Book contents
- Frontmatter
- Contents
- Acknowledgments
- Introduction
- Chapter I Asylum Reform Ideals: Personnel Matters
- Chapter II The Ideal of a Mental Hospital
- Chapter III Female Compassion: Mental Nurse Training Gendered Female
- Chapter IV The Burdensome Task of Nurses
- Chapter V Negotiating Class and Culture
- Chapter VI The Marginalization of Male Nurses
- Chapter VII Controversy and Conflict over the Social Position of Nurses
- Conclusion: The Politics of Mental Health Nursing
- Appendix
- Notes
- List of Illustrations
- List of Abbreviations
- List of Archives
- Bibliography
- Index
Chapter VII - Controversy and Conflict over the Social Position of Nurses
Published online by Cambridge University Press: 28 January 2021
- Frontmatter
- Contents
- Acknowledgments
- Introduction
- Chapter I Asylum Reform Ideals: Personnel Matters
- Chapter II The Ideal of a Mental Hospital
- Chapter III Female Compassion: Mental Nurse Training Gendered Female
- Chapter IV The Burdensome Task of Nurses
- Chapter V Negotiating Class and Culture
- Chapter VI The Marginalization of Male Nurses
- Chapter VII Controversy and Conflict over the Social Position of Nurses
- Conclusion: The Politics of Mental Health Nursing
- Appendix
- Notes
- List of Illustrations
- List of Abbreviations
- List of Archives
- Bibliography
- Index
Summary
An Ambiguous Social Position
Despite the promise of training, the social position of student nurses remained unstable and ambiguous. Although ideologically nursing had been reformulated as a respectable occupation, the actual working conditions rendered student nurses quite unprotected and prone to exploitation. Many nurses suffered from physical exhaustion as a result of the long working hours and strenuous working conditions. In Meerenberg, for example, the high turnover and continuous demand for personnel often prevented nurses from benefitting from a preparatory period in the nurses home. They were in a very vulnerable position as they usually came to work on the wards whilst young and with little experience. As discussed in Chapter V, high turnover was also a pressing issue at Veldwijk, and at Franeker, turnover rates remained high despite the increased status and training. During the first decades of the twentieth century, each year about a third to half of the nursing staff at Franeker were replaced by new applicants. Their salaries were about the same as those of the traditional attendants – 150 to 200 guilders in 1901. A graduate nurse earned 250 to 300 guilders, and the first nurses, 300 guilders. Yet the number of graduate nurses remained low.
The vulnerability of nurses became very clear in the case of the nineteenyear- old student nurse Elisabeth Johanna Van Steen at Meerenberg. In 1897 she was sentenced to one month in prison after an accident involving one of the patients. She had allegedly caused a patient's death from burns in a bath that was too hot. Gerardus van Walsum, the physician in charge of the ward, reported to the court that the nurse had failed to check the bath's temperature properly. His impression was that this nurse was “somewhat loose”, “just her age”, and not one of the most meticulous nurses.
The case stirred enormous debate. During the 1890s the reputation of Meerenberg had already been severely damaged after two accidents leading to the deaths of patients, but in this case public indignation rose even higher. The case was widely discussed in the local newspapers and the Provincial Council's deputies began an extensive investigation after Elisabeth's appeal was upheld in a higher court. Amsterdam lawyer J. A. Levy volunteered to appeal against the conviction.
- Type
- Chapter
- Information
- The Rise of Mental Health NursingA History of Psychiatric Care in Dutch Asylums, 1890–1920, pp. 197 - 224Publisher: Amsterdam University PressPrint publication year: 2003