BROOKS J and RAFFERTY AM. Nursing Inquiry 2010; 17: 142–150Education and role conflict in the health visitor profession, 1918–39Health visiting was the public health profession in the UK, which arose during the Victorian period to support and supervise the mothers of the nation. The health visitor was expected to teach the new mothers hygiene, infant feeding and diet, help them in the home when necessary and then report back to the Medical Officer for Health. Her role therefore was multifaceted and (...) required education and training from a number of differing bodies. She needed nursing skills to help with the practicalities of observation and home care, sanitary knowledge to ensure that the buildings were safe and training in law and epidemiology. In order to fulfil these professional requirements, by the middle of the twentieth century the health visitor was expected to be a nurse by background, be educated for health visiting in a university and understand community medicine. These differing and sometimes opposing requirements meant that the health visitor was often caught in-between conflicting ideologies. It is this idea of ‘in-betweenness’ from the work of the anthropologist Marilyn Strathern and its relation to the work and education of the health visitor that this article will focus. (shrink)

The Diploma in Community Nursing at the University of Manchester began in 1959, after a long period of planning and negotiation. It was the earliest pre‐registration nursing education programme in a British university. The paper reports on a historical study which examined its foundation and development. The history of the ‘Manchester Scheme’, as it came to be known, is placed into the context of wider reforms and modifications in British nursing education. The methods used for the study were a broad‐based (...) literature review, examination of material from the 1950s to the present day, five oral history interviews with some of those who were influential in developing the diploma, and the interpretation of relevant documentary source materials. The Diploma in Community Nursing at the University of Manchester was important and innovative in its time, combining as it did nurse and health visitor training with a university‐based education. The paper traces the struggle to establish the course, which was largely due to the efforts of one charismatic individual, Fraser Brockington, Professor of Social and Preventive Medicine. It then goes on to examine the reforms and modifications the programme underwent from 1959 to 1969, as it was developed into the prototype for the ‘Bachelor of Nursing Degree’. (shrink)