1930

The Great Depression and the Nation's Need for Health Care

The crash of the New York Stock Exchange in 1929 heralded a decade of severe economic and social problems for the country. Many of the nation's banks closed and by 1933 almost one-third of the American work force was unemployed. The nation's poverty led to increased illness in the population.

"Many hospital administrators, worried by the burden of maintaining a first-class school of nursing ... have turned to the thought of [using] a graduate staff as a means of answering some of these questions [about service]."
Helen Sparks, "Graduate Staff Nursing," AJN (1935), vol. 35, p. 743

The nation's economic depression intensified the problems of graduate nurses:

"... we have thousands of nurses unemployed, thousands more working twelve to twenty hours a day, and at the same time, people who need nursing care are going unnursed ..."
Stella Goostray, "What Lies Ahead for the Nursing Profession?" AJN (1935), p. 766

During 1936, approximately 6,000 nurses were employed on Works Progress Administration projects. In 1933, the Civil Works Administration (CWA) provided funds to employ 300 needy nurses.


"Some of these [nurses] were so destitute that clothing and shoes had to be provided before they could accept work."
Philip and Bernice Kalisch, Advances in American Nursing (1995), p. 306

From Private Duty
to General Staff Nursing

The closing of nursing schools and the federal initiatives of the 1930s encouraged hospitals to employ graduates for staff nursing positions.

The Eight Hour Day

"In the interest of good nursing, we believe that nurses, in caring for acutely ill patients, should not be expected to work more than eight hours out of twenty-four."
Recommendation accepted by the Board of Directors, ANA (August 25, 1933)

Economic Stress

"Private duty nurses comprise approximately 65% of the membership of the ANA and their problems have been particularly acute during this period of economic stress."
Report of Alma H. Scott, Acting Director of ANA Headquarters, Proceedings of the 29th Convention (April 22 - 27, 1934), p. 145


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