1920

Too Many Students,
Too Few Jobs for Graduates

Overworked as a student,
unemployed as a graduate.

The willingness of young women to exchange their labor for an opportunity to become professional nurses encouraged hospital administrators to increase the number and the size of their schools. Nursing students, intelligent, young, obedient and dedicated, provided hospitals an ideal cheap labor force.

During the 1920s, the economic conditions for most graduate nurses were grim. To address this problem, ANA, with other organizations, sponsored a series of national studies beginning with the Goldmark report on nursing education in 1923. Later, in 1928, it investigated the economic status of graduates in the Burgess study.


Decentralization of the
ANA Relief Fund

The Relief Fund, initiated by ANA in 1910 to help ill nurses, became more important in the 1920s as more nurses found themselves unemployed and without savings. To assist those most in need, the ANA turned the administration of the fund over to the state associations.

"In appreciation of their help, one wrote to say: 'This help has meant life itself to me.' "
"Heroism and the Relief Fund," AJN (1923), p. 107

National Concern for Mothers and Infants: The Sheppard-Towner Act -- 1921

Realizing that maternal-infant mortality rates were shockingly high in rural communities, the Children's Bureau, supported by the ANA, petitioned Congress to establish maternal and infant health services.

"Nurses do love nursing, but they want nursing to be, in so far as possible, a profession, and the things they stress when they talk about the economic conditions under which they work ... are those things which other professional workers take for granted:
  • Reasonable hours,
  • Adequate income,
  • Constructive leadership,
  • Opportunity for growth."
May Ayres Burgess, Nurses, Patients and Pocketbooks (1928), p. 482

Insulin is discovered in 1922

The discovery of insulin revolutionized medical care for diabetes. Articles updating nurses on the latest discovery began to appear in AJN.

"Insulin is now being furnished to physicians throughout the country, who specialize in the treatment of diabetes ... Properly used, it enables the diabetic to regain his place as an active member of society and gives him a hopeful, happy outlook."
Nellie Brown, "The Use of Insulin in the Treatment of Diabetes Mellitus," AJN (1923), vol. 24, pp 8-12


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