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The general system of theoretical and practical training which is used in most of our training schools to-day, was worked out a good many years ago, before Public Health Nursing, as we now understand it, had really come into being. The training was established first of all to meet the needs in hospitals. If the pupil nurses were able to do the every-day work of the various hospital departments in a satisfactory way and if, on graduation, they were able to adapt themselves fairly well to the care of sick patients in private homes, it has usually been assumed that the course of training was all that could be desired. A few nurses have always gone into executive work in institutions, and up to the last ten or fifteen years a very few into visiting nursing and other special branches, but it had never been considered necessary or advisable to change the regular course of training in any way to meet the needs of this relatively small group. The recent rapid development of visiting nursing and other branches of public health work has brought us face to face with a new problem in nurse training. In the first place we are asked to produce more nurses for this field, and we are asked also to fit them more specifically for it. There can be no question that nurses have on the whole made good in public health work, but they themselves are the first to admit that they have not measured up to all the possibilities or requirements of the new job. Some of them have taken post-graduate courses to better fit themselves for such work, but the majority have had to plunge in and find themselves as best they could. The general opinion seems to be that the usual hospital training does not entirely prepare them for these branches of work. This opinion comes not only from nurses, but from prominent health experts and from people in various branches of social and community work, where numbers of nurses are employed. How, then, are public health nurses to be trained? There has been a great deal of discussion of this question in recent years, and it has been rather hard to come to any definite conclusion as to just what the training in public health should include, but one thing seems
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