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Health care was also extended to the US Navy (from 1799 to 1817) and to the Revenue Marine Division of the Treasury Department (later it became the US Coast Guard.) The first facility opened at Castle Harbor, Boston in 1799.
Miss Alice Fisher, born in England June 13, 1839, trained at the Nightingale Training School and Home for Nurses.
In 1839, Doctor Joseph Warrington founded the Nurses Society in Philadelphia in an effort to improve the care of new mothers and infants.
The school’s curriculum would largely be based on Nightingale’s 1859 publication Notes on Nursing.
1860 ed. copy in Google books.
In the United States, even as larger cities grew, hospitals were still rare before 1860; however, there were efforts to build professional knowledge in healthcare.
Notes on Nursing for the Labouring Classes, Harrison, 1861; copy in Google books.
In 1861, Elizabeth Blackwell, the first woman to graduate medical school in the United States, created a nursing course to help train women serving as nurses for the Union Army.
Notes on Hospitals-- 3d edition, London, 1863; copy in Google books.
Also in 1870 a headquarters in Washington, D.C. was established.
Doctor John M. Woodworth was appointed as the first Supervising Surgeon (a position now known as the Surgeon General) in 1871.
Longmans, Green, and co., 1871; copy in Google books.
First Annual Report of the Supervising Surgeon of the Marine Hospital Service of the United States, Washington: Government Printing Office, 1872
A landmark year for nursing education, 1873 saw the founding of several prestigious programs.
Other significant programs launched in 1873 included New Haven Hospital’s Connecticut Training School and Massachusetts General Hospital’s Boston Training School.
In 1876, she volunteered to be superintendent of the Fever Hospital, Newcastle on Tyne, where she found wards dirty and unkempt.
Miss Fisher wrote to Miss Nightingale on November 23, 1877 from Addenbrooke Hospital, at Cambridge.
With the passage of the National Quarantine Act of 1878 following a yellow fever epidemic, responsibility for quarantine of infectious disease transferred from the states to the Service.
Like women of all races, African American women were the caretakers in their communities; however, until 1879, racial prejudice barred them from formal training.
In 1879 Doctor Zakrzwska’s nursing school broke a significant racial barrier when Mary Eliza Mahoney graduated and became the first African American professional nurse in the United States.
In 1882, she became superintendent of the General Hospital in Birmingham, remaining to establish a school of nursing.
Seven years later, in 1886, Spelman Seminary in Atlanta, Georgia opened and enrolled students in the first nursing program for African American women.
The Commissioned Corps was established in 1889 to provide a uniformed, mobile, career corps of capable physicians known by the term surgeons.
A movement to open formal Schools of Nursing started in the 1890’s.
The project took on a board of trustees, a finance committee, and an executive committee in 1891.
In 1892, a facility located at Ellis Island opened for the processing of arriving immigrants.
Lillian Wald founded the Henry Street Settlement House in 1892, and was instrumental in spurring public health care nursing in New York city.
An 1895 Look at NursingReproduced at this Emergency Nursing World site is a very long excerpt from the book Ambulance Work And Nursing - A Handbook On First Aid To The Injured With A Section On Nursing, Etc.
In 1896, delegates from several top alumni groups gathered at the Manhattan Beach Hotel to form a national professional association.
Founded in New York in 1900, this three-course option focused on general, obstetric, and surgical nursing.
In 1902 the Service was renamed the Public Health and Marine Hospital Service.
The Life of Florence Nightingale. by Sarah A. Southall Tooley, 1905; copy in Google books
Annual Report of the Surgeon General of the Public Health and Marine Service of the United States, Washington: Government Printing Office, 1909
2635), Washington, Government Printing Office, 1911
During 1912, the Service, known as the PHS, formally employed trained nurses.
Annual Report of the Surgeon General of the Public Health and Marine Service of the United States, Washington: Government Printing Office, 1912
The following year, in 1914 M. Maude Fauquier became the first nurse assigned to participate in field studies at the Public Health Service Hospital for Pellagra in Spartanburg, South Carolina.
Doctor Joseph Goldberger, a PHS Officer had correlated diet with pellagra in 1914, paving the way for treatment and prevention.
The Life of Florence Nightingale in 2 volumes by Edward Tyas Cook, London, 1914.
Goodnow's History of Nursing, W.B. Saunders Co., 1916; copy in Google books.
Annual Report of the Surgeon General of the Public Health and Marine Service of the United States, Washington: Government Printing Office, 1917
During the Spanish Influenza epidemic of 1918, Lucy Minnigerode developed partnerships between the PHS and the American Red Cross to open a hospital and clinic to care for victims.
Annual Report of the Surgeon General of the Public Health Service of the United States, Washington: Government Printing Office, 1918
With the conclusion of World War 1 an Act of Congress awarded the responsibility for the care of sick and disabled veterans to the PHS. Lucy Minnigerode was appointed in 1919 as the first PHS Superintendent of Nursing for 23 Marine Hospitals and dispensaries.
Annual Report of the Surgeon General of the Public Health Service of the United States, Washington: Government Printing Office, 1919
Macmillan, 1919; copy in Google books.Goodnow, Minnie.
In the September 1920 issue of the American Journal of Nursing an editorial that was written about Public Health Service nurses stated that, “The work has been and is still pioneer work.” PHS nurses today continue to practice with the same pioneering spirit.
In 1921 the PHS purchased the Louisiana Leprosy Hospital in Carville thus creating the National Leprosarium (Gillis W. Long National Hansen’s Disease Center.)
In 1922, the American Red Cross assigned 628 nurses to the PHS. In January 1922, the PHS opened a School of Nursing located at Fort McHenry, Maryland.
By 1922, through the leadership of Lucy Minnigerode the nursing staff expanded from 90 to 1,800 nurses working in hospitals with a bed capacity of 20,500.
W. B. Saunders company, 1922; copy in Google books.
Frontier Nursing ServiceOn this site is a brief history of the midwifery service founded by Mary Breckinridge in 1925.
In 1928, a PHS medical officer was assigned to serve as Director of Health for the Bureau of Indian Affairs within the Department of the Interior.
In 1929, the Division of Mental Hygiene was established.
In 1930, nurses became involved in correctional nursing as the PHS assumed responsibility for federal prison health care.
In 1933 Pearl McIver was employed by the PHS in the Division of Public Health as a public health nursing analyst to address the public health nursing needs of the country.
A Bill to Place the Nurses of the Public Health Service on the same Status as Army Nurses and for other Purposes, Draft, November 1934
25), Washington D.C.: United States Government Printing office, June 19, 1936
In 1939, the PHS moved during reorganization from the Treasury Department to the Federal Security Agency along with other social service agencies.
To alleviate the nursing shortage on July 1, 1942 Congress appropriated funds for nurse education in the form of refresher classes, postgraduate courses in specialty areas, and to increase nursing program enrollment for students with financial need.
Representative Frances P. Bolton of Ohio introduced her bill on March 29, 1943.
There was a 141% increase in admissions at the 30 PHS Hospitals according to the 1943 Surgeon General’s Annual Report.
There are four different card forms: 300A, 300B (pre-May 1944), 300B revised, and PG 400, which recorded post-graduate information.
The 1944 Public Health Service Act approved on July 1st of that year authorized the appointment of qualified nurses as Commissioned Officers.
In July 1945, the first nurses were commissioned in the PHS, including Lucile Petry and Pearl McIver.
Annual Report of the Federal Security Agency, Washington, D.C.: United States Government Printing Office, 1945
By 1947, NLNE’s board had adopted a goal of moving nursing school to the higher education system.
Amendments to the 1947 Taft-Hartley Act ended the exemption of nonprofit hospitals from coverage by the National Labor Relations Act.
The 1949 reorganization abolished The Division of Nursing in the Office of the Surgeon General.
During the 1950’s, opportunities for nurses within the PHS expanded as the Service acquired new responsibilities.
The information collected for this study created a national momentum among nurses that resulted in the establishment of the National League for Nursing in 1952.
Positions for nurses to work in research at the newly opened National Institute for Health became available in 1953.
A government reorganization in 1953 created the Department of Health Education and Welfare from the Federal Security Agency.
In 1954, sixteen PHS Hospitals were operating in major ports with specialty hospitals for tuberculosis, Hansen’s disease, psychiatric disorders, and treatment of narcotic addiction.
On July 1, 1955, the PHS assumed responsibility from the Department of Interior’s Bureau of Indian Affairs for the health care of 350,000 American Indians and Alaska Natives, inheriting 3,500 staff members and numerous hospitals, field clinics, and other facilities.
American nurse service in Vietnam began in 1956 when three Army Nurse Corps nurses were placed on temporary duty assignment with the United States Military Assistance Advisory Group.
In 1960, the Divisions of Nursing Resources and Public Health Nursing joined into a new Division of Nursing, headed by Margaret Arnstein.
The 1960’s saw the beginning of nurse specializations.
Beginning its work in 1961, the Surgeon General’s Consultant Group on Nursing comprised of leaders in nursing, hospital administration, and medicine as well as members of the public, analyzed problems facing the nursing profession and proposed solutions.
The Food and Drug Administration joined the PHS in 1968.
In 1970 the Division of Nursing was restructured into four primary components: Education, Manpower, Practice, and Research.
Medicine and Nursing in the 1970’s: A Position Statement addressed six areas including the supply of nurses, expanded roles for nurses, nursing education, hospital nursing service, the health care team, and nurse-physician collaboration.
In 1970, Colonel Anna Mae Hayes, Chief of the Army Nurse Corps, became the first woman promoted to Brigadier General.
The Federation of Specialty Nursing Organizations and the American Nurses Association formed after an initial 1972 meeting with the American Nurses Association and ten nursing clinical specialty organizations convened to discuss common interests.
The Task Force on Affirmative Action convened in 1972 to develop and implement a program to rectify inequities experienced by minority nurses.
The 1973 Conference aimed to begin an initial effort to categorize nursing knowledge, develop a taxonomic system of diagnoses and establish a codification method appropriate for computerization.
The 1975 act added funds for nurse practitioner programs and mandated a study of the supply and distribution of nurses for use as a guide for future legislation.
Also occurring in 1980, the Department of Health, Education, and Welfare became the Department of Health and Human Services when a separate Department of Education formed.
By 1980, 1.3 million nurses were practicing in the United States.
The 1980’s brought about the closure of the 8 PHS Hospitals and 27 clinics.
The Kellogg Foundation ceased commission funding in 1980.
In 1981, the organization changed its name to the National Federation for Specialty Nursing Organizations.
The Nurse Training Act of 1985 further promoted nurse role expansion with funding for nurse anesthetist and geriatric nurse practitioner programs.
Retirement Credit for Time Spent in Cadet Nurse Corps in World War II, Congressional Record H.R. 2663, October 6, 1986
The Merchant Marines (Seamen) were no longer eligible for medical care from the PHS. Nursing Research in the PHS received recognition with the creation of the National Center for Nursing Research at NIH in 1986.
Canadian Association for the History of Nursing (CAHN) Founded in 1987 the CAHN is an interest group of the Canadian Nurses Association, with the purpose to promote interest in the history of nursing and to develop scholarship in the field.
The only exception? The 2001 survey, in which firefighters took first place.
Robinson, Thelma Nisei Cadet Nurse of World War II, Boulder, Colorado, Basic Books, 2005
The University of North Carolina at Greensboro).Vuic, K. D. (2006). "Officer. nurse. woman.": Defining gender in the united states army nurse corps in the vietnam war.
George Mason University).House, C. L. (2007). Army nurse officer retention: A qualitative examination of forces influencing the career longevity of army nurses.
Southern Illinois University at Carbondale).Provenzano, J. A. (2008). Federal nurse training legislation: A study in legislative opportunity.
The American University).Hudson, T. L. (2008). Re-evaluating retention: Shocks and intended separations in registered nurses and nurse anesthetists in the United States army nurse corps.
In 2010, the Institute of Medicine developed a blueprint for the next decade of healthcare practice by publishing The Future of Nursing: Leading Change, Advancing Health.
Tanner, J. D. (2011). Nurses in fatigues: The army nurse corps and the vietnam war.
OBJECTIVE: To reflect on the role of Brazilian nursing during the COVID-19 pandemic, considering as a historical landmark the bicentenary of the birth of Florence Nightingale, a precursor of modern nursing, celebrated in 2020.
NSNA / AAHN Essay Contest Winners 2022
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| Company name | Founded date | Revenue | Employee size | Job openings |
|---|---|---|---|---|
| Calcutta Health Care Center | - | $11.0M | 350 | - |
| Seacrest Village | - | $18.5M | 61 | 18 |
| Loving Care Agency | 1992 | $5.8M | 75 | 7 |
| Healing Touch Home Healthcare | 2004 | $820,000 | 15 | 14 |
| The Care Team | 2015 | - | 376 | 36 |
| Lakeview Methodist Health Services | 1985 | $500,000 | 50 | - |
| Integrity Health Services | - | $340,000 | 7 | 2 |
| Tender Care Home Health & Hospice | 2006 | $3.2M | 175 | 19 |
| Accurate Home Care | 2002 | $43.7M | 507 | - |
| Take Care Private Duty Home Health Care | 1995 | $12.5M | 200 | - |
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