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Author D'Antonio, Patricia, 1955- author.

Title Nursing with a message : public health demonstration projects in New York City / Patricia D'Antonio.

Publication Info. New Brunswick, New Jersey : Rutgers University Press, 2017.

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Description 1 online resource.
Series Critical issues in health and medicine
Critical issues in health and medicine.
Summary "Mandated by the Affordable Care Act, public health demonstration projects have been touted as an innovative solution to the nation's health care crisis. Yet, such projects actually have a long but little-known history, dating back to the 1920s. This groundbreaking new book reveals the key role that these local health programs--and the nurses who ran them--influenced how Americans perceived both their personal health choices and the well-being of their communities. Nursing with a Message transports readers to New York City in the 1920s and 1930s, charting the rise and fall of two community health centers, in the neighborhoods of East Harlem and Bellevue-Yorkville. Award-winning historian Patricia D'Antonio examines the day-to-day operations of these clinics, as well as the community outreach work done by nurses who visited schools, churches, and homes encouraging neighborhood residents to adopt healthier lifestyles, engage with preventive physical exams, and see to the health of their preschool children. As she reveals, these programs relied upon an often-contentious and fragile alliance between various healthcare providers, educators, social workers, and funding agencies, both public and private. Assessing both the successes and failures of these public health demonstration projects, D'Antonio also traces their legacy in shaping both the best and worst elements of today's primary care system"-- Provided by publisher.
"Focuses on demonstration projects and health centers in New York City in the interwar years. One of the clear strengths of the movement was its acknowledged dependence on nurses - especially public health nurses - to visit family after family, neighborhood after neighborhood, school after school, and church after church to encourage the adoption of healthier lifestyles, preventive physical exams, well child care, and routine dental care. Their work established the norms of primary care now practiced in today's primary care centers. But their work was highly labor intensive and depended on the breakdown of disciplinary boundaries among nurses, physicians, and social workers that had been painstakingly created in the decades before the War. This almost happened - until the ravages of the Great Depression of the 1930s forced retrenchments that stifled continued innovation. Nursing with a Message explores the day-to-day processes involved in the coming together and moving apart of different organizations, disciplinary interests, knowledge domains, and spheres of public and private responsibilities involved in caring for those in need at the point of delivery of service. More specifically, it uses the public health nurses involved in New York City health demonstration projects as a case study of disciplinary tensions inherent in projects with multiple constituents and invested in multiple, and sometimes contradictory outcomes. It shows how one central public health discipline searched for better ways to care for the people it served even as it attended to its own advancement, place, and power in a very complicated space of ideas, practice, action, and actors. But the prerogatives of gender, class, race, and disciplinary interests shaped their implementation"-- Provided by publisher.
Bibliography Includes bibliographical references and index.
Note Print version record.
Contents Chapter 1. Medicine and a Message; Chapter 2. The Houses That Health Built; Chapter 3. Practicing Nursing Knowledge; Chapter 4. Shuttering the Service; Chapter 5. Not Enough to Be a Messenger.
Subject Community health nursing -- New York (State) -- New York.
Public health nursing -- New York (State) -- New York.
MEDICAL -- Public Health.
MEDICAL -- Nursing -- General.
SOCIAL SCIENCE -- Human Services.
MEDICAL -- History.
SCIENCE -- History.
HEALTH & FITNESS -- Holism.
HEALTH & FITNESS -- Reference.
MEDICAL -- Alternative Medicine.
MEDICAL -- Atlases.
MEDICAL -- Essays.
MEDICAL -- Family & General Practice.
MEDICAL -- Holistic Medicine.
MEDICAL -- Osteopathy.
MEDICAL -- Nursing -- General.
Community health nursing. (OCoLC)fst00870941
Public health nursing. (OCoLC)fst01082384
New York (State) -- New York. (OCoLC)fst01204333
HEALTH & FITNESS / Holism.
HEALTH & FITNESS / Reference.
MEDICAL -- History.
MEDICAL -- Nursing -- General.
MEDICAL -- Public Health.
MEDICAL / Alternative Medicine.
MEDICAL / Atlases.
MEDICAL / Essays.
MEDICAL / Family & General Practice.
MEDICAL / Holistic Medicine.
MEDICAL / Nursing / General.
MEDICAL / Osteopathy.
SCIENCE -- History.
SOCIAL SCIENCE -- Human Services.
Other Form: Print version: D'Antonio, Patricia, 1955- Nursing with a message. New Brunswick, New Jersey : Rutgers University Press, 2017 9780813571034 (DLC) 2016015513 (OCoLC)951917162
ISBN 9780813571041 (electronic bk.)
0813571049 (electronic bk.)
9780813571034
0813571030
9780813571027
0813571022
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