PARADIGM SHIFT IN NURSING CURRICULUM AND ADMINISTRATION
I.PRE-WAR TO 1945
1.
Concept of a hospital:
The Hospital has a morbid image to the people at this period. When someone is brought to the hospital, people feel the patient is dying.
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The hospital is for the sick and the dying2.organizational structure and facilities
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Highly centralized/ absence of electronic devices3.Nursing service
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No participation in operational planning
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No managerial knowledge, managerial practice was gained byexperience
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Task-oriented, but ensures high quality and excellent bedside care
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Multi-dimensional scope of responsibilities, e.g. Incharge of linen,housekeeping and dietary at times
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Nurses were highly disciplined but very few takes up Nursing
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Nurses lack theoretical knowledge to back-up their skills
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Nursing administrator holds a very demanding job; she must be strongand clever.4.Nursing education
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A three-year Graduate Nursing program solely existed.
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Conceptualization of BSN program and implementation in 1947 withthe first graduate from UP College of Nursing in 1952
II.Professionalization Period of Nursing (1946-70s)
1.Hospital – the Hospital image gradual changed
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It maintained curative and rehabilitative function; however, thepreventive function was not emphasized
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Electronic age started, e.g. chemotherapy for Tb and cancer, andradiation became available
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The hospital was still highly centralized in terms of control2.Nursing Service
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Chief Nurses had no voice in Operation Planning; no emphasis onqualification, tenure was the basis of succession
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Many registered nurses enrolled in supplemental programs
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Maintained highly appreciated bed care
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Exodus of nurses started in the 50s
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In late 70s, Standards for Nursing Practice were formulated
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"Paradigm Shift in Nursing Curriculum and Admini..."
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