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Visiting Nurse Association of Allegheny County records
Notifications
Held at: University of Pennsylvania: Barbara Bates Center for the Study of The History of Nursing [Contact Us]Claire Fagin Hall, 418 Curie Boulevard, Floor 2U, Philadelphia, PA, 19104-4217
This is a finding aid. It is a description of archival material held at the University of Pennsylvania: Barbara Bates Center for the Study of The History of Nursing. Unless otherwise noted, the materials described below are physically available in their reading room, and not digitally available through the web.
Overview and metadata sections
Pittsburgh of 1918 was a city in its industrial heyday but the wounds of World War I were still fresh and citizens recalled the deleterious effects of the wartime nursing shortage. On top of that, the city's health care system had to deal with a massive influenza pandemic that affected over 23,000 Pittsburgh residents in only an 11 week period. These events pointed to serious shortcomings in Pittsburgh's public health services.
In response to this, the Women's Division of the Allegheny County Council of Defense, under the leadership of Annie E. McCord, conducted a survey of county public health services. With the cooperation of Alice E. Stewart of the Tuberculosis League and Katherine Olmstead of the National Organization for Public Health Nursing, the survey indicated there were, at the time, some 100 public health nurses under the control of over thirty separate and independent organizations. Much of their territory and functions overlapped which resulted in lackluster (and often inadequate) service.
A score of meetings and conferences followed to gain cooperation from the various public health employers. A fund raising campaign was launched and, upon the recommendation of the National Organization for Public Health Nursing, Miss Nan L. Dorsey was invited to become the organizer of the Special Committee for Public Health Nursing. Miss Dorsey was a tireless administrator and fundraiser. She successfully solicited funding from various agencies and, in the following year, she became the first director of the newly formed Public Health Nursing Association of Pittsburgh (PHNA).
Founded in 1919 by the citizens' committee, PHNA offered skilled nursing care on a visiting basis to the sick in their homes. In its first year of operation, PHNA opened six nursing centers (substations) with 28 nurses, a registrar and a stenographer on the staff. In 1920, PHNA branched out to outlying county areas and became affiliated with six local hospitals to provide public health experience for undergraduate nurses. The Association would later (in 1949) become the Visiting Nurse Association of Allegheny County.
The agency grew rapidly in the 1920s, responding to the needs of the poor sick in a heavily industrialized city. Service was extended to more county areas and special programs were added. In its early years, the agency emphasized maternal and child health services and control of communicable diseases. Programs in prenatal care, pre-school health clinics, nutrition and well-baby clinics were developed.
In 1926, Nan Dorsey left the agency to accept a position with the Red Cross in England. Her successor, Helen V. Stevens, directed the agency until 1947. During the 1930s, under Stevens' leadership, the agency's services were extended to cover the entire county so that by 1939 there were 11 substations.
The agency changed its name in 1949 to the Visiting Nurse Association of Allegheny County (VNAAC) and began to focus on the unmet home care needs of the ill and their families. In 1957, the Allegheny County Health Department assumed responsibility for maternal, child health and communicable disease services.
VNAAC witnessed dramatic increases in elderly, chronically ill and handicapped patients during the 1950s and 1960s. In response to this, rehabilitation and supportive services were developed. Physical therapists, speech pathologists, and social workers were added and stroke rehabilitation groups were begun.
The tumultuous 1960s and 1970s brought radical changes in health care as well as in American society. Clinical specialization had arrived in home health care. The agency heralded the new era of acute care in the home by hiring nurse clinicians trained in oncological, cardio-vascular and pulmonary care. Specialty programs in renal and hospice were also developed.
The 1980s saw new leadership under Andrew Peacock, the present director, who was appointed in 1983. The agency continues to address spiraling health costs and to utilize high-technology therapies such as intravenous chemotherapy.
Gift of Andrew Peacock, 1993.
Organization
Subject
Place
Occupation
- Publisher
- University of Pennsylvania: Barbara Bates Center for the Study of The History of Nursing
- Finding Aid Author
- Finding aid prepared by Center staff, updated by Bethany Myers
- Sponsor
- This collection was processed with funds provided by the National Historical Publications and Records Commission as part of the Nursing History Processing and Cataloging Project.
- Access Restrictions
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This collection is unrestricted.
- Use Restrictions
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Copyright restrictions may apply. Please contact the Center with requests for copying and for authorization to publish, quote or reproduce the material.
Collection Inventory
This includes founding organizer and first director Nan Dorsey's correspondence and letters of the Special Committee of Public Health Nursing. There are several historical sketches of the agency written in the period 1931-1958.
There is a nearly complete run of annual reports for the period 1940 to 1985. Other than annual reports, documentation is lacking for the 1950s and 1960s; ie. there are no minutes from that period. The minutes pick up in the 1970s.
This small series contains mostly manuals used by Monyough, University, Arsenal, and Carnegie sub-stations. There is also a small amount of correspondence, minutes, and financial data.
This series is comprised of periodicals and brochures of other organizations, as well as the agency's own quarterly newsletter, Close-up. Most significant in this series is a folder of articles written by agency staff.
Most of the promotional materials here center around Visiting Nurse Association Week. The series includes press releases, proclamations, brochures, and letters marketing home care products.
This series reflects the agency's association with other institutions such as the United Fund. Significant documentation in this series is the file on the consolidation of Homestead and St. Joseph's Hospitals' Home Health Care.
The scrapbooks are chronologically arranged for the years 1938-1960. The clippings were kept by a number of staff members and are not arranged. Included in this series is a sample of fabric used for public health nurses' uniforms.
Photographs are arranged in several subjects: individual nurses, group portraits of nurses, child health care, nurses with adult patients, building, district residents, general public relations, public relations photos with nurse Beth Nolan, public health nursing education, community activities, nursing uniforms and accessories, and contact sheets. Photographs are listed individually under the appropriate categories. Slides have been grouped by a number of events and instructional topics.
Key: letters indicate duplicate photographs (eg. p.2a is the duplicate of p.2).