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Cadet Nurse Corps

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Cadet Nurse Corps

The United States (U.S.) Cadet Nurse Corps (CNC) for women was authorized by the U.S. Congress on 15 June 1943 and signed into law by president Franklin D. Roosevelt on 1 July. The purpose of the law was to alleviate the nursing shortage that existed before and during World War II. The legislative act contained a specific provision that prohibited discrimination based upon race, color, or creed. The United States Public Health Service (USPHS) was named the supervisory agency; it was answerable to Thomas Parran, Jr. the surgeon general of the United States. The USPHS established a separate division to administer the CNC program and Parran appointed Lucile Petry a registered nurse (RN) as its director.

The program was open to all women between the ages of 17 and 35 who were in good health and had graduated from an accredited high school. Nearly every type of media source advertised for the CNC. All state nursing schools in the U.S. were eligible to participate in the program; they were, however, required to be accredited by the accrediting agency in their state and be connected with a hospital that had been approved by the American College of Surgeons. The participating schools of nursing were required to compress the traditional 36-month nursing program into 30 months, and they were obligated to provide students with the clinical experiences of medicine, surgery, pediatrics, and obstetrics.

The cadets came from locations across the nation and from all backgrounds. The CNC allowed young women to serve their country in uniform while being protected by law against discrimination. Of the 1,300 schools of nursing in the country, 1,125 participated in the program. The CNC operated from 1943 until 1948; during this period 179,294 student nurses enrolled in the program and 124,065 of them graduated from participating nursing schools. The American Hospital Association credited the cadet student nurses with helping to prevent a collapse of civilian nursing in the U.S. during World War II.

The U.S. experienced a shortage of nurses long before its entry into World War II; this shortage worsened with the prewar buildup of the military and industrial upturn that this caused. Professional nursing groups were unprepared to deal with the problem. On 10 July 1940, however, the situation changed when Isabel M. Stewart, professor of nursing at Columbia University and a member of the National League for Nursing, wrote to its president: "I believe we should have a committee or board that is representative of the nursing profession as a whole and it should be at work now ... Within three weeks, on 29 July 1940, representatives of the national nursing community gathered in New York City, under the umbrella of the American Nurses Association, where they formed the Nursing Council on National Defense. In its first order of business, the council concentrated on surveying nursing resources and securing federal funding to expand nursing educational opportunities.

The survey results indicated that 100,000 nurses were eligible for military service, and that most nursing schools were ill-equipped to enlarge their instructional or housing facilities. The council submitted its federal aid request for fiscal year 1 July 1941 to 30 June 1942 to the U.S. commissioner of education, who approved it and moved it on to the Bureau of the Budget. The Congress then enacted and funded the Nurse Training Program, which assisted in the education of 12,000 students at 309 nursing schools. Through the program, 3,800 inactive nurses received refresher courses and 4,800 graduate nurses received postgraduate training. By the end of the fiscal year, 47,500 students were enrolled in nursing schools but this did not meet the country's demands. Nurses could not be trained quickly enough to keep pace with the country's civilian and military needs.

During 1942 the Office of War Information tried to mobilize interest in the nursing profession, using prime-time radio advertisements to focus their broadcasts on interviews, dramatic sketches, and spot announcements urging young women to join the nursing profession. While these efforts were helpful, they did not meet expectations. The supporters of the nurse training programs recommended doubling federal aid for basic nursing education in the fiscal year ending 30 June 1943. Representative Frances P. Bolton of Ohio, a longtime advocate of nursing, supported the proposed increase in federal aid and informed the Congress that further aid requests for nurse training programs were likely.

On 29 March 1943 Bolton took the initiative and introduced H.R. 2326, a bill to create and fund a training program for nurses. The Senate added an amendment that prohibited discrimination based upon race, color, or creed. At the bill's legislative hearings, hospital groups explained how distressed nursing care in civilian hospitals had become. Support for the bill also came in the form of letters and telegrams. The bill passed both houses of the Congress by unanimous vote on 15 June 1943 and became Public Law 74 on 1 July 1943; with the title of Nurse Training Act of 1943 but commonly referred to as the Bolton act. It provided for the training of nurses for the armed forces, government and civilian hospitals, health agencies, and war industries through grants to the institutions providing the training. It also contained a provision requiring that those trained under the act would comprise a uniformed body but without military status.

The Division of Nurse Education was established in the USPHS to supervise the program; it was answerable to the surgeon general of the United States, Thomas Parran Jr. He appointed Lucile Petry (RN), a registered nurse, as its director. The federal security administrator was required to appoint an advisory committee to assist in guiding the nurse-training programs. The committee consisted of people in the nursing and related fields who were drawn from various parts of the country. On 25 June 1943, the committee met for the first time with government officials to establish the rules and regulations to carry out the act. As required, they were approved by the surgeon general and published in the Federal Register.

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