The enduring issue of assessing nursing knowledge: Surgical nursing final examinations in Australia and New Zealand, 1905–1930
Pamela J Wood
Graduate School of Nursing, Midwifery and Health, Victoria University of Wellington, Wellington, New Zealand
PP: 109 - 122
Abstract
Finding the most appropriate way to assess knowledge is an enduring issue. In the past, nurses seeking state registration or professional qualification through nursing association membership were required to pass state final or association examinations.
This historical research describes final examinations in surgical nursing in Australia and New Zealand, 1905-1930, when the examination process and standards were first being established. A comparison shows more similarity than difference between the two countries' examinations. Not surprisingly, the most common topic in this pre-antibiotic period was prevention of wound infection. Despite the generally high pass rate, analysis of published examiners' comments in New Zealand reveals concern about areas of nurses' knowledge and level of general education. Examiners were concerned to ensure an effective examination but also provided advice on how to pass it.
The research contributes to a consideration of surgeons' expectations of nurses, and relations and knowledge boundaries between the two professions.
Keywords
nursing, history of nursing, nurse education, examination, assessment, historical research
References
American Journal of Nursing (1928) Education and intelligence: More facts from the Grading Committee. American Journal of Nursing 28(9): 910-911.
Ashley JA (1976) Hospitals, paternalism, and the role of the nurse. New York: Teachers College Press.
Australasian Nurses' Journal (1906) Examination questions and answers. Australasian Nurses' Journal 4(4): 114-115.
Australasian Nurses' Journal (1907) December examinations. Australasian Nurses' Journal 5(12): 384-385.
Australasian Nurses' Journal (1909) Papers set at the ATNA examination in December, 1908. Australasian Nurses' Journal 7(1): 28-31.
Australasian Nurses' Journal (1910) Membership examination. Australasian Nurses' Journal 8(12).
Australasian Nurses' Journal (1915) Nurses sitting in Sydney for examination. Australasian Nurses' Journal 13(1): 12.
Australasian Nurses' Journal (1917) Membership examination. Australasian Nurses' Journal 15(12): 428-429.
Australasian Nurses' Journal (1930) Nurses' Registration Board, NSW. Registration examination. Australasian Nurses' Journal 28(6): 173-177.
Australasian Nurses' Journal (1938) Nursing problem. Australasian Nurses' Journal 36(11): 229.
Bicknell J (1927) Part V: Nursing, Annual Report of the Director, Division of Nursing. Appendices to the Journals of the House of Representatives H-31: 23-27.
Bridges ER (1944 January) The written examination. Kai Tiaki 19-20.
British Journal of Nursing (1903 January) Victorian Trained Nurses' Association. British Journal of Nursing 30: 51.
British Journal of Nursing (1924 August) The state examinations. British Journal of Nursing 72: 189.
British Medical Journal (1938 May) Nursing problem. British Medical Journal 14(Suppl.): 301-305.
Brooks J (2007) 'Women in-between' (Strathern 1995): The ambiguous position of the sister tutor, 1918-1960. Nurse Education Today 27: 169-175.
Carroll PM (1984) Basic nursing education. In Smith MG and Shadbolt YT (Eds) Objects and outcomes: New Zealand Nurses' Association 1909-1983, pp.64-78. Wellington: New Zealand Nurses Association.
Darling HCR (1917) Surgical nursing and after-treatment. A handbook for nurses and others. London: J&A Churchill.
Darling HCR (1923) Surgical nursing and after-treatment. A handbook for nurses and others 2nd edn. London: J&A Churchill.
Darling HCR (1928) Surgical nursing and after-treatment. A handbook for nurses and others 3rd edn. London: J&A Churchill.
Dow D (1995) Safeguarding the public health: A history of the New Zealand Department of Health. Wellington: Victoria University Press.
Fairman J (2004) Not all nurses are good, not all doctors are bad... Bulletin of the History of Medicine 78: 451-460.
Godden J (2003) Matching the ideal? The first generation of Nightingale nursing probationers, Sydney Hospital, 1868-1884. Health and History 5: 22-41.
Godden J (2007) Lucy Osburn, a lady displaced: Florence Nightingale's envoy to Australia. Sydney: Sydney University Press.
Group T and Roberts J (2001) Nursing, physician control, and the medical monopoly: Historical perspectives on gendered inequality in roles, rights, and range of practice. Bloomington IN: Indiana University Press.
Jackson AM and Armstrong KF (1934) Teaching in schools of nursing. London: Faber & Faber.
Kai Tiaki (1911 July) State examination of nurses. Kai Tiaki 121-124.
Kai Tiaki (1912a January) State examinations. Kai Tiaki 12-18.
Kai Tiaki (1912b July) State examinations. Kai Tiaki 84-86.
Kai Tiaki (1913a April) Surgical nursing examination. Kai Tiaki 51-54.
Kai Tiaki (1913b October) State examination of nurses. Kai Tiaki 170-174.
Kai Tiaki (1914a April) State examination. Kai Tiaki 70-73.
Kai Tiaki (1914b October) State examination of nurses. Kai Tiaki 151-155.
Kai Tiaki (1917 January) State examinations of nurses and midwives. Kai Tiaki 36-57.
Kai Tiaki (1918 October) State examination surgical paper. Examiner's comments. Kai Tiaki 179-181.
Kai Tiaki (1920 January) State examination of nurses. Kai Tiaki 31-38.
Kai Tiaki (1921 January) State examination of nurses. Kai Tiaki 7-11.
Kai Tiaki (1922 July) State examination of nurses. Kai Tiaki 101-103.
Kai Tiaki (1924 July) Surgical nursing. Kai Tiaki 105-106.
Kai Tiaki (1927 July) Forthcoming examinations. Kai Tiaki 160.
Kai Tiaki (1928 October) State examinations. Kai Tiaki 190-191.
Kai Tiaki (1930a March) State examinations in medical, surgical, midwifery and maternity nursing held in December, 1929. Kai Tiaki 65-88.
Kai Tiaki (1930b September) State examination of nurses. Kai Tiaki 251-252.
Kai Tiaki (1931 September) State examinations. Surgical and medical nursing. Kai Tiaki 213-215.
Kai Tiaki (1934 January) Nurses' and Midwives' Registration Board. Examination for the state registration of trained nurses. Kai Tiaki 246-247.
MacLaurin C (1909) The nursing of abdominal operations. Australasian Nurses' Journal 7(11): 385-390.
Maclean H (1910) Report on Nurses Registration, Midwives, and Private Hospitals Acts, etc. Appendices to the Journals of the House of Representatives H-22: 9-14.
Maclean H (1911) Report on Nurses Registration Act, Midwives, and Private Hospitals. Appendices to the Journals of the House of Representatives H-31: 76-84.
Maclean H (1912) Report on the Nurses Registration Act, Midwives Act, and Part III of the Hospitals and Charitable Institutions Act (Private Hospitals). Appendices to the Journals of the House of Representatives H-31: 11-12.
Maclean H (1919) Report on Nurses Registration Act, Midwives Act, Maternity Hospitals, and Private Hospitals. Appendices to the Journals of the House of Representatives H-31: 10-13.
Madsen W (2005) Nursing history: Foundations of a profession. Sydney: Pearson Education.
Maitland HL (1904) Lecture on asepsis. Australasian Nurses' Journal 2(3): 87-92.
Maitland HL (1905) Lecture on asepsis (Continued). Australasian Nurses' Journal 2(4): 120-122.
McDougall M (1997) Discovering our past: Exploring a register from Wellington Hospital 1916-1925. In Chick N and Rodgers J (Eds) Looking back, moving forward: Essays in the history of nursing and midwifery, pp.23-32. Palmerston North: Massey University.
McNaughton Christie J (1913 October) Address delivered before Wellington Branch, NZTNA, by McNaughton Christie J, MD. Kai Tiaki 137-145.
McNaughton Christie J (1914 January) Second lecture delivered before Wellington Branch, NZTNA, by McNaughton Christie J, MD. Kai Tiaki 7-18.
Melosh B (1982) 'The physician's hand': Work, culture and conflict in American Nursing. Philadelphia PA: Temple University Press.
Neill G (1899) The professional training and status of nurses. Nursing Record and Hospital World 23: 44-47.
Newland S (1909) Aseptic surgery, lecture to South Australia Branch of ATNA. Australasian Nurses' Journal 7(7): 241-249.
New Zealand Gazette (1914) Register of Medical Practitioners. New Zealand Gazette 1: 49-75.
Nursing Record and Hospital World (1899) International Congress of Women. Nursing section. Nursing Record and Hospital World 23: 44-51.
Papps E (1997) 'Knowledge, power and nursing education in New Zealand: A critical analysis of the construction of the nursing identity.' Unpublished PhD thesis, University of Otago, Dunedin, New Zealand.
Piercey C (2002) 'Nurse education in Western Australia from 1962-1975: A historical perspective of influences and changes.' Unpublished PhD thesis, Curtin University of Technology, Perth.
Rafferty AM (1996) The politics of nursing knowledge. London and New York: Routledge.
Rodgers J (1985) 'Nursing education in New Zealand, 1883-1930: The persistence of the Nightingale ethos.' Unpublished MA thesis, Massey University, Palmerston North.
Russell RL (1990) From Nightingale to now: Nurse education in Australia. Sydney: WB Saunders/Baillière Tindall/Harcourt Brace.
Sargison PA (2001) ''Essentially a woman's work': A history of general nursing in New Zealand, 1830-1930.' Unpublished PhD thesis, University of Otago, Dunedin, New Zealand.
Smith MG and Shadbolt YT (Eds) (1984) Objects and outcomes: New Zealand Nurses' Association 1909-1983. Wellington: New Zealand Nurses' Association.
Storey JC (1925) The general principles of surgical nursing. Synopsis of lectures to ATNA. John C Storey, Honorary Surgeon, Coast Hospital, Honorary Assistant Surgeon Royal Prince Alfred Hospital. Australasian Nurses' Journal 23(7): 323-332.
Stout D (1914 April) Recent surgery: A lecture delivered before the Wellington Branch of NZTNA by Stout D, MD, MS, FRCS. Kai Tiaki 60-66.
Thomas J (2003) A glance back in time: The nursing notes of Edwina Perkins. International History of Nursing Journal 7(2): 21-28.
Tracy-Inglis R (1920 October) Examiner's comments on surgical nursing paper. Kai Tiaki 163.
Unwin WH (1913 October) Comments by examiner. Kai Tiaki 173-174.
Weir R (1996) The lecture notes of two pupil nurses of the Preliminary Training School at Glasgow Royal Infirmary. International History of Nursing Journal 1(4): 49-60.

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