This book examines nursing's feminist consciousness as the profession has developed and evolved over time. The interrelationship between the status of nursing and the status of women in patriarchal society is analyzed. Nursing's struggle to overcome its oppression and gain increased autonomy and political power is considered from an historical perspective. Early leaders in the profession, such as Florence Nightingale, Lavinia Dock, and Lillian Wald, are analyzed with regard to their social reform, political, and feminist activities. Nursing's support for the Equal Rights Amendment and its role in the women's movement that reemerged in the 1960s is examined in light of the profession's ambivalence to feminist issues. The last 20 years show that the profession has become actively aware of important issues such as pay equity and equal job opportunity and that nursing has become more cognizant and supportive of feminist goals on a variety of issues. This work provides a comprehensive review of the history of the nursing profession while simultaneously instructing in new paradigms of thought relative to provision of healthcare and human services by women.
Beginning in the 1960s, second-wave feminism inspired and influenced dramatic changes in the nursing profession. Susan Gelfand Malka argues that feminism helped end nursing's subordination to medicine and provided nurses with greater autonomy and professional status. She discusses two distinct eras in nursing history. The first extended from the mid-1960s to the mid-1980s, when feminism seemed to belittle the occupation in its analysis of gender subordination but also fueled nursing leaders' drive for greater authority and independence. The second era began in the mid-1980s, when feminism grounded in the ethics of care appealed to a much broader group of caregivers and was incorporated into nursing education. While nurses accepted aspects of feminism, they did not necessarily identify as feminists. Nonetheless, they used, passed on, and developed feminist ideas that brought about nursing school curricula changes and the increase in self-directed and specialized roles available to caregivers in the twenty-first century.
The aim of this book is to show how feminist perspectives can extend and advance the field of nursing ethics. It engages in the broader nursing ethics project of critiquing existing ethical frameworks as well as constructing and developing alternative understandings, concepts, and methodologies. All of the contributors draw attention to the operations of power inherent in moral relationships at individual, institutional, cultural, and socio-political levels. The early essays chart the development of feminist perspectives in the field of nursing ethics from the late 19th century to the present day and consider the impact of gender roles and gendered understandings on the moral lives of nurses, patients and families. They also consider the transformative potential of feminist perspectives to widen the scope of nursing and midwifery practices to include the social, economic, cultural and political dimensions of moral decision-making in health care settings. The second half of the book draws on feminist insights to critically discuss the role of nurses and midwives in leadership, healthcare organisations, and research as well as the provision of particular forms of care e.g. care in the home and abortion care.
Moving Beyond Borders is the first book-length history of Black health care workers in Canada, delving into the experiences of thirty-five postwar-era nurses who were born in Canada or who immigrated from the Caribbean either through Britain or directly to Canada. Karen Flynn examines the shaping of these women's stories from their childhoods through to their roles as professionals and community activists. Flynn interweaves oral histories with archival sources to show how these women's lives were shaped by their experiences of migration, professional training, and family life. Theoretical analyses from postcolonial, gender, and diasporic Black Studies serve to highlight the multiple subjectivities operating within these women's lives. By presenting a collective biography of identity formation, Moving Beyond Borders reveals the extraordinary complexity of Black women's history.
In Nursing Civil Rights, Charissa J. Threat investigates the parallel battles against occupational segregation by African American women and white men in the U.S. Army. As Threat reveals, both groups viewed their circumstances with the Army Nurse Corps as a civil rights matter. Each conducted separate integration campaigns to end the discrimination they suffered. Yet their stories defy the narrative that civil rights struggles inevitably arced toward social justice. Threat tells how progressive elements in the campaigns did indeed break down barriers in both military and civilian nursing. At the same time, she follows conservative threads to portray how some of the women who succeeded as agents of change became defenders of exclusionary practices when men sought military nursing careers. The ironic result was a struggle that simultaneously confronted and reaffirmed the social hierarchies that nurtured discrimination.
First Published in 1994. Part of the series on the Development of American Feminism, Sandra Lewenson's Taking Charge is the first in this series, and the selection reflects the intent to assist in enlarging our general understanding of an often overlooked presence of feminism in such professional activities as those of the Modern Nursing Movement in the United States from the Gilded Era to World War I. This work will greatly enlightened the reader regarding the struggles and accomplishments of women in nursing.
This fully updated and expanded edition of Saving Lives highlights the essential roles nurses play in contemporary health care and how this role is marginalized by contemporary culture. Through engaging prose and examples drawn from television, advertising, and news coverage, the authors detail the media's role in reinforcing stereotypes that fuel the nursing shortage and devalue a highly educated sector of the contemporary workforce. Perhaps most important, the authors provide a wealth of ideas to help reinvigorate the nursing field and correct this imbalance.
Nursing, Physician Control, and the Medical Monopoly Historical Perspectives on Gendered Inequality in Roles, Rights, and Range of Practice Thetis M. Group and Joan I. Roberts A history of physicians' efforts to dominate the healthcare system. Nursing, Physician Control, and the Medical Monopoly traces the efforts by physicians over time to achieve a monopoly in healthcare, often by subordinating nurses -- their only genuine competitors. Attempts by nurses to reform many aspects of healthcare have been repeatedly opposed by physicians whose primary interest has been to achieve total control of the healthcare "system," often to the detriment of patients' health and safety. Thetis M. Group and Joan I. Roberts first review the activities of early women healers and nurses and examine nurse-physician relations from the early 1900s on. The sexist domination of nursing by medicine was neither haphazard nor accidental, but a structured and institutionalized phenomenon. Efforts by nurses to achieve greater autonomy were often blocked by hospital administrators and organized medicine. The consolidation of the medical monopoly during the 1920s and 1930s, along with the waning of feminism, led to the concretization of stereotyped gender roles in nursing and medicine. The growing unease in nurse-physician relations escalated from the 1940s to the 1960s; the growth and complexity of the healthcare industry, expanding scientific knowledge, and increasing specialization by physicians all created heavy demands on nurses. Conflict between organized medicine and nursing entered a public, open phase in the late 1960s and 1970s, when medicine unilaterally created the physician's assistant, countered by nursing's development of the advanced nurse practitioner. But gender stereotypes remained central to nurse-physician relations in the 1980s and into the 1990s. Finally, Group and Roberts examine the results of the medical monopoly, from the impact on patients' health and safety, to the development of HMOs and the current overpriced, poorly coordinated, and fragmented healthcare system. Thetis M. Group is Professor Emerita at Syracuse University, where she was Dean of the College of Nursing for 10 years, and an adjunct faculty member at the University of Utah College of Nursing. She is co-author of Feminism and Nursing and has published numerous articles in professional nursing journals. Joan I. Roberts, social psychologist, is Professor Emerita at Syracuse University. A pioneer in women's studies in higher education, she is co-author of Feminism and Nursing and author of numerous books and articles on gender issues and racial and sex discrimination. June 2001 352 pages, 6 1/8 x 9 1/4, index, append. cloth 0-253-33926-X $29.95 s / £22.95