Thursday, July 22, 2004: 3:00 PM-4:30 PM

Enduring Issues: Past Perspectives on the Future

Learning Objective #1: Describe historic choices facing nurses at five junctures and the decisions made related to their practices and professional roles
Learning Objective #2: Use historical case studies to analyze how choices made by previous generations of nurses continue to shape practice and care today
Enduring Issues: Past Perspectives on the Future. The twofold purpose of this symposium is to describe four recurring issues and themes faced by nurses in the United States at critical junctures in time and to analyze the approaches nurses took to insure the delivery of health services to the community. The symposiumís central theme, enduring issues, identifies the universal nature of problems in health care delivery and the ways in which nursing care intersects with past events. Historical research will be used as the framework for understanding todayís health care context. It is a useful methodology for examining health care issues not just for the knowledge it generates, but also because history adds a critical analytical dimension to discussions of health care models. The research included in this symposium explores the contextualized and often contested terrain of nursing care delivery to communities in the United States. Four historical case studies covering a range of issues important to contemporary nursing practice are included. Specifically, the papers will address prevention of disease via the case of the early twentieth century child tuberculosis preventorium, the enduring issue of financing the care of the sick at home, the persistent phenomenon of twentieth century nurse shortages, and the triangulation of nurses, physicians and nurse practitioners in the 1970s as they negotiated the uncertain boundaries between practice disciplines. The presentatations included in this symposium suggest a fuller understanding of the role of nurses and nursing to health care delivery. Historical research can explain how choices made by or for earlier generations of nurses continue to shape nursing practice and health care in fundamental ways. Examining and analyzing health care issues through historical studies places in perspective contemporary problems, broadening the understanding of nurses and policy makers who develop strategies for meeting future health and nursing care needs.
Organizer:Jean C. Whelan, PhD, RN
 Home Care Financing: A Cautionary Tale
Karen Buhler-Wilkerson, PhD, RN, FAAN
 Increasing Supply, Increasing Demand: Why the United States Never has Enough Nurses
Jean C. Whelan, PhD, RN
 Knowledge Migration, Culture, and Science: A Case Study of Children, Nurses, and Tuberculosis Prevention in Western Europe and North America, 1900-1940
Cynthia Connolly, PhD, RN
 Nurse Practitioners; Fragmentation or Collective Power
Julie Fairman, PhD, RN, FAAN

15th International Nursing Research Congress
Sigma Theta Tau International
July 22-24, 2004