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Nursing and society: Evolution of Nursing and of capitalism in the 200 years of Florence Nightingale* * This article refers to the call “Nursing Now and Nursing in the Future”. Paper extracted from doctoral dissertation “Alienation and users’ participation in Nursing Care”, presented to Universidade Federal do Rio de Janeiro, Escola de Enfermagem Anna Nery, Rio de Janeiro, RJ, Brazil.

Objective:

to analyze the relationships between the development of the Nursing labor and of capitalism over the 200 years of Florence Nightingale.

Method:

a logical-reflective and theoretical exposition based on interpretations of historical facts and Marxist theories. The analysis categories were the following: the creation and expansion of the Nightingalean Nursing Teaching System; the subsumption of the Nursing labor to capital; imperialism and international health; and the flexibilization of the Nursing labor.

Results:

the expansion of the Nightingale Teaching System has trained nurses on a global scale. The capitalist system transformed the Nursing labor in the twentieth century, culminating in the twenty-first century with precarious and intense turnover of nurses in their jobs.

Conclusion:

the Nursing labor, made professional by Nightingale, has assumed in the last 200 years a dialectical relationship with capitalism in which it both determines and is determined by it. New challenges, such as the Industry 4.0 technologies, are constantly imposed on the profession.

Descriptors:
Capitalism; Nursing Care; Health Economics; Health Care Sector; Nursing; History of Nursing


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