Historical development in Medical-surgical nursing. For the Msc Nursing students

1. Historical development of
Medical- Surgical Nursing
Anil Patidar
Assistant professor
MTIN , Charusat

2. Introduction
• Medical surgical Nursing is a nursing speciality which is
concerned with care of adult patients in a broad range of
settings.
• Advances in medicine and surgery have resulted in medical-
surgical nursing evolving into its own specialty.
• The ACADEMY OF MEDICAL SURGICAL NURSES (AMSN) is
a specialty nursing organization dedicated to nurturing medical-
surgical nurses as they advance their careers.

3. • In the history of Indian medicine begins from 3000 BC
In 2000 BC the RIGVEDA marks the beginning of Indian system of medicine.
In 272 BC king Ashoka built number of hospitals. He had given his emphasis
on the prevention of the diseases. Doctors, Nurses and the Midwifes were
also available in that time. Nalanda and Thaxaxila were the two famous
medical schools.

4. • In 100 B C, the surgical field was the well known by surgeons
Sushruta and Charaka. Especially two types of operation at
those times were outstanding, Removal of the gall bladder
stone and the plastic surgery of the nose

5. Nursing in India:
In the beginning the nursing was hindered by many difficulties like the cast
system among the Hindus, the Pardha system among the Muslims and the low
status of the women.
The military nursing was the earliest type
of the nursing in 1664 the British east India
company helped to start a hospital for
soldiers in madras
(St. George HOSPITAL)

6. 1854 • The government sanctioned
training school for the midwives.
1864
• St. Stephens Hospital Delhi
• First to train Indian girls as
nurses.
1871
• The government,
general hospital of
madras took a plan
to train the nurses

7. 1905
• T.N.A.I established
1926
• – Madras state formed the first registration council
1946
• First four year Basic Bachelor degree program
established in R.A.K
1947-
49
• The Indian Nursing Council was passed by ordinance
on December 31, 1947 and was constituted in 1949.

8. History of Surgical Nursing
• 1840s - Operate on a client who was free from pain. It was a revolution for
surgery. Development of safer anaesthetic gases allowed surgeons to
conduct longer operative procedures. All the surgery was conducted in
hospital setting and nurses are required special training for new
responsibilities such as assisting, preparing, caring for a patient in surgical
unit.
1.1876s- In Massachusetts, general hospital provided the first operating
room education for nurse’s. The trend continued to1900s as nursing schools
included operating room experience in each nurses clinical instruction.

9. • 1956- The association of operating room nurses was formed to gain
knowledge of surgical principles and explore methods to improve
nursing care of surgical clients. The associations of operating room
nurses overcame the idea that operating room nurses were only
technically skilled practitioners. This organization also developed
standard of nursing practice to establish the need for registered nurses
in the operating room.
1970s-A change occurred in nursing education with a focus on the importance
of nurses acquiring a broad knowledge base, resulted in less emphasis on
operating room techniques. There has also been a new development in the
setting for operative procedures: • Ambulatory surgery: It was also referred to
as outpatient.

10. • One-day surgery: This health care service is presently growing
rapidly in numbers and various types of procedures such as invasive
non invasive procedures are performed. Ambulatory surgery is a
scheduled surgical procedure provided for a client who does not
remain overnight in a hospital, e.g. biopsies, cosmetic surgery,
cataract extractions.

11. Conclusion
• The nursing profession is among the largest labour pools in the
world. Nursing profession advocates and the demand for more
capable healthcare staff in the medical field during wartime were
catalysts for the trade’s evolution.
• In the 1800’s, nursing began as a job performing domestic duties in
the medical environment. Many hospitals trained nurses directly
during the profession’s early days – a task now fulfilled by academic
institutions. Today, formalized licensing and training ensure a
medical environment that vastly improves patient outcomes
compared to institutionalized healthcare’s infancy.

12. THANK YOU