At the same time, hospitals started employing ward aides and nursing assistants, who were also outfitted with caps, and subsequently the authority of the graduate nurse's cap was eroded.
I posted a reply under pinning ceremonies also, but just wanted to say here thanks for that info. Very interesting history.
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