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Questions and Answers

Florence Nightingale's environmental theory posits that a patient's recovery process is significantly influenced by various environmental factors. Which combination of factors, if deficient, would most likely impede a patient's overall health status?

  • Excessive noise levels, brightly colored walls, and overly stimulating activities.
  • Lack of privacy, absence of religious symbols, and unadjustable room temperature.
  • Limited visitation hours, restricted access to television, and infrequent linen changes.
  • Inadequate ventilation, impure water, and insufficient food supplies. (correct)

During which period in the history of nursing did the concept of health become widely recognized as a fundamental human right, leading to increased nursing involvement in community health initiatives?

  • The mid-1800s
  • The Crimean War era
  • The period of intuitive nursing
  • The 20th century (correct)

How did the introduction of computers impact nursing practices during the Period of Contemporary Nursing?

  • They had minimal impact as nurses preferred traditional methods.
  • They facilitated data collection, teaching, diagnosis, and administrative tasks. (correct)
  • They were primarily used for entertainment purposes for patients.
  • They replaced nurses in direct patient care roles.

In early Philippine beliefs, what was the primary perceived cause of diseases with unidentified origins?

<p>Bewitchment by &quot;mangkukulam&quot;. (C)</p> Signup and view all the answers

Which of the following describes a significant difference in the founding purpose between Hospital Real de Manila and San Lazaro Hospital during their establishment in the Philippines?

<p>Hospital Real de Manila primarily served Spanish soldiers, while San Lazaro Hospital was dedicated to patients with leprosy. (C)</p> Signup and view all the answers

During the Period of Intuitive Nursing, what was the prevailing belief regarding the cause of illness?

<p>Invasion of the body by evil spirits. (C)</p> Signup and view all the answers

Which individual is credited as the 'Father of Sanitation' for their contributions to public health practices?

<p>Moses (D)</p> Signup and view all the answers

What was the main characteristic of nursing during the Period of Apprentice Nursing/Middle Ages?

<p>Lacking formal education and considered the 'dark period' of nursing. (B)</p> Signup and view all the answers

Which of the following is the best description of the role of religious orders such as the Knights of St. Lazarus?

<p>Providing care for those suffering from specific diseases. (D)</p> Signup and view all the answers

What was the significance of the Kaiserswerth Institute, established by Pastor Theodore Fliedner?

<p>It was the first formal training school for nurses. (C)</p> Signup and view all the answers

How did St. Vincent de Paul contribute to the field of nursing during the Period of Apprentice Nursing?

<p>By founding nursing organizations dedicated to caring for the sick and poor. (B)</p> Signup and view all the answers

Based on the historical context, how did the role of women in nursing evolve from the Period of Intuitive Nursing to the Period of Apprentice Nursing?

<p>Women continued as primary caregivers but within more structured religious or military frameworks. (D)</p> Signup and view all the answers

Which nursing leader is best known for their involvement in the Philippine Nursing Association's (PNA) publications?

<p>Conchita Ruiz (C)</p> Signup and view all the answers

In what year was the first law enacted that directly regulated nursing practice within the Philippines?

<p>1919 (B)</p> Signup and view all the answers

Which nursing pioneer is recognized for their contributions to integrating social support within a hospital setting?

<p>Socorro Sirilan (D)</p> Signup and view all the answers

How did Republic Act 877 influence the nursing profession in the Philippines?

<p>It was known as the 'Nursing Practice Law'. (D)</p> Signup and view all the answers

If a nursing student told you that the University of Santo Tomas (UST) was the first college to offer a BSN program, how would you respond?

<p>While UST was an early college of nursing, the University of the Philippines was the first to offer a BSN program. (C)</p> Signup and view all the answers

What was the significance of the 1920 nursing board examination?

<p>All of the above. (D)</p> Signup and view all the answers

Which individual is most closely associated with the establishment of the Philippine Nurses Association (PNA)?

<p>Anastacia Giron-Tupas (C)</p> Signup and view all the answers

What role did Loreta Tupaz play in Philippine nursing?

<p>She was regarded as the 'Florence Nightingale of Iloilo' and dean of Philippine nursing. (D)</p> Signup and view all the answers

How might the roles of Socorro Diaz and Conchita Ruiz be collectively described regarding the Philippine Nurses Association (PNA)?

<p>They were both editors of the PNA magazine, contributing to nursing literature. (C)</p> Signup and view all the answers

What can be inferred about the development of nursing in the Philippines during the early 20th century from the information provided?

<p>The formal regulation and professionalization of nursing began with the enactment of the first Nurses Law and the establishment of the PNA. (B)</p> Signup and view all the answers

Flashcards

Nightingale's Environmental Factors

Factors like cleanliness, light, air, water, drainage, and food that affect a patient's health.

Contemporary Nursing (20th Century)

Period marked by nurse licensure, specialization, advanced education, and community health involvement post-World War II.

World Health Organization (WHO)

Established post-WWII by the UN, focuses on global health issues and coordination.

Early Filipino Disease Beliefs

Earliest Filipino beliefs attributed diseases to evil spirits or other people, treated by priests or herb doctors.

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Hospital Real de Manila (1577)

First hospital in the Philippines, established in 1577 to care for Spanish soldiers and civilians.

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Intuitive Nursing

Nursing care during prehistoric times, characterized by being 'untaught' and instinctive, primarily carried out by women based on experience and observation.

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Trephining

An ancient surgical procedure involving drilling a hole in the skull, believed to be used to release evil spirits during the period of intuitive nursing.

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Code of Hammurabi

A Babylonian legal code that contains clauses related to medical practice, demonstrating early regulation of healthcare.

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Asepsis in Ancient India

An intuitive form of cleanliness practiced in ancient India as part of medicine and surgery.

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Apprentice Nursing

Nursing care provided during the Middle Ages, often by religious orders, crusaders, and prisoners, generally without formal training.

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Kaiserswerth Institute

The first formal training school for nurses, established in Germany by Pastor Theodore Fliedner and his wife.

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Knights of St. Lazarus

A military religious order that provided care for those suffering from leprosy, syphilis, and chronic skin diseases.

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UST College of Nursing

Established in 1877, it's the oldest nursing college in the Philippines.

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Anastacia Giron-Tupas

Founded the Philippine Nurses Association (PNA) and was the first Filipino Chief Nurse Superintendent.

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Cesaria Tan

First Filipino to earn a master's degree in nursing abroad.

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Socorro Sirilan

Pioneered hospital social service at San Lazaro Hospital as Chief Nurse.

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Rosa Militar

Pioneered school health education in the Philippines.

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Sor Ricarda Mendoza

Pioneer in advancing nursing education in the Philippines.

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Socorro Diaz

First editor of 'The Message', the PNA magazine.

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Conchita Ruiz

First full-time editor of 'The Filipino Nurse', PNA's magazine.

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Loreta Tupaz

Known as the Florence Nightingale of Iloilo and Dean of Philippine Nursing.

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Act #2808 (1919)

Regulated nursing practice and provided for nursing exams in the Philippines.

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Study Notes

  • History of Nursing in the World

Intuitive Nursing/Medieval Period

  • Took place from prehistoric times up to the early Christian era.
  • Nursing was "untaught" and instinctive and belonged to women, and it was without any care giving training.
  • Care giving was was based on experience and observation.
  • Illness caused by evil spirits invading the victim's body.
  • Trephining was performed.

Contributions to Medicine and Nursing

  • Babylonians developed the Code of Hammurabi.
  • Imhotep was the founder of Egyptian medicine.
  • Egyptians introduced the art of embalming.
  • Moses was the "Father of Sanitation" in Israel.
  • China developed materia medica (pharmacology).
  • India practiced an intuitive form of asepsis, medicine, and surgery.
  • Ancient Greece introduced the caduceus.
  • Rome focused on maintaining vigorous health.

Apprentice Nursing/Middle Ages

  • Took place from the founding of religious orders in the 11th century up to 1836.
  • Care was provided by crusaders, prisoners, and religious orders, and it was without any formal education.
  • Known as the dark period of nursing.
  • Pastor Theodore Fliedner and his wife, Frederika, established the Kaiserswerth Institute in Germany for the Training of Deaconesses.
  • This was the 1st formal training school for nurses.
  • Florence Nightingale trained for 3 months.
  • Military religious orders and their works.
  • Knights of St. John of Jerusalem (Italian) established to give care.
  • St. Vincent de Paul founded "La Charité" and the "Community of Sisters of Charity".
  • These groups were composed of women dedicated to caring for the sick, the poor, orphaned, and widowed.
  • St. Vincent de Paul founded the "Sisters of Charity School of Nursing" in Paris, France where Florence Nightingale had her 2nd formal education in nursing.
  • Alexian Brothers, the largest school under religious auspices exclusively in the US, closed down in 1969.
  • Knights of St. Lazarus cared for those who suffered from leprosy, syphilis, and chronic skin diseases.
  • Teutonic Knights (German) cared for the injured and established hospitals in military camps.

Important Personalities in the Apprentice Nursing/Middle Ages Period

  • St. Clare took vows of poverty, obedience to service, and chastity, and was known as "The Poor Claire".
  • St. Elizabeth of Hungary gave care for the sick and fed thousands of hungry people; she is known as the "Patroness of Nursing".
  • St. Catherine of Siena, known as "Little Saint" and "1st Lady with a Lamp," took care of the sick as early as 7 years old

Educated Nursing, Nightingale Era

  • Took place from the 19th-20th Century
  • June 15, 1860 - Florence Nightingale School of Nursing established at St. Thomas Hospital in London.
  • Florence Nightingale asked by Sir Sidney Herbert of the British War Department to recruit female nurses to provide care for the sick and injured in the Crimean War.
  • Marked the beginning of formal nursing education and nursing service.

Nursing Pioneers

Harriet Tubman

  • Born Araminta Ross, c. 1820 – March 10, 1913
  • Was an African-American abolitionist, humanitarian, and Union spy during the U.S. Civil War
  • Known as "The Moses of Her People."

Sojourner Truth

  • 1797 – November 26, 1883
  • Was an American abolitionist and women's rights activist.

Mary Breckinridge

  • February 17, 1881 – May 19, 1965
  • Was an American nurse-midwife and the founder of the Frontier Nursing Service.
  • Introduced a model rural health care system into the United States.

Lilian D. Wald

  • 1867-1940
  • She was a nurse, social worker, public health official, teacher, author, editor, publisher, women's rights activist, and the founder of American Community Nursing.
  • Provided nursing care to the indigent and was the first community health nurse.
  • Supported education for the mentally challenged.

Florence Nightingale Facts

  • Mother of modern nursing
  • Lady with the lamp
  • Born May 12, 1800, in Florence, Italy
  • Raised in England in an atmosphere of culture and affluence
  • Self-appointed goal was to change the profile of nursing
  • Led nurses that took care of the wounded during the Crimean War.
  • Believed in a holistic framework inclusive of illness and health.
  • Advocated for a need for a theoretical basis and a liberal education as a foundation for nursing practice.
  • Advocated for the body of nursing knowledge to be distinct from medical knowledge
  • Having a systematic method of assessing patients
  • Maintaining confidentiality.
  • Individualized care should be given on the basis of patient needs and preferences.
  • Nurses should be formally educated and should function as a client advocate.

Florence Nightingale's Environmental Factors Affecting Health

  • Cleanliness
  • Light (especially direct sunlight)
  • Pure or fresh air
  • Pure water
  • Efficient drainage
  • Sufficient food supplies
  • Any deficiency in one or more of these factors could lead to impaired functioning of life processes or diminished health status.
  • Adequate ventilation has also been regarded as a factor contributing to changes of the patient's process of illness recovery.

Contemporary Nursing Period

  • 20th Century
  • Covers the period after World War II to the present.
  • The licensure of nurses has started.
  • Specialization of hospitals and diagnoses.
  • Training of nurses in diploma programs.
  • It saw the development of baccalaureate and advanced degree programs.
  • Health is perceived as a fundamental human right.
  • Scientific and technological development as well as social changes mark this period.
  • Nursing involvement in community health.
  • Characterized by technological advances in disposable supplies and equipment.
  • Expanded Roles of Nurses has developed.
  • The WHO was established by the United Nations.
  • Aerospace Nursing has developed.
  • It saw the use of atomic energies for medical diagnosis and treatment.
  • Computers were utilized for data collection, teaching, diagnosis, inventory, payrolls, record keeping, and billing
  • It saw the use of sophisticated equipment for diagnosis and therapy.

History of Nursing in the Philippines: Early Beliefs, Practices, and Care of the Sick

  • Diseases, their causes and treatment were associated with mysticism and superstitions.
  • The cause of disease was believed to be from another person (an enemy or witch) or evil spirits
  • Difficult childbirth, were attributed to "nonos", people suffering from diseases without any identified cause were believed bewitched by "mangkukulam".
  • Belief in special Gods of Healing: Priest-Physician ("word doctors"), Herbolarios/Herb doctors.

The Earliest Hospitals Established in the Philippines

Hospital Real de Manila (1577)

  • Established mainly to care for the Spanish King’s soldiers but also admitted Spanish civilians.
  • Founded by Gov. Francisco de Sande.

San Lazaro Hospital (1578)

  • Built exclusively for patients with leprosy.
  • Founded by Brother Juan Clemente
  • The Americans ran the hospital in 1898 as a contagious disease hospital, after 320 years of Spanish governance.
  • Only inl 1918 Filipinos started operating the hospital.
  • From 1930-1931, insane patients were transferred to the National Mental Hospital (National Center for Mental Health).
  • In 1949, patients with leprosy were located to Tala Leprosarium, now Jose N. Rodriguez Memorial Hospital.

Iloilo Mission Hospital School of Nursing

  • (Iloilo City, 1906)
  • Ran by the Baptist Foreign Mission Society of America.
  • Miss Flora Ernst, an American nurse, took charge of the school in 1942.
  • In 1909, graduated the 1st trained nurses in the Philippines with no standard requirements for admission except their "willingness to work".
  • April 1946 - a board exam was held outside of Manila at the request of Ms. Loreto Tupas, principal of the school.

St. Paul's Hospital School of Nursing (Manila, 1907)

  • The hospital was established by The Archbishop of Manila, The Most Reverend Jeremiah Harty, under the supervision of the Sisters of St. Paul de Chartres.
  • Located in Intramuros and it provided general hospital services.

Philippine General Hospital School of Nursing (1907)

  • In 1907, with the support of the Governor General Forbes, the Director of Health, and among others.
  • Anastasia Giron-Tupas, the first Filipino to occupy the position of Chief Nurse and Superintendent in the Philippines, succeeded her.

St. Luke's Hospital School of Nursing (Quezon City, 1907)

  • The Hospital is an Episcopalian Institution.
  • The school began as a small dispensary in 1903
  • In 1907, the school opened, admitting three Filipina girls.
  • Mrs. Vitiliana Beltran was the first Filipino superintendent of nurses.

Mary Johnston Hospital and School of Nursing (Manila, 1907)

  • Initially a small dispensary on Calle Cervantes(now Avenida)
  • Called Bethany Dispensary and founded by the Methodist Mission
  • Miss Librada Javelera was the first Filipino director of the school.

Southern Island Hospital School of Nursing (Cebu, 1918)

  • The hospital was established under the Bureau of Health with Anastacia Giron-Tupas as the organizer.

First Colleges of Nursing in the Philippines

  • University of Santo Tomas College of Nursing (1877)
  • Manila Central University College of Nursing (1947)
  • University of the Philippines College of Nursing (1948): 1st BSN Program
  • Far Eastern University Institute of Nursing (1955)
  • University of the East College of Nursing (1958)

Nursing Leaders in the Philippines

  • Anastacia Giron-Tupas was the first Filipino nurse to hold the position of Chief Nurse Superintendent and Founder of PNA (Philippine Nursing Association).
  • Cesaria Tan was the first Filipino to receive a master's degree abroad.
  • Socorro Sirilan pioneered in Hospital Social Service in San Lazaro Hospital where she was the Chief Nurse.
  • Rosa Militar pioneered in School Health Education.
  • Sor Ricarda Mendoza pioneered in Nursing Education.
  • Socorro Diaz was the first editor of the PNA magazine called "The Message."
  • Conchita Ruiz was the first full-time editor of the PNA magazine called "The Filipino Nurse."
  • Loreta Tupaz, Dean of Philippine Nursing, was regarded as Florence Nightingale of Iloilo.

Years to Remember

  • 1909: 3 females graduated as "qualified medical-surgical nurses".
  • 1920: 1st board examination for nurses conducted by the Board of Examiners; 93 candidates took the exam, 68 passed with the highest rating of 93.5% - Anna Dahlgren.
  • Theoretical Exam was held at the UP Amphitheater of the College of Medicine and Surgery; Practical Exam at the PGH Library.
  • 1921: Filipino Nurses Association established (now PNA) as the national organization of Filipino nurses: 1st President - Rosario Delgado
  • 1919: The 1st Nurses Law (Act#2808) was enacted regulating the practice of the nursing profession in the Philippines Islands.
  • Provided the holding of exam for the practice of nursing on the 2nd Monday of June and December of each year.
  • 1953: Republic Act 877, known as the "Nursing Practice Law," was approved.
  • St. Dominic College of Arts and Sciences (2003)
  • St. Dominic College of Asia (2009)

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