The History of Nurse Maude
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District Nursing and Homecare in Canterbury The History of Nurse Maude Vivienne Allan ‘The First 100 Years’ was published by the Nurse Maude Foundation in 1996 This electronic edition was updated in 2016 Copyright © Nurse Maude Association 2016 Author Vivienne Allan All rights reserved This book may not be reproduced in whole or in part, stored or introduced into a retrieval system, or transmitted, in any form or by any means (electronic, mechanical, photocopying, recording or otherwise) without permission in writing from the author, copyright owner and the publisher of the book. Twigs It’s hard to walk on shaky ground. Feet slip on fractured stone, cracks open where you least expect. The signposts have all been washed away, the map’s a blur, you’ve lost the guide. You must depend on small signs: broken glass, a bird that sings no no no, not that way, try this way, this way. Sometimes you find twigs laid out on a white page, crisscross and up and down. You pause and puzzle. Then sidle off. There is no option but to head straight into the sun, prodding as old women do with their irritable sticks, feeling for solid spots. By Fiona Farrell Reprinted with her generous permission - May 2016 CONTENTS Introduction .............................................................................................................. 1 Preface ...................................................................................................................... 6 Part One – Sibylla’s Story ........................................................................................ 7 Chapter One: The Early Years.......................................................................................... 8 The Family History ......................................................................................................... 8 Matron Maude .............................................................................................................. 13 Walking the Extra Mile ................................................................................................. 18 Nurse Maude and the Women’s Movement ................................................................. 22 Chapter Two: Tuberculosis – The Dreaded Disease ....................................................... 25 Christchurch – The Garden City ................................................................................... 25 The White Scourge ...................................................................................................... 26 Chapter Three: District Nursing Develops ....................................................................... 31 Breaking new ground ................................................................................................... 31 Taking a Break ............................................................................................................. 33 District Nursing Progresses .......................................................................................... 34 Chapter Four: The ‘Flu Epidemic ..................................................................................... 37 The War Years ............................................................................................................. 37 The Outbreak of ‘Flu .................................................................................................... 41 Chapter Five: Nurse Maude is Here to Stay .................................................................... 44 192 Madras Street ....................................................................................................... 44 Her Works do Follow Her ............................................................................................. 48 Part Two - The Winds of Change .......................................................................... 52 Chapter One: A New Matron Takes Charge .................................................................... 53 Adapting to Change ..................................................................................................... 53 New Directions ............................................................................................................. 55 Social Security ............................................................................................................. 57 Chapter Two: Shaking the Kaleidoscope ........................................................................ 61 A Golden Jubilee .......................................................................................................... 61 ‘Fitzroy’ ........................................................................................................................ 62 Years of Progress ........................................................................................................ 65 Chapter Three: The Whispering Winds of Change.......................................................... 68 The Lady Superintendent ............................................................................................. 68 ‘Freedom is Sweet’ ...................................................................................................... 70 Free Home Aid ............................................................................................................. 72 Chapter Four: Planning for the Future ............................................................................ 77 1967 – A New Act ........................................................................................................ 77 Community Care .......................................................................................................... 81 Consolidating Premises ............................................................................................... 83 Part Three - Health Reform .................................................................................... 86 Chapter One: The Best of Times ..................................................................................... 87 Severing Links with the Past ........................................................................................ 87 The White Paper .......................................................................................................... 89 New Services are Introduced ....................................................................................... 93 Averill House ................................................................................................................ 96 Chapter Two: Restructuring in the 1980s ...................................................................... 100 Health Reform Looms Large ...................................................................................... 100 Launching the Foundation .......................................................................................... 103 A New Order .............................................................................................................. 108 Chapter Three: The New Health Culture ....................................................................... 113 Health – the Hottest Topic in Town ............................................................................ 113 Working the Contract ................................................................................................. 114 A New Beginning ....................................................................................................... 117 Chapter Four: Managing Change ................................................................................. 119 1996 – A Year in Review ............................................................................................ 119 Hospice and Palliative Care ....................................................................................... 121 Part Four - A New Era for Nurse Maude ............................................................. 124 Chapter One: Grappling with the Nuances of Health Reform ......................................... 125 Unleashing the Potential of Nursing ........................................................................... 125 Approaching the new Millennium ............................................................................... 127 A Time of Transition ................................................................................................... 129 Partnering in Community Healthcare .......................................................................... 132 Expanding the Boundaries ......................................................................................... 137 Chapter Two: The Drive for Efficiency and Innovation .................................................. 141 110 Years On ............................................................................................................. 141 District Nursing – Aspirational, Competent and Responsive ....................................... 145 From Home Aid to Home Care ................................................................................... 148 Volunteering Builds Strong Communities ................................................................... 150 Marketing Nurse Maude ............................................................................................. 152 Chapter Three ............................................................................................................... 156 From Committee to Board – governing Nurse Maude ................................................ 156 Part Five: