There are a number of changes that have taken place since Lillian Wald’s time. Probably the most recognizable change is the extensive use of "futuristic technology" (Tamani, 2007). Advancements in technology have changed the face of nursing as well as modern healthcare overall. Electronic charting at the patient’s bedside is quickly taking the place of manual documentation and data collection. Technology has changed the delivery of nursing treatments, documentation of care, research, and communication with patients and other nurses. Nurses, using technology, communicate with nursing colleagues and other healthcare providers with ease, rather than handwritten letters back and forth through the mail as Wald and the nurses of her time were required to do in order to communicate. And most would agree that nurses do not look the same as the nurses of Wald’s time. Gone is the era of spotless white uniforms, nursing caps, and long black capes. Trendy, colorful scrubs are the nursing uniform of today (Tamani, 2007).
While there are several changes that have taken place since Wald’s time, there are themes and practices that have remained the same. Nursing continues to be difficult to define, but remains about caring for others and making a difference in the health of communities. Public health nurses of today still provide health education for the public and consider this practice essential to the improvement of health and prevention of illness. The roles that nurses filled in Wald’s time are still fulfilled by nurses today: “educator, caregiver, and casemanager” (Abrams, 2008). “Lillian Wald believed that cure by nurses mandated treatment of social and economic problems, not just illness” (Buhler-Wilkerson, 2001). Today, this belief still has merit, not only among public health nurses, but all nurses who value the holistic approach to nursing. Also unchanged, in this nurses opinion, are the themes in public health nursing in Wald’s time and those of public health nursing today: “helping families and communities overcome barriers to health, collaboration and cooperation among disciplines, and building an organic relationship with clients and communities” (Abrams, 2008).
References
Abrams, S. E. (2008). The best of public health nursing, circa 1941. Public Health Nursing, 25(3), 285-291.
Buhler-Wilkinson, K. (2001). No place like home. A history of nursing and home care in the United States. Baltimore, MD:Johns Hopkins University Press.
Tamani, M. (2007). Changes in nursing uniforms over the century. Retrieved June 25, 2009, from http://articlesbase.com/health-articles/changes-in-nursing-uniforms-over-the-century-242084.html.
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