Page 39 - fourth year book

COMMUNITY HEALTH NURSING

The set back of these services were:

• Social approval following the reformation caused a decline in the
number of religious orders with subsequent curtailing of nursing care for

the sick and poor.

• High maternal mortality rates prompted efforts to better prepare
midwives and medical students.

• Industrial revolution created additional problems; among them
were epidemics, high infant mortality, occupational diseases, injuries
and increasing mental

2- The district nursing stage
This began in 1860 with voluntary home nursing care for the poor.
Sometimes called ―health nurses‖. These specialties treated the sick and

taught wholesome living to patients.

3- The public health nursing stage

This began in 1900 and lasted until about 1970. It was characterized
by a consciousness of the general public and their health. The family
became the primary unit of care.

4- The community health nursing stage

This began around 1970 and has continued to the present. Nursing
schools began to require courses in ph for all baccalaureate graduates.
This stage made it clear that community nursing involved more than
merely working in the community. Roles expanded in many different
directions.

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