Paper
Saturday, July 14, 2007
This presentation is part of : Nursing History Issues
Alice Magaw: The Mother of Anesthesia
Nancy A. Harris, PhD, Anesthesia Department, University of Iowa Hospital and Clinics, Iowa City, IA, USA
Learning Objective #1: list the four components of the foundation for the first advanced practice nursing: anesthesia.
Learning Objective #2: list four outcomes of Alice Magaw’s anesthesia practice on turn of the twentieth century medicine and nursing.

This study is a biography of Alice Magaw, nurse anesthetist for Dr. Charles H. and William J. Mayo, Rochester, Minnesota from 1889-1908. The purpose was to contextualize her anesthesia practice as the product of the unique environment of the turn of the twentieth century Mayo Clinic, and analyze the direct and indirect impact of her practice.

This research utilized a great person framework integrated with social history. Although the use of biography has lost some of its appeal, its use was appropriate for meeting the aims of this study. Inclusion of the social perspective strengthened the use of biography and enriched the analysis.

Magaw expanded the role of clinical nurse anesthetist to include teaching, mentorship, authorship and research. Magaw is a nurse missing from history, lost through time and the politics of nursing, medicine and anesthesia. At a time when anesthesia was feared more than the surgery itself, Magaw demonstrated that integrating nursing principles into the process of anesthesia could minimize patient fears and enhance the safety of anesthesia. Magaw’s tutelage was sought by physicians as well as nurses. A hundred years before the term ‘evidence-based practice’ was coined, Magaw published anesthesia outcomes in medical journals and presented her data before medical societies. She also earned an international reputation for the delivery of 14,000 anesthetics without an anesthesia-related death. This research revealed that Magaw’s clinical teachings rippled from coast to coast and her practice blurred established professional boundaries between nursing and medicine. Magaw was a catalyst for the development of the first advanced practice nursing: anesthesia. Dr. Charles H. Mayo bestowed upon Magaw the title of “The Mother of Anesthesia.”