The second event was inspired by Florence Nightingale’s establishment of a hospital-based nursing school in London in 1860 after the Crimean War. In the US, the first hospital-based nursing school was established in 1872 at the New England Hospital for Women, allowing students to obtain diplomas after one year of study (Kreinberg, 2018). The event opened the way for formal nursing training and the requirement of diplomas for individuals to succeed in the profession and the establishment of more nursing schools. Afterward, in the year 1901, the framework for nursing licensure was established after a resolution for licensing all nurses through examination by the International Council of Nurses (ICN) (Kreinberg, 2018). The event was followed by various state legislations on nursing licensure over the following years, all of which had an impact on the requirements for nurses to become registered.
The next event was the establishment of the ANA, a professional body for the improvement of nursing care, in 1911 (Nursing World, 2022). After its establishment, registered nurses had a professional body to represent them, improve their working environment, provide ethical and professional standards, and advance the profession. The impacts of the ANA on the quality of health care are a subject for further study. Finally, as the profession grew and different levels of competency requirements emerged, the system moved from hospital-based diploma programs to the requirement for degree level training for nurses in community colleges or universities (Kreinberg, 2018). The move to associate degree or baccalaureate program requirements has influenced the quality of nursing education and scholarship in the profession.
Various trends have an impact on the future of nursing and nursing education. According to Kreinberg (2018), the most notable trends include the emphasis on the care for individual patients within the community, an increased emphasis on prevention and safety, and the need for equitable healthcare. As evidence emerges for the effectiveness of care when individuals are considered a part of a larger community or society, emphasis on nursing education and practice has been on the improvement of health care for people, families, and their communities instead of a focus on a single individual. The trend has evoked the need for better capacity and education for the nursing workforce in the country as espoused by the National Academy of Medicine (Wakefield et al., 2021).
The second trend is the growing emphasis on prevention, safety, and patient self-care, calling for the need for collaborations in present and future nursing practice to ensure that patients receive the services from all providers who present potential benefits. Its influence is based on the historical foundations for systems-based practice, which inspires systems thinking and requires further training and practice among nurses (Plack et al., 2018). The final trend is the need for equitable health care for all communities, which calls for culture-sensitive nursing training and practice.
Egenes, K. J. (2018). History of nursing. In G. Roux, & J. A. Halstead, Issues and Trends in Nursing (pp. 3-28). Burlington, MA: Jones & Bartlett Learning.
Kreinberg, M. (2018). A historical overview of nursing. In The Impact of Nursing on the Evolution of Health Care (pp. 21-40). Burlington, MA: Jones & Bartlett Learning.
McKenna, L., Davis, J., & Williams, E. (2020). Nursing and midwifery education: Historical perspectives. In D. Nestel, G. Reedy, L. McKenna, & S. Gough, Clinical Education for the Health Professions. Singapore: Springer.
Nursing World. (2022). About ANA. Retrieved from https://www.nursingworld.org/ana/about-ana/
Plack, M. M., Goldman, E. F., Scott, A. R., Pintz, C., Herrmann, D., Kline, K., . . . Brundage, S. B. (2018). Systems thinking and systems-based practice across the health professions: An inquiry into definitions, teaching practices, and assessment. Teaching and Learning in Medicine, 30(3), 242-254. https://doi.org/10.1080/10401334.2017.1398654
Wakefield, M. K., Williams, D. R., Menestre, S. L., & Flauber, J. L. (2021). The future of nursing 2020-2030: Charting a path to achieve health equity. Washington, DC: National Academies Press.