Book
Ordered to Care: The Dilemma of American Nursing, 1850-1945
📖 Overview
Ordered to Care examines the evolution of American nursing from 1850-1945, tracking its transformation from a domestic service into a professional healthcare role. The book focuses on the complex relationship between nurses' duty to care and their labor conditions within the developing medical system.
The narrative covers pivotal moments in nursing history, including the Civil War's impact on nursing practice, the rise of training schools, and the push for standardization and licensure. Reverby analyzes primary sources such as diaries, letters, and institutional records to document the daily realities and challenges faced by nurses during this period.
The work traces how gender expectations and class distinctions shaped the development of nursing as a female-dominated profession. Hospital economics, labor relations, and the broader social context of American healthcare reform feature prominently in the historical account.
Through its examination of nursing's professional evolution, the book reveals fundamental tensions between institutional demands, economic pressures, and the ethical imperatives of caregiving. These conflicts continue to influence modern healthcare debates and nursing practice.
👀 Reviews
Readers describe this academic text as a detailed examination of nursing's development into a profession, with a focus on power dynamics and labor issues.
Readers appreciated:
- Research depth and archival evidence
- Exploration of class and gender constraints on nurses
- Analysis of tensions between professional ideals and practical realities
- Clear writing style that remained engaging despite academic content
Common criticisms:
- Dense academic prose can be challenging for casual readers
- Some sections become repetitive
- Limited coverage of nurses' daily experiences/practices
- Focus on Northeast US mainly
Ratings:
Goodreads: 3.9/5 (21 ratings)
Amazon: 4.3/5 (6 ratings)
Sample reader comment: "Reverby skillfully shows how the 'duty to care' became both a source of power and exploitation for nurses." - Goodreads reviewer
"The emphasis on organizational politics overshadows the human element of nursing history." - Amazon reviewer
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Notes on Nursing: What It Is, and What It Is Not by Florence Nightingale The foundational 1859 text outlines the principles of nursing practice and hospital care that established the basis for modern nursing.
Self-Help and Popular Religion in Modern American Culture: An Interpretive Guide by Roy M. Anker This analysis traces the intersection of American healthcare, religious beliefs, and social reform movements from 1850 to 1950.
Women's Bodies, Women's Wisdom: Creating Physical and Emotional Health and Healing by Christiane Northrup This text chronicles the evolution of women's healthcare and medical knowledge from the Victorian era through modern times.
From Midwives to Medicine: The Birth of American Gynecology by Deborah Kuhn McGregor The book documents the transformation of women's medical care in America from the mid-nineteenth century through the professionalization of obstetrics and gynecology.
🤔 Interesting facts
🏥 Susan Reverby spent over seven years researching and writing this groundbreaking book, conducting extensive interviews with retired nurses and poring through hospital archives across America.
⚕️ The book reveals how early American nurses were often expected to perform their duties out of a sense of duty and sacrifice, leading to systematic exploitation of their labor - they frequently worked 12-16 hour days for minimal pay.
👩⚕️ During the Civil War period covered in the book, nurses had a mortality rate nearly as high as soldiers, with one in six dying from diseases contracted while caring for patients.
📚 The book won the Lavinia L. Dock Award from the American Association for the History of Nursing and helped establish nursing history as a serious academic field.
🏛️ Reverby's research showed that by 1900, there were more women employed as nurses in the United States than in any other professional occupation - yet they had almost no representation in hospital administration or policy-making.