If you think of a woman dressed in scrubs with a stethoscope around her neck and a clipboard in her hands, you aren’t alone. An overwhelming majority of nurses in the United States today are women. However, nursing began as a practice reserved for men. The first nursing school was established in India in about 250 B.C., and only men were permitted to attend because men were viewed to be more pure than women.
It wasn’t until the 1800's that nursing became an organized practice. During the Crimean War, Florence Nightingale and 38 volunteer nurses were sent to the main British camp in Turkey. Nightingale and her staff immediately began to clean the hospital and equipment and reorganized patient care. Nightingale pushed for reform of hospital sanitation methods and invented methods of graphing statistical data. When she returned to Britain, Nightingale aided in the establishment of the Royal Commission on the Health of the Army. As a woman, Nightingale could not be appointed to the Royal Commission, but she composed the Commission’s report. Completed, the report was over 1,000 pages in length and included detailed statistical information. Nightingale’s work led to drastic changes in army medical care, the establishment of an Army Medical School and medical records, and ignited the growth of nursing as an organized profession. For these contributions, Nightingale is widely accepted as the founder of nursing.
In the early 1900's, nursing education was received primarily from hospitals rather than colleges or universities. New nursing students were responsible for tasks similar to that of maids – dusting, scrubbing and doing dishes. These students typically worked 10 to 12 hour shifts, seven days a week, for a period of two to three years. Later responsibilities included sterilization of equipment such as needles and bandages and cleaning operating rooms. After graduating, most worked in patient homes as private-duty nurses and were paid amounts comparable to today’s minimum wage. Their duties included bathing, administration of medications and enemas, and tending to wounds and sores.