Boggatz Thomas
Institut für Medizin- und Pflegepädagogik und Pflegewissenschaft, Humboldt Universität zu Berlin.
Pflege. 2003 Dec;16(6):331-6. doi: 10.1024/1012-5302.16.6.331.
Health education nowadays is considered a nursing task. Traditionally medical doctors claimed that this intervention belonged to their field of work. This article investigates the role of German nurses in health education around 1900. The problem of tuberculosis control serves as an example. For this purpose the academic library for the history of science at the Humboldt University, Berlin was searched for relevant sources. From the texts found, statements about health education and nursing tasks were compared.
For the period around 1900 two different strategies of control can be identified. The sanatorium, which beside its therapeutic function was conceived as an educational institute for personal hygiene, occupied the central position. Under the guidance of medical doctors a lasting attitude change of patients should occur. Contemporary criticism, however, doubted the concept's efficiency. As an alternative, a local attendance program by means of welfare offices was suggested. Often, these institutions provided the sole practicable way of action. Here, the nursing staff acted more independently in comparison to the sanatorium under medical direction. Health education played a key role in the work of the welfare nurses.
如今,健康教育被视为一项护理任务。传统上,医生声称这项干预措施属于他们的工作领域。本文探讨了1900年左右德国护士在健康教育中的作用。以结核病控制问题为例。为此,在柏林洪堡大学的科学史学术图书馆中查找了相关资料。从找到的文本中,对有关健康教育和护理任务的陈述进行了比较。
在1900年左右的时期,可以确定两种不同的控制策略。疗养院除了具有治疗功能外,还被视为个人卫生教育机构,占据中心地位。在医生的指导下,患者应发生持久的态度转变。然而,当代的批评对该概念的有效性表示怀疑。作为替代方案,有人建议通过福利办公室开展当地出诊项目。通常,这些机构提供了唯一可行的行动方式。在这里,与在医生指导下的疗养院相比,护理人员的行动更加独立。健康教育在福利护士的工作中发挥了关键作用。