Filling the Gap between Metropoles and Peripheries: Insights about Hospital Standardization from the British Columbia Hospital Association Conferences, 1918–30

Author:

Vandenberg Helen1,Johnson Letitia2

Affiliation:

1. Helen Vandenberg – College of Nursing, University of Saskatchewan, Regina, Saskatchewan, Canada

2. Letitia Johnson – Department of History, University of Saskatchewan, Saskatoon, Saskatchewan, Canada

Abstract

In this study, we examine British Columbia’s Hospital Association conference records (1918–31) to understand how place, gender, and profession shaped debates about hospital standardization during the interwar period. The conference records reveal that hospital standardization was conceptualized as the conformity of smaller, peripheral hospitals to larger metropolitan ones. Arguments about how to best address the gaps in small hospitals were often directed to elite nursing leaders, who suggested improved nursing education as a solution. Hospital affiliation was recommended to ensure adequate training for rural nurses by moving trainee nurses from rural to urban hospitals during the last year of their education. Yet the way that affiliation was conceived was more aligned with the professional goals of the nursing elite, rather than the needs of rank-and-file nurses in small hospitals. These ideas ultimately worked to support the goals of standardization, but obscured the divergent needs of small community hospitals.

Publisher

University of Toronto Press Inc. (UTPress)

Reference105 articles.

1. Helen Vandenberg and Geertje Boschma, “The Evolution of Early Hospitals in British Columbia, 1855–1918,” BC Studies, no. 208 (2020/21): 73–118.

2. Edward T. Morman, ed. Efficiency, Scientific Management, and Hospital Standardization: An Anthology of Sources (New York: Garland, 1989); and George Torrance, “Socio-historical Overview: The Development of the Canadian Health System,” in David Coburn, Carl D’Arcy, and George Torrance, eds. Health and Canadian Society: Sociological Perspectives, 3rd ed. (Toronto: University of Toronto Press, 1998), 3–22.

3. David Gagan and Rosemary Ruth Gagan, For Patients of Moderate Means: A Social History of the Voluntary Public General Hospital in Canada, 1890–1950 (Montreal: McGill-Queen’s University Press, 2002), 71–97.

4. Megan Davies, “Mapping ‘Region’ in Canadian Medical History: The Case of British Columbia,” Canadian Bulletin of Medical History / Bulletin canadien d’histoire de la médecine [CBMH/BCHM] 17, no. 1 (2000): 73–92, 82.

5. Erika Dyck and Christopher Fletcher, eds. Locating Health: Historical and Anthropological Investigations of Health and Place (London: Pickering & Chatto, 2011); and Jayne Elliot, “Blurring the Boundaries of Space: Shaping Nursing Lives at the Red Cross Outposts in Ontario, 1922–45,” CBMH/BCHM 21, no. 2 (2004): 303–25. Health geography literature makes the distinction between space and place clear; see Thomas Blaschke, Helena Merschdorf, Pablo Cabrera-Barona, Song Gao, Emmanuel Papadakis, and Anna Kovacs-Györi, “Place versus Space: From Points, Lines, and Polygons in GIS to Place-Based Representations Reflecting Language and Culture,” International Journal of Geo-Information 7, no. 11 (2018): 1–26; and Trevor J.B. Drummer, “Health Geography: Supporting Public Health Policy and Planning,” Canadian Medical Association Journal 178, no. 9 (2008): 1177–80.

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