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My Opinion: It’s Time We Stopped Knocking “Old School Nurses”!
Old school nurses show there is nothing better than experience
There are lots of SRNs and SENs still working within the NHS, these nurses have become almost universally know as “old school” nurses.
In many cases they are considered to be somewhat behind the times, not as well educated or trained as 21st century university trained nurses.
Let’s see what we can do to dispel that myth.
‘Old School’ Nursing training
I can, obviously, only speak from personal experience so here goes. We had excellent hands-on training, the teaching, by nurse tutors (in study blocks), clinical tutors and qualified nurses (on the wards), was superb.
We had practical experience in all specialities and were able to be seconded into such areas as Maternity, Paediatrics and Psychiatry.
I consider my training was broad based and comprehensive. Once qualified we (at my training hospital) were EXPECTED to “staff” for at least a year at the hospital, whilst we “specialised” in our chosen field,I chose to work in theatre.
I spent the whole of my working life doing courses, study days and further training in order in keep up-to-date with the changes in nursing.
I was, and still am, very proud of my SRN qualification, as students we worked hard but we also played fairly hard.
We were obliged to “live-in” during our training as most of us had come into nursing straight from school at the age of 18 (minimum age for training) and were therefore legally minors. Most of us were educated in the old-fashioned grammar school system up to “A” level standard.
SENs trained for two years, their course was not as academic.
So, yes, we were trained in the “Old School” way but that does not mean we were less academic than today’s university trained nurses.
Yes, we were “schooled” in the very practical aspects of nursing, we knew how to make a bed, give a bed bath, change a dressing, but we also knew the diagnosis and treatment of all the patients on a 30-bedded Nightingale ward.
We were able to do a ward round with matron (the old type!) and we also knew how to properly clean a bed-space when a patient was discharged.
If you still want to call us “old school” go ahead but please don’t call us out-of-date, not as well trained, less academic and, worst of all lazy.
All of us can learn something new every day and that includes 21st century university trained nurses as well as “old school” nurses.
SRN Training
Entry Requirements to train at Teaching Hospital.
5 x GCE “O” levels @ grade C or above, including English Language and a Science.
• PTS (Preliminary Training School) 6 weeks
• Study Blocks (8-12 weeks) in each year
• State Preliminary Exam, (this exam was in 2 parts, one of which was a comprehensive A&P exam), practical and theory at end of 1st year
• Hospital Exams, practical and theory at end of 2nd year
• State Final Exam practical and theory at end of 3rd year
• Hospital based training with both practical and theoretical teaching from ward/department based Clinical Tutors.
SEN Training
Two years training followed by written and practical exams.

monstersharky
5 days ago
6 comments
By the way, I hate these new nurses with their inflated egos. In my degree group of 18 people (yes, I am BScN) about half were bound for management & the other half were bound for teaching. In short, they wanted to get away from the hands-on. They were doing their degrees to get away from the wards - is it any surprise that these are the same people (or kind of people) who denigate the ART of nursing are the ones who designed "new nursing" We aren't doctors because we bring something different to the clinical environment. The time & motion experts can go hang - I will hold my dying patient's hand if that's what they want & anyone who tries to tell me differently can stick it - I AM A NURSE; that's what I am, not what I do!!!!
monstersharky
5 days ago
6 comments
Don't worry, all you fellow old school nurses - Kondratieff was executed for suggesting that everything goes in cycles. The values which old school nurses share will eventually return once the thrusting "professionalisers" have been shown to be empty handed spin-doctors (or pseudo-doctors - literally!) Let's have a new group - the ones who see just how empty these Emperoro's new clothes are!
alisoncollin
6 days ago
8 comments
My book, "Of Sluices and Sisters: Anecdotes of Student Nurses at a London Teaching Hospital" (Has anyone out there read it yet?) graphically describes the style of training that Mo is talking about. We did 44hours on the ward for 3 years, followed by a year's staffing. Yes, we did have to clean and run errands for the Ward Sister - something which would probably cause modern day nurses to riot - but I always welcomed a few minutes respite from the intensity of the ward, and never objected to doing these tasks which did nothing to detract from our training, and were seen as necessary for the smooth running of the hospital. Strangely, unlike modern nurses, we were in awe of the old-school nurses of those days and we had tremendous respect for their depth of knowledge and consummate nursing skills. Of course we were not trained in the high tech style of nursing of today, - it just did not exist - there were no computers, fibre optics, CAT scans etc.. That does not mean that we were intellectually incapable of learning! - we were certainly at the top of the tree with what was available at the time. In order to keep current we have had to pick up that knowledge over the years through courses and hands on experience in those areas.
We always strove for perfection, but we had a tremendous amount of fun as well as a lot of hard work.
Just because we are now in our 60's does not mean that we are all Dickensian Sarah Gamps!
I am sure that young nurses have come across a few oldies who have not kept current, and are not up to speed, but we should not all be tarred with the same brush!
Lorraine79
13 days ago
2 comments
I have been a nurse for 30 years and if I'm honest I think in terms of quality of patient care and satisfaction old school nurses are 1000 times better at delivering what the patient actually needs.
I have been in the unfortunate position recently where I have had to have 3 major operations and I can tell you that the nursing care that I received was abysmal, unfortunately there were no old school nurses looking after me. I think that nursing is no longer is focused on patient care, it seems to me priority is give to everything else.
anniej46
15 days ago
8 comments
I now work as a staff nurse at the age of 63 having previously worked as a practice nurse and still wear my SRN badge with pride. The older generation recognise this badge belonging to a nurse who was trained the traditional way. By the way I still have my practical books that had to be signed by the ward sister when she thought you were proficient in skills and knowledge.
twinkle
16 days ago
6 comments
Thankyou.I trained in a teaching hospital and we had to have good A'level grades for our place.I now have level 3 points coming out of my ears but I don't want to have a degree as it does not prove that I can do my job it just proves I can walk the current trendy walk and at 47 I'm past trendy. : )
BigJen
16 days ago
10 comments
Thanks for outlining our training Mo. I will always remember the ward based assessments I had to pass when I trained from 1979 - 1982. The first one (in my first year) was aseptic technique, the second in my (second year) was drug administration and the third one in my final year was ward management. We couldn't do IV drugs until after we had trained and never learnt venepuncture at all, although I did learn it as a Community Nurse later. I am now just starting an OU Degree Course as although I can't practice as I would like due to MS now, I realise the need for self development despite rapidly hurtling towards my half century in June.
callow
16 days ago
2 comments
I have experienced both styles of training. I was hospital trained in Australia (we all needed a Higher School Certificate (A level equivalent) education. When I finished I felt confident enough to work on a ward and I can't even remember my first days as a registered nurse so they mustn't of been that bad. After a year on the ward I went and worked in theatre.
I have just completed a Return to Nursing course. As there is no work in theatre were I live I have a job on the hospital nurse bank. I am absolutely terrified of the responsibility of working on a ward. My Return to Nursing course was based in theatre as that was were I was hoping to get a job. My mentor was a scrub nurse and although very good I was a anaesthetic/recovery nurse. We were only allowed a maximum of 150 hours and for me most of those hours were spent in scrub (which I had never done). I realised at the time that it was not sufficient, but despite my efforts I just thought I had to get through the course which I have done. I would feel confident to go straight into recovery with a day or two refresher. To work on the ward I will be allowed 5 training days. I am sure it will all come back and I should be able to carry over some skills from recovery.
I much preferred the older style training. We came out and were able to do all nursing jobs including IVs. IVs are a large part of registered nurses job and you are not trained to do them with present training. During my Return to Nursing course I was not allowed to touch IVs not even put a new bag of fluid. I feel sorry for the staff on the wards I will be working on as I can't do IVs till I do another course.
judytherapist
16 days ago
4 comments
just a comment regarding SEN training - you needed 4 0 levels, one of which had to be English, you also has to pass a written test and an extremely challenging interview before being accepted onto the training.I chooose to take the SEN training as I wanted to be a hands on nurse, and not be stuck in the office, with the paper work. My training was as thorough and as academic as the SRN training. We had to pass the same tests and exams.
SEN's have had years of being classed as 2nd class - a fact that is totally untrue. As soon as i qualified i ran a ward with the sister, it was difficult at times, due to the fact that i needed an SRN around, but i was reasonably well supported. Nursing is about nursing people, not being mini doctors. I think we all have to embrace change, and the qualification now is totally different to what it was years ago. There are good and not so good nurses, as it always will be.Just as there are good and not so good doctors, vets and bank managers. I am proud to be an SEN.
SuzanneL
16 days ago
2 comments
I was often 'left in charge' before I qualified..with a staff nurse from an adjacent ward for advice if I needed and help with the drug round. The TRAINING we had enabled us to do that. My personal eperiencee of University EDUCATED nurses would find this almost impossible as 'most' of them I came into contact with as a Ward Sister were almost too scared to make any decisions despite their 'higher' level qualification. While I agree that University Education has helped raise the profile of Nurses as a Profession, many are far too busy or self important to keep them grounded at the bedside, leaving this most important aspect of NURSING to the HCA's. I personally believe that the RGN should come before University but of course that would make me old fashioned and stuck in my ways. My experience of obtaininng my Diploma was of how to write essays about stuff I knew backwards! I just hope that HCA's remain passionate about their role I doubt I will ever be 'Nursed' by an RGN BSc in my old age.
suebee
16 days ago
2 comments
I'm glad I am an "old school" SRN. The training was tough and we were often thrown in the deep-end but I feel that our training was well-rounded and equipped us to cope with a wide variety of situations. We also really knew our patients as we did not have to spend so much time on paperwork. Many of us have gone on to do more academic studies during our career and that has led to many more opportunities for nurses. I feel I have enjoyed the best of both worlds and now run my own health screening company. Don't knock us "oldies" - experience can be far more valuable than the number of diplomas or degrees under your belt.
angela_blaikie
16 days ago
2 comments
well said Mo,totally agree. the nurses of today come out of training with their degrees or diplomas and still need 6 months preceptorship, when i qualified it was straight out there running the ward with none of this preceptorship stuff. why have 3/4 yrs training if u still need another 6 months to practice safely.
amneris
about 1 month ago
34 comments
Spot on Mo. I would be happy to be nursed by anyone who trained with me. I despair at some of the care I have received (and seen given to others) as an in patient. Amazing extremes. Superb specialist nurses who made me feel humble yet some ward nurses who should have been ashamed at their disregard for rights let alone care needs.
Garrod
about 1 month ago
26 comments
Interesting article, I think all 21st university trained nurses should be aware of the traditional training regime of nurses and how it has changed, for better or worse. anyway, thanks Mo
trapieter
about 1 month ago
10 comments
I think I would of preferred a more hands on approach to becoming a nurse.. when you qualify you know what you are doing, you have more practice running a ward and more confidence in your skills. I'm not sure todays training will prepare me in all the areas I wish to be prepared for.. in a practical and skill sense .. bit scary is you ask me.