Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2
Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2
Part IIThemes and IssuesThe District Nurse and the Changing World of Primary Health Care5 Town Nurse, Country Nurse: District Nursing LandscapeINTRODU Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2UCTIONThis chapter explores the relative impact of regional demography and local community on the working experience of district nurses. We introduce the urban-rural split that was and remains particularly evident in British district nursing. Although in theory district nursing practice adhered to s Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2trict standards, the conditions of work varied widely between nursing situations, most notably between those of the city and rural areas, with remoteEbook Community nursing and primary healthcare in twentieth-century Britain: Part 2
or island districts providing the most extreme examples. The picture used on the front cover of a 1964 recruitment leaflet (see Figure 5.1) depicts twPart IIThemes and IssuesThe District Nurse and the Changing World of Primary Health Care5 Town Nurse, Country Nurse: District Nursing LandscapeINTRODU Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2n idyllic rural image reminiscent of a previous century. The district nurse transcends both.Nurses in rural or remote districts (and in some small towns) were often organised differently, in that they were invariably employed as double- or triple-duty nurses: As well as district nurses, they also ac Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2ted as HVs, midwives, or both. Strictly speaking, triple-duty nurses should have held the relevant qualification for each role but dispensation to worEbook Community nursing and primary healthcare in twentieth-century Britain: Part 2
k without the HVs certificate was given at the discretion of the QN1 with the qualification to be gained at a later date, rhe responsibility of triplePart IIThemes and IssuesThe District Nurse and the Changing World of Primary Health Care5 Town Nurse, Country Nurse: District Nursing LandscapeINTRODU Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2are within the community that was disrupted in the cities by the involvement of separate midwives and 1 IVs. Those who worked as triple-duty nurses recall the long hours of work necessary when they were the only nurse, midwife, or 1IV serving a community. Despite this multiplicity of roles, district Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2 nurses were clear about the distinction between the nursing duties of the district nurse, those of the midwife, and the education and preventive dutiEbook Community nursing and primary healthcare in twentieth-century Britain: Part 2
es of the HV, remaining aware of the possibility of overlap. “A health visitor can’t encroach on the district nurse’s territory . . . but the districtPart IIThemes and IssuesThe District Nurse and the Changing World of Primary Health Care5 Town Nurse, Country Nurse: District Nursing LandscapeINTRODU Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2kers, hospital almoners, and so on, all of whom might108 Community Nursing and Primary HealthcareFigure 5.1 1960s recruitment leaflet, front cover. From Queen's Institute of District Nursing, The Training and Work of District Nurses (London: QNI, 1964). Image reproduced by kind permission of rhe Que Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2en’s Nursing Institute.have had occasion to visit in the homes of the district nurse’s patients. Hence city districts were generally single districtsEbook Community nursing and primary healthcare in twentieth-century Britain: Part 2
with rhe nurse responsible only for home nursing matters. Small towns varied in their home health care provision, with some local authorities providinPart IIThemes and IssuesThe District Nurse and the Changing World of Primary Health Care5 Town Nurse, Country Nurse: District Nursing LandscapeINTRODU Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2 rhe most isolating in professional terms. By its nature, it provided no other colleagues such as midwife or HV with whom the nurse could discuss professional issues.Although stories of district nurses throughout Britain refer to rhe nursing of rhe same illnesses and conditions (leg ulcers, childhoo Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2d fevers, diabetes, arthritis, injuries, stroke, midwifery, etc.), the nursing experience is nor expressed by one consistent narrative. Similarities iEbook Community nursing and primary healthcare in twentieth-century Britain: Part 2
n experience help to define the nature of district nursing but this is enriched by looking at rhe differences that emerged from a variety of sources iPart IIThemes and IssuesThe District Nurse and the Changing World of Primary Health Care5 Town Nurse, Country Nurse: District Nursing LandscapeINTRODU Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2e studies of districtTown Nurse, Country Nurse 109 nursing in Lancashire, Dorset, and particularly in regions of Scotland and South Wales. In addition to providing fascinating snapshots of the localities and the particular requirements imposed by them on the community health providers, this exposes Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2more general aspects of evolving patient needs ami problems. These regional studies serve to contrast the different work experiences of nurses in ruraEbook Community nursing and primary healthcare in twentieth-century Britain: Part 2
l dual- and triple-duty practices with those working in urban practices where duties were restricted to general nursing only.Before focusing on specifPart IIThemes and IssuesThe District Nurse and the Changing World of Primary Health Care5 Town Nurse, Country Nurse: District Nursing LandscapeINTRODU Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2nor available for Scotland, it is probable that the range was similar, with the more urbanised counties faring better than the largely rural ones. The original aim of rhe 1935 QNĨ survey from which the data for fable 5.1 were extracted was to demonstrate the need for more district nurses, simultaneo Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2usly showing the extensive development of the service nationwide. London and Lancashire arc shown as extremely well provided for in terms of availabilEbook Community nursing and primary healthcare in twentieth-century Britain: Part 2
ity of nursing staff, whereas Monmouth and Glamorgan were underserved ar that rime. So, too, was rural Dorset, but in Glamorgan the average populationPart IIThemes and IssuesThe District Nurse and the Changing World of Primary Health Care5 Town Nurse, Country Nurse: District Nursing LandscapeINTRODU Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2 local topography as well as patients’ social circumstances.CITY AND TOWN DISTRICTSThe details of a select number of Welsh associations arc presented here to demonstrate some of the differences between urban and rural districts, the ways in which these districts were managed, and the conditions unde Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2r which nurses worked.South Wales is diverse in character, ranging from the cosmopolitan cities of Cardiff, Newport, and Swansea to the mining valleysEbook Community nursing and primary healthcare in twentieth-century Britain: Part 2
such as Neath, Rhondda, Mountain Ash, and Lbbw Vale, providing a contrast in nursing experience, rhe more rural nature of coastal districts such as GPart IIThemes and IssuesThe District Nurse and the Changing World of Primary Health Care5 Town Nurse, Country Nurse: District Nursing LandscapeINTRODU Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2on concern for DNAs in all areas, but this was usually offset by the support offered by the QN1 in finding holiday or illness relief nurses. They also helped to supply regular replacements when nurses stayed in a post for only short periods, as was common during the interwar period. Hence, rhe tradi Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2tional image of the district nurse as indigenous to her community did not always hold true. On the contrary, records suggest that in cities such as CaEbook Community nursing and primary healthcare in twentieth-century Britain: Part 2
rdiff and Swansea, the cosmopolitan population of the city was reflected in the diversity of cultural backgrounds of the district nursing staff, many Part IIThemes and IssuesThe District Nurse and the Changing World of Primary Health Care5 Town Nurse, Country Nurse: District Nursing LandscapeINTRODU Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2ales)CountyPopulation (1931 Census)Population Included Witbin Area of County DNAPopulation Remaining "Lin-nursed ”Number of Nurses EmployedAverage Nurse: Population RatioExtra Nurses Needed (Estimated)g sLancashire50390005,013,308 (99%)26,147 (1%)5031:9,987184***Dorset239000209,870 (87%)29,482 (3%)8 Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 201:2,62314London43890004,388,645 (100%)—3351:13,100211Glamorgan12250001,039,301 (84%)186,416 (16%)1181:8,80867Monmouth435000326,499 (75%)108,459 (25%)Ebook Community nursing and primary healthcare in twentieth-century Britain: Part 2
491:6,66326r-Caernarfon121000120,209 (99%)620 (1%)541:2,2261Total (England ik. Wales)3986400038,206,8679 (95%)1,657,317 (5%)71701:5,3291625Note. ConsưPart IIThemes and IssuesThe District Nurse and the Changing World of Primary Health Care5 Town Nurse, Country Nurse: District Nursing LandscapeINTRODUPart IIThemes and IssuesThe District Nurse and the Changing World of Primary Health Care5 Town Nurse, Country Nurse: District Nursing LandscapeINTRODUGọi ngay
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