Annie Altschul

Professor Annie Altschul, CBE, BA, MSc, RGN, RMN, RNT, FRCN [1] (18 February 1919, Vienna – 24 December 2001, Edinburgh)[2] born in Austria, Britain's first mental health nurse pioneer;[3][4] a midwife, researcher, educator, author and a patient advocate,[5] emeritus professor of nursing.[1]

Annie Altschul

CBE
Born(1919-02-18)18 February 1919
Vienna, Austria
Died24 December 2001(2001-12-24) (aged 82)
Edinburgh, Scotland
EducationBA, MSc, RGN, RMN, RNT
OccupationProfessor of Nursing
Known formental health nursing research, education and advocacy
Notable work
Psychiatric Nursing (1957)
Psychology for Nurses (1962)
HonoursCBE:Commander of the British Empire (1983) Fellow of the Royal College of Nursing (1978)

Early years and interests

Born in Vienna, Annie Therese Altschul was five years old when her father was killed in a railway accident. Altschul was studying mathematics at the University of Vienna when she had to leave Austria in March 1939, then coming under Nazi rule.[4]

Altschul came to London with her mother, sister and young nephew. Altschul worked first as a "mother's help" to learn English[1] before qualifying as a general nurse and midwife, firstly in Ealing (which she described as 'toffee nosed'), later in Epsom County Hospital (where 'a tutor treated students as idiots').[5] Altschul's career then took off after she trained as a nurse for the mentally ill in the early 1940s at the Army Mental Hospital which had been set up at Mill Hill school in London,[6] where she found staff and students were more motivated.[5]

Altschul later said that psychiatric nurses "recruit themselves" and that "people who take to psychiatric nursing are different from those who want to be general nurses". Altschul believed that psychiatric nurses have an "affinity for the underdog".[1] Altschul's thinking was influenced by John Bowlby[4] and she continued her own life long learning and also encouraged education for all.[1]

Later in life she unfortunately suffered mental health issues herself and was nursed back to health, in Edinburgh. Altschul used that experience to educate others as well, writing in a 1985 collection titled Wounded Healers: Mental Health Workers' Experiences of Depression.[3] To relax, Altschul enjoyed music, especially opera, cooking and playing bridge.[5]

Career

Altschul's formal training as a nurse and midwife began at Epsom County Hospital. In 1946, she became a staff nurse at the Maudsley Hospital, a psychiatric centre, later promoted to sister and then nurse tutor, completing her tutor's diploma at Battersea College of Technology (now Surrey University) and proud of being an alumna (an 'Old Bat'),[5] and also took a degree in psychology at Birbeck College.[4] Altschul took to teaching nurse students outdoors at Mill Hill where the Maudsley and Bedlam psychiatric hospitals were evacuated to and remained into the 50's.[7]

In 1957, Altschul published her perceptions of what mental health nursing should be in her first book Psychiatric Nursing,[4] and in 1962 Psychology for Nurses,[1] both of which were among the most frequently cited even at the time of her death in 2001.[4] Altschul produced 35 editions and versions, translated into 3 languages,[8] based on the latest research thinking, with co-authors, publishing in 1994, Altschul's psychiatric and mental nursing.[9]

From 1962-64, Altschul served on the Platt Committee on Nursing Education for the Royal College of Nursing (RCN),[5] to investigate the loss of trained nurses or the failure to attract new candidates, resulting in an influential report, adopted by RCN for the Reform of Nurse Education (1964).[10] Altschul had taken a sabbatical in 1961-62, visiting the United States of America, funded by a British Commonwealth for Nurses Scholarship Fund to explore psychiatric nurse education and practices, which influenced her thinking.[11]

In 1964, Altschul left the Maudsley to be a World Health Organisation funded[12] lecturer in the Department of Nursing Studies at the University of Edinburgh, where she became a senior lecturer then professor and head of unit, a leader in (then 'ground breaking')[1] integration of degree level nursing education and practical studies, and research leadership, which met some resistance from the medical establishment.[1]

Altschul's own MSc. thesis, entitled 'Measurement of patient-nurse interaction in relation to in-patient psychiatric treatment', was supervised by Elsie Stephenson in 1967.[13] In 1972, Altschul wrote a book Patient-Nurse Interaction, and in 1976 she became Professor and Chair of Nursing Studies.[5] Altschul was appointed to the Mental Health Commission in Scotland as patient advocate and in the same year (1978) was made one of the first Fellows of the Royal College of Nursing.[1] Altschul remained at the University of Edinburgh until her retirement in 1983,[14] developing nurse education further into post-graduate Masters in Nursing Administration, Nurse Education and Health Education, and expanded research portfolios up to higher levels in nursing and affiliated professions.[1]

Altschul also did a mathematics degree at the Open University,[1] was involved in assessing the joint education of architects and engineers, and was a volunteer teacher of mathematics at a local primary school (for under 11year olds).[5]

Observations

Professor Altschul observed the effects when patients were moved to smaller accommodations during the redecoration of the large wards at Dingleton Hospital in the Scottish Borders. Altschul observed that the closer interaction between nurses and patients resulted in less hyperactivity and less need for certain types of medications. Throughout her career and research work, Altschul emphasised the critical role of the patient-nurse relationship in the therapeutic environment to support improvements in health and wellbeing.[9] Perhaps in advance of her day she debated patient-advocacy, a 'consumer's voice', in the role nursing staff play in psychiatric care in 1983.[15]

Affiliations
  • Mental Health Commission in Scotland
  • The Socialist Medical Association
  • The Scottish General Nursing Council
  • Royal College of Nursing

Honours/legacy

Altschul was one of the first Fellows of the Royal College of Nursing in 1978.[5] Altschul was appointed CBE in 1983.[1] She established the Professor Annie Altschul Publication Prize.[2]

Five weeks before she died, the University of Edinburgh and the Royal College of Nursing UK Centre for the History of Nursing held a 'festschrift' celebration of writings, where Altschul joined in lively debates with current nurse researchers and professors, based on her 1961-62 papers.[11]

Altschul's 'social inclusion and user involvement' in psychiatric treatment is still cited (2009).[16]

Altschul died on Christmas Eve (24 December) 2001 aged 82, and an obituary[5] remarked that she had 'gained academic acclaim for mental health nursing' and 'inspired general as well as psychiatric nurses'. Another obituary noted that Altschul's 'contribution and intellect' was held as being 'of the highest order' also 'by eminent psychologists and psychiatrists'[1].

Altschul and a few other key nurses who fled the Holocaust[17] were considered as making a 'defining impact' on Britain's health service. [18]

Altschul played a part in the history of mental health nursing[19] and was described as 'one of the most outstanding mental health nurses of the 20th century'.[20]

gollark: yeeees.
gollark: I mean, if they were free people would immediately squat them all.
gollark: I have school tomorrow, troublingly.
gollark: ... no?
gollark: Too much stuff goes through them.

References
  1. "Annie Altschul". HeraldScotland. 5 January 2002.
  2. Ewan, Elizabeth; Pipes, Rose; Rendall, Jane; Reynolds, Siân (2018). The new biographical dictionary of Scottish women. pp. 12–13. ISBN 978-1-4744-3628-1.
  3. Davis, Bryn (2002). "Professor Annie T. Altschul CBE". Journal of Psychiatric and Mental Health Nursing. 9 (2): 130. doi:10.1046/j.1365-2850.2002.05023.x. ISSN 1365-2850.
  4. Barker, Phil (8 January 2002). "Obituary: Annie Altschul". The Guardian. ISSN 0261-3077. Retrieved 3 May 2020.
  5. Dopson, Laurence (9 January 2002). "Obituary: Professor Annie Altschul". Nursing Standard. Vol.16, Iss. 17: 31 – via ProQuest.
  6. Smoyak, Shirley A. (1 March 2002). "In Memoriam: Professor Annie Altschul". Journal of Psychosocial Nursing and Mental Health Services. 40 (3): 6–7. doi:10.3928/0279-3695-20020301-03. ISSN 0279-3695.
  7. Howard, Robert (2002). "Psychiatry in Pictures" (PDF). British Journal of Psychiatry. Retrieved 3 May 2020.
  8. "World Cat Identities - Annie Altschul". Retrieved 3 May 2020.
  9. McGovern, Margaret. (1994). Altschul's psychiatric and mental health nursing. Whitcher, Sarah., Altschul, Annie T. (7th ed.). London: B. Tindall. ISBN 0-7020-1412-5. OCLC 32501962.
  10. "RCN: RCN Archives and Catalogue". rcnarchive.rcn.org.uk. Retrieved 3 May 2020.
  11. "Festschrift for Annie Altschul - ProQuest". search.proquest.com. Retrieved 3 May 2020.
  12. "Scottish Review: Steve Tilley". www.scottishreview.net. Retrieved 3 May 2020.
  13. Tilley, Stephen (15 April 2008). Psychiatric and Mental Health Nursing: The Field of Knowledge. John Wiley & Sons. p. 43.
  14. "Annie Altschul". The University of Edinburgh. Retrieved 3 May 2020.
  15. Altschul, Annie T. (1983). "The consumer's voice: nursing implications*". Journal of Advanced Nursing. 8 (3): 175–183. doi:10.1111/j.1365-2648.1983.tb00311.x. ISSN 1365-2648. PMID 6553587.
  16. Winship, Gary; Bray, Joy; Repper, Julie; Hinshelwood, Robert D. (1 November 2009). "Collective biography and the legacy of Hildegard Peplau, Annie Altschul and Eileen Skellern; the origins of mental health nursing and its relevance to the current crisis in psychiatry‡". Journal of Research in Nursing. 14 (6): 505–517. doi:10.1177/1744987109347039. ISSN 1744-9871.
  17. Weindling, Paul (2017). "Refugee Nurses in Great Britain, 1933–1945: From Place of Safety to a New Homeland". In Grant, Susan (ed.). Russian and Soviet Health Care from an International Perspective. Russian and Soviet Health Care from an International Perspective: Comparing Professions, Practice and Gender, 1880-1960. Springer International Publishing. pp. 243–254. doi:10.1007/978-3-319-44171-9_11. ISBN 978-3-319-44171-9.
  18. Oryszczuk, Stephen. "Refugee nurses: The Jewish women who fled tyranny to become angels of the NHS". jewishnews.timesofisrael.com. Retrieved 3 May 2020.
  19. Nolan, Peter (1998). A history of mental health nursing. Cheltenham: Stanley Thornes. ISBN 0-7487-3721-9. OCLC 38924256.CS1 maint: date and year (link)
  20. Nolan, P. (August 1999). "Annie Altschul's legacy to 20th century British mental health nursing". Journal of Psychiatric and Mental Health Nursing. 6 (4): 267–272. doi:10.1046/j.1365-2850.1999.00209.x. ISSN 1351-0126. PMID 10763662.
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