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  • Between enligh­ten­ment and ‘plugging’. A history of voca­tio­nal guidance films on nursing


    Jörg Markowitsch

    Combating nursing shortages through film has a history. A W-o-W film evening explored the changing nature of the nursing profession through vocational guidance films over the last 80 years.

    At a film evening on nursing education at the Vienna Film Academy last November, three voca­tio­nal guidance films from the 1940s, 1980s and 2020s, among others, were jointly scru­ti­ni­zed by nursing pro­fes­sio­nals, filmma­kers and both scholars in film studies and voca­tio­nal science. Revealing stages of progress and regres­si­on as well as fun­da­men­tal questions con­cer­ning voca­tio­nal training, film and fiction. What does a con­tem­pora­ry nursing education consist of? How much reality is there in voca­tio­nal guidance films?

    Voca­tio­nal Guidance is a film genre of its own, which in contrast to adver­ti­sing, has no overt com­mer­cial inten­ti­ons. It does not promote any employer or an edu­ca­tio­nal provider but tries to convey a neutral image of an occup­a­ti­on and enligh­tens us on the basis of work tasks, qua­li­fi­ca­ti­ons, job requi­re­ments, training and social dimen­si­ons. In this respect, little has changed in the aim, but pretty much ever­ything has changed in the way it is produced and consumed.

    “Faster, shorter, more colorful” is how one could summarize the historic deve­lo­p­ment of voca­tio­nal guidance films.  Axel Stummer’s film “Beruf helfen” (occup­a­ti­on: carer) (AT 1982) was created when it was still customary to last 30min so that there would be enough time for questions from students within the one-hour lesson; presently voca­tio­nal guidance films have to stand up to com­pe­ti­ti­on from three-minute TikTok videos (see, for example, “Gesund­heits- und Kran­ken­pfle­ge” (2019) by stay tuned from the Austrian Public Employ­ment Service series of career videos).

    In ‘Nursing’ (USA 1942), the didactic setting from the black-and-white era of film saw an aut­ho­ri­ta­ti­ve male narrator with a lecturing voice off-screen exp­lai­ning the pro­fes­si­on. In contrast, today’s voca­tio­nal guidance films exclu­si­ve­ly feature qualified and pro­spec­ti­ve prac­ti­tio­ners speaking for them­sel­ves. In ‘Beruf helfen’ from the 1980s, both elements are still used, as well as a mix of actors and active nurses. In addition, according to Stummer, there was a requi­re­ment to give the film the quality of a feature film. Con­se­quent­ly, there is also a plot of sorts, and even the leisure time behavior of nursing staff and their residence is given an unbe­liev­a­ble amount of space.

    Largely unt­hin­ka­ble today, this aspect thus promoted an important addi­tio­nal finding: we get an insight, into the milieu and social envi­ron­ment of care­gi­vers. As a highlight, director Stummer also built in a few suspense elements à la ‘The Kingdom’ (1994)*, thus streng­t­he­ning the feature film character. “Ever­ything was pre­de­ter­mi­ned down to the smallest detail and I wasn’t allowed to change anything in the script, but I took this artistic license,” Stummer remarks mischie­vous­ly during the film dis­cus­sion. Stummer was still a student at the Film Academy at the time, and was clearly delighted to see the film again after 40 years.

    But how much fiction is there in voca­tio­nal guidance films, then and now? In current films from the Austrian PES on nursing, for instance, more male nurses than female nurses have their say, sur­pri­sin­gly. The attempt to attract men to the pro­fes­si­on is obvious and legi­ti­ma­te, however, the fact that the pro­por­ti­on of men in nursing in Austria is below 20 percent is con­spi­cuous­ly concealed. In this respect, people used to be more accurate: the footage from ‘Nursing’ (1942) shows only women (note: the training was segre­ga­ted according to gender). Thus, a certain adver­ti­sing character cannot be denied in today’s voca­tio­nal guidance films. Today, however, the conscious recruit­ment of nurses obviously has to plug the career in an even “shorter, faster, more colorful” manner (cf. the 2min campaign film of the Hamburg clinics).

    In the past, the idea was inva­ria­b­ly: the longer the more con­vin­cing. The National Health Service (NHS) in Great Britain recently launched a project on the occasion of its 70th anni­ver­s­a­ry in which, together with the British Film Institute (BFI), around 100 films on health care (feature films, docu­men­ta­ries, animated films, etc.) were compiled.  Among them was one of the most ambitious recruit­ment films ever made, tellingly titled “Life in Her Hands” from 1951, a 60min B‑movie sponsored by the British Ministry of Labour with the aim of attrac­ting women, obviously, to the nursing pro­fes­si­on, where the film’s success was measured by recruit­ment numbers. The number of app­li­ca­ti­ons after the scree­nings, which were mostly held in town halls, was meti­cu­lous­ly docu­men­ted. Repor­ted­ly, the per­cen­ta­ge of new female nurses increased by 27% within five years.

    Whether film has an active impact on nursing recruit­ment today remains largely an open question. According to a recent U.S. market research survey, the hospital series ‘Grey’s Anatomy’ and ‘Emergency Room’ are sup­po­sed­ly among the five series with the greatest demons­tra­ble influence on career choice. The issue with this is that an over­whel­ming pro­por­ti­on of those surveyed saw their pro­fes­si­on as mis­re­pre­sen­ted and actually much more demanding.

    To what extent the publicly financed feature film “Life in Her Hands” truly reflects reality will have to be decided by medical history rese­ar­chers. What docu­men­ta­ry film as genre is capable of achieving in this regard, you can enlighten yourself about in our next article.

    Refe­ren­ces:
    Allan, H., & Evans, K. (2021). Theo­ri­sing in everyday nursing practice: a critical analysis. Sage.
    Hallam, J. (2012). Nursing the image: media, culture and pro­fes­sio­nal identity. Routledge.
    Zen­busi­ness (2020). Influence of Media on Careers. Blog­bei­trag.
    Russell, (2018) The NHS on film,
    Blog­bei­trag. https://www.bfi.org.uk/features/nhs-national-health-service-film

    * The Kingdom (1994) is a legendary mini­se­ries by director Lars von Trier for Danish tele­vi­si­on, set almost exclu­si­ve­ly in a Copen­ha­gen hospital where the staff is con­fron­ted with super­na­tu­ral phenomena.
    ** A project from which other countries can take a leaf out of their book. For the coming year and the 75th anni­ver­s­a­ry of its founding, the NHS is going one step further, inviting app­li­ca­ti­ons for funding for three short films dealing with NHS issues.

     

     

    'Das ist Pflege' [This is Care], DE 2019, 2min, Hamburg Clinics 

    Nursing, USA 1942, 11min, Vocational Guidance Film, Inc. 

    Diploma Nursing, AT 2019, 14min, a vocational gudiance film by stay tuned on behalf of AMS and WIFI. 

    Occupation: Carer. Nurses in Vienna, AT 1982, 25 min, Director: Axel Stummer

    Occupation: Carer. Nurses in Vienna, AT 1982, Filmstill

    Nursing, USA 1942, Filmstill

    Tags

    Between enligh­ten­ment and ‘plugging’. A history of voca­tio­nal guidance films on nursing

    Jörg Markowitsch

    Combating nursing shortages through film has a history. A W-o-W film evening explored the changing nature of the nursing profession through vocational guidance films over the last 80 years.

    At a film evening on nursing education at the Vienna Film Academy last November, three voca­tio­nal guidance films from the 1940s, 1980s and 2020s, among others, were jointly scru­ti­ni­zed by nursing pro­fes­sio­nals, filmma­kers and both scholars in film studies and voca­tio­nal science. Revealing stages of progress and regres­si­on as well as fun­da­men­tal questions con­cer­ning voca­tio­nal training, film and fiction. What does a con­tem­pora­ry nursing education consist of? How much reality is there in voca­tio­nal guidance films?

    Voca­tio­nal Guidance is a film genre of its own, which in contrast to adver­ti­sing, has no overt com­mer­cial inten­ti­ons. It does not promote any employer or an edu­ca­tio­nal provider but tries to convey a neutral image of an occup­a­ti­on and enligh­tens us on the basis of work tasks, qua­li­fi­ca­ti­ons, job requi­re­ments, training and social dimen­si­ons. In this respect, little has changed in the aim, but pretty much ever­ything has changed in the way it is produced and consumed.

    “Faster, shorter, more colorful” is how one could summarize the historic deve­lo­p­ment of voca­tio­nal guidance films.  Axel Stummer’s film “Beruf helfen” (occup­a­ti­on: carer) (AT 1982) was created when it was still customary to last 30min so that there would be enough time for questions from students within the one-hour lesson; presently voca­tio­nal guidance films have to stand up to com­pe­ti­ti­on from three-minute TikTok videos (see, for example, “Gesund­heits- und Kran­ken­pfle­ge” (2019) by stay tuned from the Austrian Public Employ­ment Service series of career videos).

    In ‘Nursing’ (USA 1942), the didactic setting from the black-and-white era of film saw an aut­ho­ri­ta­ti­ve male narrator with a lecturing voice off-screen exp­lai­ning the pro­fes­si­on. In contrast, today’s voca­tio­nal guidance films exclu­si­ve­ly feature qualified and pro­spec­ti­ve prac­ti­tio­ners speaking for them­sel­ves. In ‘Beruf helfen’ from the 1980s, both elements are still used, as well as a mix of actors and active nurses. In addition, according to Stummer, there was a requi­re­ment to give the film the quality of a feature film. Con­se­quent­ly, there is also a plot of sorts, and even the leisure time behavior of nursing staff and their residence is given an unbe­liev­a­ble amount of space.

    Largely unt­hin­ka­ble today, this aspect thus promoted an important addi­tio­nal finding: we get an insight, into the milieu and social envi­ron­ment of care­gi­vers. As a highlight, director Stummer also built in a few suspense elements à la ‘The Kingdom’ (1994)*, thus streng­t­he­ning the feature film character. “Ever­ything was pre­de­ter­mi­ned down to the smallest detail and I wasn’t allowed to change anything in the script, but I took this artistic license,” Stummer remarks mischie­vous­ly during the film dis­cus­sion. Stummer was still a student at the Film Academy at the time, and was clearly delighted to see the film again after 40 years.

    But how much fiction is there in voca­tio­nal guidance films, then and now? In current films from the Austrian PES on nursing, for instance, more male nurses than female nurses have their say, sur­pri­sin­gly. The attempt to attract men to the pro­fes­si­on is obvious and legi­ti­ma­te, however, the fact that the pro­por­ti­on of men in nursing in Austria is below 20 percent is con­spi­cuous­ly concealed. In this respect, people used to be more accurate: the footage from ‘Nursing’ (1942) shows only women (note: the training was segre­ga­ted according to gender). Thus, a certain adver­ti­sing character cannot be denied in today’s voca­tio­nal guidance films. Today, however, the conscious recruit­ment of nurses obviously has to plug the career in an even “shorter, faster, more colorful” manner (cf. the 2min campaign film of the Hamburg clinics).

    In the past, the idea was inva­ria­b­ly: the longer the more con­vin­cing. The National Health Service (NHS) in Great Britain recently launched a project on the occasion of its 70th anni­ver­s­a­ry in which, together with the British Film Institute (BFI), around 100 films on health care (feature films, docu­men­ta­ries, animated films, etc.) were compiled.  Among them was one of the most ambitious recruit­ment films ever made, tellingly titled “Life in Her Hands” from 1951, a 60min B‑movie sponsored by the British Ministry of Labour with the aim of attrac­ting women, obviously, to the nursing pro­fes­si­on, where the film’s success was measured by recruit­ment numbers. The number of app­li­ca­ti­ons after the scree­nings, which were mostly held in town halls, was meti­cu­lous­ly docu­men­ted. Repor­ted­ly, the per­cen­ta­ge of new female nurses increased by 27% within five years.

    Whether film has an active impact on nursing recruit­ment today remains largely an open question. According to a recent U.S. market research survey, the hospital series ‘Grey’s Anatomy’ and ‘Emergency Room’ are sup­po­sed­ly among the five series with the greatest demons­tra­ble influence on career choice. The issue with this is that an over­whel­ming pro­por­ti­on of those surveyed saw their pro­fes­si­on as mis­re­pre­sen­ted and actually much more demanding.

    To what extent the publicly financed feature film “Life in Her Hands” truly reflects reality will have to be decided by medical history rese­ar­chers. What docu­men­ta­ry film as genre is capable of achieving in this regard, you can enlighten yourself about in our next article.

    Refe­ren­ces:
    Allan, H., & Evans, K. (2021). Theo­ri­sing in everyday nursing practice: a critical analysis. Sage.
    Hallam, J. (2012). Nursing the image: media, culture and pro­fes­sio­nal identity. Routledge.
    Zen­busi­ness (2020). Influence of Media on Careers. Blog­bei­trag.
    Russell, (2018) The NHS on film,
    Blog­bei­trag. https://www.bfi.org.uk/features/nhs-national-health-service-film

    * The Kingdom (1994) is a legendary mini­se­ries by director Lars von Trier for Danish tele­vi­si­on, set almost exclu­si­ve­ly in a Copen­ha­gen hospital where the staff is con­fron­ted with super­na­tu­ral phenomena.
    ** A project from which other countries can take a leaf out of their book. For the coming year and the 75th anni­ver­s­a­ry of its founding, the NHS is going one step further, inviting app­li­ca­ti­ons for funding for three short films dealing with NHS issues.

     

     

    'Das ist Pflege' [This is Care], DE 2019, 2min, Hamburg Clinics

    Nursing, USA 1942, 11min, Vocational Guidance Film, Inc.

    Diploma Nursing, AT 2019, 14min, a vocational gudiance film by stay tuned on behalf of AMS and WIFI.

    Occupation: Carer. Nurses in Vienna, AT 1982, 25 min, Director: Axel Stummer

    Occupation: Carer. Nurses in Vienna, AT 1982, Filmstill

    Nursing, USA 1942, Filmstill

    Tags


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    About this blog

    By selecting a film or an image, this blog literally illus­tra­tes the vast sphere of work, employ­ment & education in an open collec­tion of academic, artistic and also anecdotal findings.

    About us

    Konrad Wakol­bin­ger makes docu­men­ta­ry films about work and life. Jörg Mar­ko­witsch does research on education and work. They are both based in Vienna. Infor­ma­ti­on on guest authors can be found in their cor­re­spon­ding articles.

    More about

    Inte­res­ted in more? Find recom­men­da­ti­ons on relevant festivals, film collec­tions and lite­ra­tu­re here.

    About this blog

    With picking a film or an image, this blog literally illus­tra­tes the vast sphere of work, employ­ment & education in an open collec­tion of academic, artistic and also anecdotal findings.

    About us

    Konrad Wakol­bin­ger makes docu­men­ta­ry films about work and life. Jörg Mar­ko­witsch does research on education and work. We both work in Vienna. Infor­ma­ti­on on guest authors can be found in their respec­ti­ve articles.

    More about

    Inte­res­ted in more? Find recom­men­da­ti­ons on relevant festivals, film collec­tions and lite­ra­tu­re here.