Some Good Rules For Nurses
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Some Good Rules For Nurses
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A List of Nurse Rules from the Early 1900s
Medical technology has improved considerably over the last 100 years, and so has the relationship between a nurse and their patient. Take a look at some of the more surprising nurse rules from the early 1900s.
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Nursing is a profession that’s been around since the beginning of time. Tough-minded healthcare providers have been treating the sick for centuries through war, famine, and the plague. Nurses were the ones that had to deal with the real-life implications of living in a cruel, often unjust world. But providing healthcare back in the early 1900s wasn’t the same as it is today. Of course, our medical technology has improved considerably over the last 100 years, and so has the relationship between a nurse and their patient. Take a look at some of the more surprising nurse rules from the early 1900s.
Before the days of central heating and air conditioning, temperature control was a major concern for nurses. In addition to taking care of the patients, they also had to make sure the room was a decent temperature. Otherwise, their patients might catch a cold, or their condition might suddenly deteriorate. Keeping a ward full of sick patients warm meant the nurses had to bring some coal to work or haul some up from the basement or the outside shed and put in the fire. Most hospitals were kept warm using the black, chalky substance, so you can bet that many of the nurses of the 1900s weren’t exactly spick and span. Hopefully, they washed their hands before tending to their patients.
Back in the day, nurses had a lot of responsibilities on their plate. They typically had to play any role that came their way when treating a patient on their own or assisting the doctor. There weren’t specialists with their separate departments. Everyone pitched in as much as they could. There was no documented scope of practice for nurses; they simply had to be a team player and help out in any way they could. It was especially true during times of war and famine, or if the doctor was overwhelmed with patients. The nurses on staff had to roll up their sleeves and take care of gruesome matters themselves. Today, nurses typically provide primary and secondary care with a clearly defined set of responsibilities.
In many cases, nurses were forbidden to get married. The hospital would do everything it could to retain the nurses they had on staff, so there was a lot of incentive to limit a nurse’s personal life as much as possible. It meant having nurses live at the facility and enforcing strict curfew rules. If nurses had the time and the freedom to pursue courtship, some of them would surely give up their profession to raise a family and take care of their husband. Of course, times have changed a great deal since the early 1900s. Today, nurses are free to do as they please when they get out of work.
Providing healthcare certainly isn’t what it used to be. Would you have been a nurse if you were alive 100 years ago? Let us know!
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By: Kathleen Gaines
News and Education Editor, MSN, RN, BA, CBC
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History of the Nursing Code of Ethics 4 Principles of Ethics for Nurses Nursing Code of Ethics Interpretive Statements Making Ethical Decisions as a Nurse How Nurses Use the Nursing Code of Ethics FAQs
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According to the American Nurses Association (ANA) , the nursing code of ethics is a guide for “carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession.” Ethics, in general, are the moral principles that dictate how a person will conduct themselves. Ethical values are essential for ALL healthcare workers, but ethical principles in nursing are particularly important given their role as caregivers.
There are 4 main principles that are part of the nursing code of ethics. They are,
These principles are ideally what every nurse should be aware of in their daily nursing practice. While ethical principles are sometimes confusing and often taught briefly during undergraduate nursing -- they should be constants in nursing practice in order to provide the best, safest, and most humane care to all patients.
Interestingly, the nursing code of ethics is suggested to have been founded in 1893 and named the “Nightingale Pledge” after Florence Nightingale, the founder of modern nursing. As a modification of the Hippocratic Oath, taken by medical doctors, the Nightingale Pledge has been recited by nursing students at graduations with little changes since inception.
The formal code of ethics was developed in the 1950s by the American Nurses Association (ANA) and has undergone numerous modifications since. The most significant recent change was in 2015 when 9 interpretative statements or provisions were added to the code of ethics to help guide nursing practice in a more definitive way.
Many states include the ANA’s nursing code of ethics in their practice statements. Even though the code of ethics is primarily ethics-related, it also has legal implications. Given the importance of the code to the nursing profession, revisions continue on a regular basis.
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Autonomy is recognizing each individual patient’s right to self-determination and decision-making. As patient advocates, it is imperative that nurses ensure that patients receive all medical information, education, and options in order to choose the option that is best for them. This includes all potential risks, benefits, and complications to make well-informed decisions.
Once the patient has all relevant information, the medical and nursing team can make a plan of care in compliance with the medical wishes of the patient.
It is important that nurses support the patient in their medical wishes and ensure that the medical team is remembering those wishes. Sometimes, nurses will need to continue to advocate for a patient despite the wishes being verbalized because the medical team might not agree in those wishes.
Many factors may influence a patient's acceptance or refusal of medical treatment, such as culture, age, gender, sexual orientation, general health, and social support system.
Beneficence is acting for the good and welfare of others and including such attributes as kindness and charity. The American Nurses Association defines this as “actions guided by compassion.”
Justice is that there should be an element of fairness in all medical and nursing decisions and care. Nurses must care for all patients with the same level of fairness despite the individual's financial abilities, race, religion, gender, and/or sexual orientation.
An example of this is whe
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