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9 ‘Community healthcare’

Struggles and conflicts of an emerging public health system in the United States, 1915–45
  • Rima D. Apple
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Histories of nursing practice
This chapter is in the book Histories of nursing practice

Abstract

In the first half of the twentieth century, concern for community health, particularly worries over the high rates of infant and maternal mortality and tuberculosis cases, spurred the development of public health nursing in the United States. The Wisconsin Anti-Tuberculosis Association (WATA) initiated the first public health nursing programme in the state. The work and the itinerant nature of WATA's popular public health demonstration nurse programme gives some insight into the accommodations and conflicts inherent in a scramble between competing agencies. Transient clinics examined preschool and school children during the decades of the 1920s, 1930s and 1940s in Wisconsin. This chapter addresses how the nurses handled potential professional conflicts with other nurses. An analysis of the experiences of these early public health nurses can help clarify the evolution of the system we have today and remind us of the practicalities that shape complex health systems.

Abstract

In the first half of the twentieth century, concern for community health, particularly worries over the high rates of infant and maternal mortality and tuberculosis cases, spurred the development of public health nursing in the United States. The Wisconsin Anti-Tuberculosis Association (WATA) initiated the first public health nursing programme in the state. The work and the itinerant nature of WATA's popular public health demonstration nurse programme gives some insight into the accommodations and conflicts inherent in a scramble between competing agencies. Transient clinics examined preschool and school children during the decades of the 1920s, 1930s and 1940s in Wisconsin. This chapter addresses how the nurses handled potential professional conflicts with other nurses. An analysis of the experiences of these early public health nurses can help clarify the evolution of the system we have today and remind us of the practicalities that shape complex health systems.

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