Patricia Violet Slater : a remarkable leader in the nursing profession in changing times

Patricia Slater opposed the entrenched traditional system of educating nurses in hospital programs and, in the years 1960-1983, she was an advocate and activist for tertiary level ducation for nurses in the general education system. Ms Slater’s educational expertise and unique position in nursing affairs, positioned her to progress nursing education at both undergraduate (basic) and graduate (post basic) levels and to take a leading role in the reform of nursing education. In this biographical account of Ms Slater’s professional life, her contribution as a pioneer and key player in the late twentieth century radical reform of nursing education, is distinguished from the collective activity of the nursing profession. The 1950s-1970s, highlighted many shortcomings in nursing practice drawing attention to the inadequacy of the contemporary preparation of nursing students. The traditional nursing education system, couched as it was in the cultural ethos of nineteenth century and rule driven, is identified as a major contributing factor to the apparent stasis in educational growth and development in Nursing. Social, cultural and political ideologies, to which the nursing profession was subject, worked to constrain and contain the profession, contributing to the apparent powerlessness of the profession to readily adjust and rectify its position. Chief among these influences was firstly, the domination and control of the medical profession over the health system and all health matters. Secondly, paternalism, that kept women in society and in the workforce subordinate to men. Thus nurses, being mostly female, were also professionally subordinated in the workplace being subject to medical control and direction. Thirdly, the Nightingale legacy of discipline and obedience in combination with the apprenticeship model of nurse education and the hierarchical organisation of nursing work, combined to encourage passive and conservative traits in nursing students that persisted over time. Ms Slater returned from nursing studies in America in 1960 with a vision as to how the nursing profession in Australia could advance and prepare nurses able to carry the profession forward, to determine the role and function of the nurse and the education required to develop nursing students at all levels. It would not be until the 1970s that sufficient numbers of nurses were ready to support the radical solution that Slater advocated, the transfer of nursing education into the general education system. Achieving this aim drew support from leading nursing organisations and the profession’s collective effort, sustained for over a decade, ultimately proved successful. Ms Slater’s thinking on nursing education, her vision for the nursing profession’s future, her philosophy and values in respect of Nursing, are drawn from her published work and some unpublished papers. Finding little to give insight into her personal reactions to events in her professional life, I approached individuals who had worked with Ms Slater ranging in time from approximately 2-12 years. Sixteen individuals were interviewed to gain their perspectives on events and their views and perceptions of Ms Slater: all but four were former employees. Interviews were taped verbatim, transcribed and reviewed by participants, all of whom agreed to be identified in the study. The official records of the College of Nursing, Australia and the then Royal Australian Nursing Federation, provided further primary source material together with the many reports of inquiries into nursing education. A diverse range of material was used to place Ms Slater’s life and the Nursing profession as a whole, in the social, cultural and political context of the times. Nursing in Australia was compared with like countries in the same time period. It was established that all were facing similar problems for much the same reasons. Patricia Slater’s leadership and expertise, were essential components in the successful achievement of tertiary level education for nurses. As a result, in the years 1984-1994, the nursing profession moved from a skilled craft towards becoming a knowledge based discipline, the equal of other health professions. The change in nurse education at that time, was as radical as that introduced to Australia by the Nightingale nurses in 1860s, in that the position and status of nurses and Nursing was radically changed on both occasions. The story of one of the most important Australian nurse leaders of the twentieth century is related for the first time in this work.Doctor of Philosoph