Showing posts with label KOZIER. Show all posts
Showing posts with label KOZIER. Show all posts

Tuesday, January 28, 2014

Nursing Leader: Sanger and Breckinridge

This is a series of post regarding notable nursing leaders who have given many contribution to nursing and their influence uplifted the nursing profession.


Nursing Leaders
Florence Nightingale, Clara Barton, Lillian Wald, Lavinia Dock, Margaret Sanger, and Mary Breckinridge are among the leaders who have made notable contributions both to nursing's history and to women's history. These women were all politically astute pioneers. Their skills at influencing others and bringing about change remain models for political nurse activists today. Contemporary nursing leaders, such as Virginia Henderson, who created a modern worldwide definition of nursing, and Martha Rogers, a catalyst for theory  development.

Sanger (1879-1966)
Margaret Biggins Sanger, a public health nurse in New York, has had a lasting impact on women's health care. Imprisoned for opening the first birth control information clinic in America, she is considered the founder of Planned Parenthood. Her experience with the large number of unwanted pregnancies among the working poor was instrumental in addressing this problem.

Breckinridge (1881-1965)
After World War I, Mary Breckinridge, a notable pioneer nurse, established the Frontier Nursing Service (FNS). In 1918, she worked with the American Committee for Devastated France, distributing food, clothing, and supplies to rural villages and taking care of sick children. In 1921, Breckinridge returned to the United States with plans to provide health care to the people of rural America. In 1925, Breckinridge and two other nurses began the FNS in Leslie County, Kentucky. Within this organization, Breckinridge started one of the first midwifery training schools in the United States.

Saturday, January 18, 2014

Nursing Leader: Lavinia Dock

This is a series of post regarding notable nursing leaders who have given many contribution to nursing and their influence uplifted the nursing profession.


Nursing Leaders
Florence Nightingale, Clara Barton, Lillian Wald, Lavinia Dock, Margaret Sanger, and Mary Breckinridge are among the leaders who have made notable contributions both to nursing's history and to women's history. These women were all politically astute pioneers. Their skills at influencing others and bringing about change remain models for political nurse activists today. Contemporary nursing leaders, such as Virginia Henderson, who created a modern worldwide definition of nursing, and Martha Rogers, a catalyst for theory  development.


Dock (1858-1956)
Lavinia L. Dock was a feminist, prolific writer, political activist, suffragette, and friend- of Wald. She participated in protest movements for women's rights that resulted in the 1920 passage of the 19th Amendment to the U.S. Constitution, which granted women the right to vote. In addition, Dock campaigned for legislation to allow nurses rather than physicians to control their profession. In 1893, Dock, with the assistance of Mary Adelaide Nutting and Isabel Hampton Robb, founded the American Society of Superintendents of Training Schools for Nurses of the United States and Canada, a precursor to the current National League for Nursing.

Biography

 Lavinia Dock was born in Harrisburg, Pennsylvania in 1858. She graduated from the Bellevue Training School for Nurses in 1886. In 1889 she helped in the disaster relief effort following the devastating flood in Johnstown, Pennsylvania. In 1890 she became Isabel Hampton's assistant superintendent at the Johns Hopkins Hospital Training School for Nurses, where she was in charge of instruction . The same year, her textbook Materia Medica for Nurses which quickly became a standard in Nursing curriculum was published. She spoke at the Columbian Exposition at the World's Fair in Chicago in 1893. In 1907, along with Mary Adelaide Nutting she wrote the illustrated A History of Nursing. She went on to write more books on the history of nursing, including A Short History of Nursing with Isabel M. Stewart in 1920, and History of American Red Cross Nursing with Sarah E. Pickett in 1922. She was a member of the Nurses' Settlement in New York, Secretary of the American Federation of Nurses and of the International Council of Nurses. She was also a member of the National Women's Party which campaigned for the equal rights amendment introduced in 1923. She served as secretary for the International Council of Nurses from 1899 to 1922. From 1900 to 1923 she was a contributing editor for the American Journal of Nursing's "Foreign Department". She was made an honorary member of the Johns Hopkins Nurses' Alumnae Association at its founding in 1892. In 1976 she was inducted into the American Nurses Association Hall of Fame.

Sunday, January 12, 2014

Nursing Leader: Lillian Wald

This is a series of post regarding notable nursing leaders who have given many contribution to nursing and their influence uplifted the nursing profession.


Nursing Leaders
Florence Nightingale, Clara Barton, Lillian Wald, Lavinia Dock, Margaret Sanger, and Mary Breckinridge are among the leaders who have made notable contributions both to nursing's history and to women's history. These women were all politically astute pioneers. Their skills at influencing others and bringing about change remain models for political nurse activists today. Contemporary nursing leaders, such as Virginia Henderson, who created a modern worldwide definition of nursing, and Martha Rogers, a catalyst for theory  development


Wald (1867-1940)
Lillian Wald (Figure 1-13 •) is considered the founder of public health nursing. Wald and Mary Brewster were the first to offer trained nursing services to the poor in the New York slums. Their home among the poor on the upper floor of a tenement, called the Henry Street Settlement and Visiting Nurse Service,provided nursing services, social services, and organized educational and cultural activities. Soon after the founding of the

Lillian Wald invented public health nursing in 1893, making this year the field's centennial. One of nursing's visionaries, Wald secured reforms in health, industry, education, recreation, and housing. This historical inquiry examines three of Wald's critical experiments, each of which illuminates the past of public health nursing and its contemporary dilemmas: invention of public health nursing itself, establishment of a nationwide system of insurance payments for home-based care, and creation of a national public health nursing service.

Lllian Wald was born into a comfortable Jewish family in 1867, but chose to work in the tenements of New York City. She coined the phrase “public health nursing” and is considered to be the founder of that profession.

Lillian was educated at a private boarding school. She had graduated from a two-year nursing program and was taking classes at the Women’s Medical College when she became involved in organizing a class in home nursing for poor immigrants on New York’s Lower East Side. Lillian, distressed by the conditions in the multi-story walk-up, cold-water flats, moved to the neighborhood and, along with her classmate and colleague Mary Brewster, volunteered her services as a visiting nurse. With the aid of a couple of wealthy patrons, the operation quickly grew in size. The Henry Street Settlement (otherwise known as the VNS, or Visiting Nurse Service) grew from 2 nurses in 1893 to 27 in 1906, and to 92 in 1913.

The nurses educated the tenement residents about infection control, disease transmission, and personal hygiene. They stressed the importance of preventative care, but also provided acute and long-term care for the ill. They received fees based on the patient’s ability to pay. The organization also eventually incorporated housing, employment, and educational assistance and recreational programs as well. In 1912, Wald helped found the National Organization for Public Health Nursing, which would set professional standards and share information. She served as its first president.

Her other accomplishments included:
• Persuading President Theodore Roosevelt to create a Federal Children’s Bureau to protect children from abuse, especially exploitation such as improper child labor.
• Lobbying for health inspections of the workplace to protect workers from unsafe conditions and encouraging employers to have nursing or medical professionals on-site.
• Convincing the New York Board of Education to hire its first nurse, which lead to the standard practice within in the U.S. of having a nurse on duty at schools.
• Persuading Columbia University to appoint the first professor of nursing in the country, and initiating a series of lectures for prospective nurses at Columbia’s Teachers College. This became the basis a few years later for the University’s Department of Nursing and Health and caused nursing education to shift away from solely hospital-taught training to university courses augmented by hospital fieldwork.

Wald wrote two books about her experiences, The House on Henry Street, and Windows on Henry Street. She died in Westport, Connecticut, on September 1, 1940. Wald’s legacy is seen in the lasting good of her many accomplishments in the areas of public health and social services, not the least of which is her founding of the VNS. The New York Visiting Nurse Service continued to grow and thrive, increasing to 3,000 employees, with the number of people served annually now totaling 700,000. The original VNS is still a model for the 13,000 visiting nurse groups which exist today.

Wald said, “Nursing is love in action, and there is no finer manifestation of it than the care of the poor and disabled in their own homes.”

Summary
Wald coined the term "public health nurse" in 1893 for nurses who worked outside hospitals in poor and middle-class communities. Specializing in both preventative care and the preservation of health, these nurses responded to referrals from physicians and patients, and received fees based on the patient's ability to pay. In response to growing demand from all sides, Wald helped to initiate a series of lectures to educate prospective nurses at Columbia University's Teachers College in 1899. Students attended classes at Columbia and received their field training at Henry Street. This series led to the formation of the University's Department of Nursing and Health in 1910. By 1912, public health nurses—sometimes called visiting or district nurses—had begun to have significant impact. Wald and her colleagues in the public health movement recognized the need for the establishment of professional standards for public health nurses. Like other professional organizations, the National Organization of Public Health Nurses (NOPHN) was designed to set professional standards, share techniques and protect the reputations of its members. Wald was elected as the organization's first president.

Friday, January 10, 2014

Nursing Leader: Mary Mahoney

This is a series of post regarding notable nursing leaders who have given many contribution to nursing and their influence uplifted the nursing profession.


Nursing Leaders
Florence Nightingale, Clara Barton, Lillian Wald, Lavinia Dock, Margaret Sanger, and Mary Breckinridge are among the leaders who have made notable contributions both to nursing's history and to women's history. These women were all politically astute pioneers. Their skills at influencing others and bringing about change remain models for political nurse activists today. Contemporary nursing leaders, such as Virginia Henderson, who created a modern worldwide definition of nursing, and Martha Rogers, a catalyst for theory  development


Mahoney (1845-1926)
Mary Mahoney  was the first African American professional nurse. She graduated from the New England Hospital for Women and Children in 1879. She constantly worked for the acceptance of African Americans in nursing and for the promotion of equal opportunities (Donahue, 1996, p. 271). The American Nurses Association (2006b) gives a Mary Mahoney Award biennially in recognition of significant contributions in
interracial relationships.

Sunday, December 15, 2013

Nursing Leader: Clara Barton

This is a series of post regarding notable nursing leaders who have given many contribution to nursing and their influence uplifted the nursing profession.


Nursing Leaders
Florence Nightingale, Clara Barton, Lillian Wald, Lavinia Dock, Margaret Sanger, and Mary Breckinridge are among the leaders who have made notable contributions both to nursing's history and to women's history. These women were all politically astute pioneers. Their skills at influencing others and bringing about change remain models for political nurse activists today. Contemporary nursing leaders, such as Virginia Henderson, who created a modern worldwide definition of nursing, and Martha Rogers, a catalyst for theory  development.



Barton (1812-1912)
Clara Barton (Figure 1-10 • ) was a schoolteacher who volunteered as a nurse during the American Civil War. Her responsibility was to organize the nursing services. Barton is noted for her role in establishing the American Red Cross, which linked with the International Red Cross when the U.S. Congress ratified the Treaty of Geneva (Geneva Convention). It was Barton who persuaded Congress in 1882 to ratify this
treaty so that the Red Cross could perform humanitarian efforts in time of peace.


More About Clara Barton ( From American Red Cross)
Clarissa Harlowe Barton, Clara, as she wished to be called, is one of the most honored women in American history. She began teaching school at a time when most teachers were men and she was among the first women to gain employment in the federal government. Barton risked her life to bring supplies and support to soldiers in the field during the Civil War. At age 60, she founded the American Red Cross in 1881 and led it for the next 23 years. Her understanding of the needs of people in distress and the ways in which she could provide help to them guided her throughout her life. By the force of her personal example, she opened paths to the new field of volunteer service. Her intense devotion to serving others resulted in enough achievements to fill several ordinary lifetimes


Inspired by her experiences in Europe, Barton corresponded with Red Cross officials in Switzerland after her return to the United States. They recognized her leadership abilities for including this country in the global Red Cross network and for influencing the United States government to sign the Geneva Treaty. Armed with a letter from the head of the International Committee of the Red Cross, Barton took her appeal to President Rutherford B. Hayes in 1877, but he looked on the treaty as a possible “entangling alliance” and rejected it. His successor, President James Garfield, was supportive and seemed ready to sign it when he was assassinated. Finally, Garfield’s successor, Chester Arthur, signed the treaty in 1882 and a few days later the Senate ratified it.

In 1881—with the signing of the treaty in sight—Barton and a group of supporters formed the American Association of the Red Cross as a District of Columbia corporation. Reincorporated as The American National Red Cross in 1893, the organization was given charters by Congress in 1900 and in 1905. The 1905 charter and its amendments provide the basis for today’s American Red Cross and the close working relationship between the organization and the federal government.

The American Red Cross, with Barton at its head, was largely devoted to disaster relief for the first 20 years of its existence. The Red Cross flag flew officially for the first time in this country in 1881 when Barton issued a public appeal for funds and clothing to aid victims of a devastating forest fire in Michigan. In 1884, she chartered steamers to carry needed supplies up and down the Ohio and Mississippi rivers to assist flood victims. In 1889, she and 50 volunteers rode the first train into Johnstown, Pennsylvania, to help the survivors of a dam break that caused over 2,000 deaths.

In 1892, she organized assistance for Russians suffering from famine by shipping them 500 railroad cars of Iowa cornmeal and flour. After a hurricane and tidal wave left over 5,000 dead on the Sea Islands of South Carolina in 1893, Barton’s Red Cross labored for 10 months helping the predominantly African-American population recover and reestablish their agricultural economy. In 1896, Barton directed relief operations on behalf of victims of unrest in Turkey and Armenia, the sole woman and only Red Cross advocate the Turkish government allowed to intervene. During her last relief operation, in 1900, Barton distributed over $120,000 in financial assistance and supplies to survivors of the hurricane and tidal wave that struck Galveston, Texas, and caused more than 6,000 deaths.

Although Henry Dunant had suggested in 1864 that Red Cross societies provide disaster relief as well as wartime services, Barton became its strongest advocate in the years that followed. During the Third International Red Cross Conference in Geneva in 1884, the American Red Cross proposed an amendment to the Geneva Treaty calling for expansion of Red Cross relief to include victims of natural disasters. Although some national societies were dubious, the resolution passed and became known as the “American Amendment” to the Geneva Treaty of 1864. Because of work like this in support of the global Red Cross network, several countries honored Barton with decorations, such as the German Iron Cross for her relief work in the Franco-Prussian War and the Silver Cross of Imperial Russia for the supplies provided during the famine of 1892.

The American Red Cross moved in a new direction near the end of Barton’s tenure as head of the organization when we delivered supplies and services to Cuba during the Spanish-American War. Recipients of Red Cross aid included members of the American armed forces, prisoners of war, and Cuban refugees. This was the first time that the American Red Cross provided assistance to American armed forces and civilians during wartime.

Thursday, December 12, 2013

Nursing Leader: Florence Nightingale

This is a series of post regarding notable nursing leaders who have given many contribution to nursing and their influence uplifted the nursing profession.


Nursing Leaders
Florence Nightingale, Clara Barton, Lillian Wald, Lavinia Dock, Margaret Sanger, and Mary Breckinridge are among the leaders who have made notable contributions both to nursing's history and to women's history. These women were all politically astute pioneers. Their skills at influencing others and bringing about change remain models for political nurse activists today. Contemporary nursing leaders, such as Virginia Henderson, who created a modern worldwide definition of nursing, and Martha Rogers, a catalyst for theory  development.

Nightingale (1820-1910)
Florence Nightingale's contributions to nursing are well documented. Her achievements in improving the standards for the care of war casualties in the Crimea earned her the title "Lady with the Lamp." Her efforts in reforming hospitals and in producing and implementing public health policies also made her an accomplished political nurse: She was the first nurse to exert political pressure on government. Through her contributions to nursing education—perhaps her greatest achievement—she is also recognized as nursing's first scientist-theorist for her work Notes on Nursing: What It Is, and What It Is Not (1860/1969).

She was born to a wealthy and intellectual family. She believed she was "called by God to help others . . . [and] to improve the well-being of mankind" (Schuyler, 1992, p. 4). She was determined to become a nurse
in spite of opposition from her family and the restrictive societal code for affluent young English women. As a well-traveled young woman of the day, she visited Kaiserswerth in 1847, where she received 3 months' training in nursing. In 1853 she studied in Paris with the Sisters of Charity, after which she returned to England to assume the position of superintendent of a charity hospital for ill governesses.

When she returned to England from the Crimea, a grateful English public gave Nightingale an honorarium of £4500. She later used this money to develop the Nightingale Training School for Nurses, which opened in 1860. The school served as a model for other training schools. Its graduates traveled to other countries to manage hospitals and institute nurse-training programs.

Nightingale's vision of nursing, which included public health and health promotion roles for nurses, was only partially addressed in the early days of nursing. The focus tended to be  on developing the profession within hospitals.

Tuesday, December 10, 2013

Historical Background of Nursing 1

This post pertains to the historical background of the nursing profession-on how nursing evolved from a mere responsibility of women before to an evolving discipline. From a being a job of slaves during the dzrk period in Europe to being a noble job today. 

The contemporary nursing is far different from nursing as it was practiced years ago, and it is expected to continue evolving during the 21st century. To comprehend present-day nursing and at the same time prepare for the future, one must understand not only past events but also contemporary nursing practice and the sociological and historical factors that affect it.

HISTORICAL PERSPECTIVES
Nursing has undergone dramatic change in response to societal needs and influences. A look at nursing's beginnings reveals its continuing struggle for autonomy and professionalization. In recent decades, a renewed interest in nursing history has produced a growing amount of related literature. This section highlights only selected aspects of events that have influenced nursing practice. Recurring themes of women's roles and status, religious (Christian) values, war, societal attitudes, and visionary nursing leadership have influenced nursing practice in the past. Many of these factors still exert their influence today.

Women's Roles
Traditional female roles of wife, mother, daughter, and sister have always included the care and nurturing of other family members. From the beginning of time, women have cared for infants and children; thus, nursing could be said to have, its roots in "the home." Additionally, women, who in general occupied a subservient and dependent role, were called on to care for others in the community who were ill. Generally, the care provided was related to physical maintenance and comfort. Thus, the traditional nursing role has always entailed humanistic caring, nurturing, comforting, and supporting.

Religion
Religion has also played a significant role in the development of nursing. Although many of the world's religions encourage benevolence, it was the Christian value of "love thy neighbor as thyself' and Christ's parable of the Good Samaritan that had a significant impact on the development of Western nursing. During the third and fourth centuries, several wealthy matrons of the Roman Empire, such as Fabiola, converted to Christianity and used their wealth to provide houses of care and healing (the forerunner of hospitals) for the poor, the sick, and the homeless. Women were not, however, the sole providers of nursing services.

The Crusades saw the formation of several orders of knights, including the Knights of Saint John of Jerusalem (also known as the Knights Hospitalers), the Teutonic Knights, and the Knights of Saint Lazarus . These brothers in arms provided nursing care to their sick and injured comrades. These orders also built hospitals, the organization and management of which set a standard for the administration of hospitals throughout Europe at that time. The Knights of Saint Lazarus dedicated themselves to the care of people with leprosy, syphilis, and chronic skin conditions.

The deaconess groups, which had their origins in the Roman Empire of the third and fourth centuries, were suppressed during the Middle Ages by the Western churches. However, these groups of nursing providers resurfaced occasionally throughout the centuries, most notably in 1836 when Theodore Fliedner reinstituted
the Order of Deaconesses and opened a small hospital and training school in Kaiserswerth, Germany. Florence Nightingale received her "training" in nursing at the Kaiserswerth School.

Early religious values, such as self-denial, spiritual calling, and devotion to duty and hard work, have dominated nursing throughout its history. Nurses' commitment to these values often resulted in exploitation and few monetary rewards. For some time, nurses themselves believed it was inappropriate to
expect economic gain from their "calling."

War
Throughout history, wars have accentuated the need for nurses. During the Crimean War (1854-1856), the inadequacy of care given to soldiers led to a public outcry in Great Britain. The role Florence Nightingale played in addressing this problem is well known. She was asked by Sir Sidney Herbert of the British War
Department to recruit a contingent of female nurses to provide care to the sick and injured in the Crimea. Nightingale and her nurses transformed the military hospitals by setting up sanitation practices, such as hand washing and washing clothing regularly. Nightingale is credited with performing miracles; the mortality rate in the Barrack Hospital in Turkey, for example, was reduced from 42% to 2%..

During the American Civil War (1861-1865), several nurses emerged who were notable for their contributions to a country torn by internal strife. Harriet Tubman and Sojourner Truth  provided care and safety to slaves fleeing to the North on the Underground Railroad. Mother Biekerdyke and Clara Barton searched the battlefields and gave care to injured and dying soldiers. Noted authors Walt Whitman and Louisa May Alcott volunteered as nurses to give care to injured soldiers in military hospitals. Another woman leader who provided nursing care during the Civil War was Dorothea Dix . She became the Union's Superintendent of Female Nurses responsible for recruiting nurses and supervising the nursing care of all women nurses working in the army hospitals.

The arrival of World War I resulted in American, British, and French women rushing to volunteer their nursing services. These nurses endured harsh environments and treated injuries not seen before. *A monument, entitled "The Spirit of Nursing," stands in Arlington National Cemetery . It honors the nurses who served in the U.S. Armed Services in World War I, many of whom are buried in Section 21 which is also called the "Nurses Section" (Military District of Washington, n.d.). Progress in health care occurred during World War I, particularly in the field of surgery. For example, there were advancements in the use of
anesthetic agents, infection control, blood typing, and prosthetics.

World War II casualties created an acute shortage of caregivers, and the Cadet Nurse Corps was established in response to a marked shortage of nurses (Figure 1-6 •). Also at that time, auxiliary health care workers became prominent. "Practical" nurses, aides, and technicians provided much of the actual nursing
care under the instruction and supervision of better prepared nurses. Medical specialties also arose at that time to meet the needs of hospitalized clients.

During the Vietnam War, approximately 90% of the 11,000 American military women stationed in Vietnam were nurses. Most of them volunteered to go to Vietnam right after they graduated from nursing school. This made them the youngest group of medical personnel ever to serve in wartime (Vietnam Women's Memorial Foundation, n.d.). Near the Vietnam Veterans Memorial ("The Wall") stands the Vietnam Women's Memorial . This monument was established to "honor the women who served and also for the families who
lost loved ones during the war . . . to let them know about the women who provided comfort, care and a human touch for those who were suffering and dying" (Vietnam Women's Memorial Foundation, n.d.).

Societal Attitudes
Society's attitudes about nurses and nursing have significantly influenced professional nursing.

Before the mid-1800s, nursing was without organization, education, or social status; the prevailing attitude was that a woman's place was in the home and that no respectable woman should have a career. The role for the Victorian middle-class woman was that of wife and mother, and any education she obtained was for the purpose of making her a pleasant companion to her husband and a responsible mother to her children. Nurses in hospitals during this period were poorly educated; some were even incarcerated criminals. Society's attitudes about nursing during this period are reflected in the writings of Charles Dickens. In his book Martin Chuzzlewit (1896), Dickens reflected his attitude toward nurses through his character Sairy Gamp. She "cared" for the sick by neglecting them, stealing from them, and physically abusing them (Donahue, 1996, p. 192). This literary portrayal of nurses greatly influenced the negative image and attitude toward nurses up to contemporary times.

In contrast, the guardian angel or angel of mercy image arose in the latter part of the 19th century, largely because of the work of Florence Nightingale during the Crimean War. After Nightingale brought respectability to the nursing profession, nurses were viewed as noble, compassionate, moral, religious, dedicated, and self-sacrificing.

Another image arising in the early 19th century that has affected subsequent generations of nurses and the public and other professionals working with nurses is the image of doctor's handmaiden. This image evolved when women had yet to obtain the right to vote, when family structures were largely paternalistic, and when the medical profession portrayed increasing use of scientific knowledge that, at that time, was viewed as a male domain. Since that time, several images of nursing have been portrayed. The heroine portrayal evolved
from nurses' acts of bravery in World War II and their contributions in fighting poliomyelitis—in particular, the work of the Australian nurse Elizabeth Kenney. Other, images in the late 1900s include the nurse as sex object, surrogate mother, tyrannical mother, and body expert.

During the past few decades, the nursing profession has taken steps to improve the image of the nurse. In the early 1990s, the Tri-Council for Nursing (the American Association of Colleges of Nursing, the American Nurses Association, the American Organization of Nurse Executives, and the National League for Nursing) initiated a national effort (titled "Nurses of America") to improve the image of nursing. More recently, the
Johnson & Johnson corporation contributed $20 million in 2002 to launch a "Campaign for Nursing's Future" to promote nursing as a positive career choice (Anonymous, 2003; Fitzpatrick, 2002). In addition, nursing schools and hospitals are targeting men in their recruitment efforts (Meyers, 2003).


Success is most often achieved by those who don't know that failure is inevitable. 
- Coco Chanel

Tuesday, September 17, 2013

Nursing Leader: Linda Richards

This is a series of post regarding notable nursing leaders who have given many contribution to nursing and their influence uplifted the nursing profession.


Nursing Leaders
Florence Nightingale, Clara Barton, Lillian Wald, Lavinia Dock, Margaret Sanger, and Mary Breckinridge are among the leaders who have made notable contributions both to nursing's history and to women's history. These women were all politically astute pioneers. Their skills at influencing others and bringing about change remain models for political nurse activists today. Contemporary nursing leaders, such as Virginia Henderson, who created a modern worldwide definition of nursing, and Martha Rogers, a catalyst for theory  development.

Richards (1841-1930)
Linda Richards  was America's first trained nurse. She graduated from the New England Hospital for Women and Children in 1873. Richards is known for introducing nurse's notes and doctor's orders. She also initiated the practice of nurses wearing uniforms (American Nurses Association, 2006a). She is credited for her pioneer work in psychiatric and industrial nursing

Born: Linda Richards was born on July 27, 1841, the youngest daughter of Sanford Richards, an itinerant preacher, and his wife, Betsy Sinclair Richards.

After ten years as a schoolteacher, began working as a nurse at Boston City Hospital in 1870. She enrolled for training in 1872 at the New England Hospital for Women and Children, run by female physicians, for a one-year course based on the principles established by Florence Nightingale. Linda received her diploma on September 1, 1873, and went to work as night supervisor at Bellevue Hospital in New York.

After attending Florence Nightingale's training school at St. Thomas Hospital in England in 1877, became superintendent of a new training school at Boston City Hospital, which officially opened in 1878.

Worked in Japan for five years beginning in 1886 to start a training school for nurses. Back in the United States, worked as a visiting nurse and helped train nurses to work with the mentally ill.

She retired in 1911 at age 70 when she wrote her autobiography, Reminiscences of Linda Richards. She suffered a severe stroke in 1923 and lived the remainder of her life at the New England Hospital for Women and Children where she had done her first training. She died on April 16, 1930 in Boston.