Abstract

This dissertation examines the role of nurses in Chile during the transformation of the health care system from charitable benevolence to duty of the state. The first secular nurses trained to assist physicians in 1902 and were educated, middle class women. The Constitution of 1925 made public health a state responsibility and created a middle class bureaucracy. A U.S. model of public health nursing started in Chile in 1927. In 1941, the International Health Division of the Rockefeller Foundation was invited to improve public health and to build the public health leadership of physicians and nurses in Chile. A demonstration health clinic employed public health nurses to do home visiting and preventive patient education, and became a successful model and teaching center for public health nurses. During the 1930s and 1940s, nurses began to teach, direct schools, supervise their profession and organized a professional organization. The study questions examined are: (1) Did the work of public health nurses change with each new presidential administration elected into office 1927 and 1945? (2) Did the Rockefeller Foundation nurse consultants propose a program of nursing service that would radically transform public health practice in Chile? (3) Did U.S. influence transform the professional status of nurses and their role in the health care system of Chile? Primary and secondary sources in English and Spanish were analyzed using a social history framework.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3309517; ProQuest document ID: 304493901. The author still retains copyright.

Author Details

Jeannine M. Uribe, PhD, RN

Sigma Membership

Kappa Delta

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Historical

Research Approach

Qualitative Research

Keywords:

Chilean Nurses, Chilean Health Care System, History of Nurses

Advisor

Karen Wilkerson

Degree

PhD

Degree Grantor

University of Pennsylvania

Degree Year

2008

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2020-02-20

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