The Evolution of the Licensed Practical Nurse: A Look at the Rich History of a Vital Healthcare Profession

JotBeat
3 min readJan 2, 2023
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The Licensed Practical Nurse (LPN) is a vital member of the healthcare team, responsible for providing basic nursing care to patients in a variety of settings. LPNs have a rich history dating back to the late 19th century when the first training programs for practical nurses were established.

The origins of the LPN profession can be traced back to the Nightingale Training School for Nurses, which was founded in London in 1860 by Florence Nightingale. Nightingale, who is considered the founder of modern nursing, believed that nurses should be well-trained and competent professionals who were able to provide high-quality care to their patients. The Nightingale School was the first of its kind and set the standard for nursing education programs around the world.

In the United States, the first training program for practical nurses was established in 1909 at the Boston City Hospital School of Nursing. This program, which was designed to provide practical nurses with the skills and knowledge they needed to care for patients in hospitals and other healthcare settings, was followed by similar programs in other cities across the country.

As the demand for healthcare services grew in the 20th century, the role of the LPN became increasingly important. LPNs were responsible for providing basic nursing care to patients, including taking vital signs, administering medications, and assisting with routine medical procedures. In many cases, LPNs were the primary caregivers for patients, working closely with registered nurses (RNs) and doctors to ensure that patients received the best possible care.

In the 1960s and 1970s, the LPN profession underwent significant changes as the healthcare system began to evolve. The increasing complexity of medical technology and the rise of managed care organizations led to the development of new roles and responsibilities for LPNs. Today, LPNs are an integral part of the healthcare team and play a vital role in providing high-quality care to patients.

Despite the important contributions of LPNs to the healthcare system, the profession has faced challenges over the years. One major challenge has been the lack of recognition and respect for the work of LPNs. In some cases, LPNs have been viewed as inferior to RNs and have not received the same level of respect and recognition for their work. However, in recent years, there has been a growing recognition of the valuable role that LPNs play in the healthcare system and a movement to acknowledge and support their contributions.

In conclusion, the history of the LPN profession is a rich and varied one, marked by significant changes and challenges. From the earliest training programs for practical nurses to the complex healthcare system of today, LPNs have played a vital role in the provision of high-quality care to patients. Despite facing challenges along the way, LPNs have continued to evolve and adapt to meet the changing needs of the healthcare system, and they will undoubtedly continue to do so in the future.

References:

Nightingale, F. (1860). Notes on nursing: What it is, and what it is not. London: Harrison.

Boston City Hospital School of Nursing. (1909). Practical nursing program. Retrieved from https://www.bch.org/nursing-school/history.html.

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