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Nurses

The First World War transformed the nursing profession. The necessity to treat large numbers of wounded soldiers at the front created not only “white angels”, but real working-class women’s work.

Introduction

In the late 19th and early 20th centuries, medical advances led hospitals to abandon their mission to host poor people and organize effective prevention, treatment and care. In most countries, training was organized for those who were shortly to become medical auxiliaries. Legislation was introduced or prepared (it was sometimes still in discussion) to regulate those new activities.

Medical Assistants and Volunteers

Because it came at this time, the First World War completely changed this workforce population and its practice. There were two kinds of nurses at work during the war. Medical assistants provided medical care to a multitude of ill and injured soldiers, sometimes near the front line, but also in hospitals and recovery centers throughout the warring countries. Most of them had basic paramedical training. Certain types of injuries caused by artillery and machine gun fire were very serious and needed particular care and treatment. Female religious orders were in decline and not able to provide a significant number of personnel. Men were mobilized, some of them in military medical services. These men practiced side by side with female nurses. There were also many female volunteers with no other vocational training, who played a key support role by helping and comforting victims of the fighting. Consequently, by establishing itself as professional work, and as a result of the presence of many wealthy women, the nursing profession was distanced from the original ancillary service. However, nursing remains, in many countries, working-class women’s work.

Professionalization and Emancipation

The reputation of nurses in the war context was made by the character of Florence Nightingale (1820-1910) and her commitment to tend sick and injured soldiers during the Crimean War (1853-1856). The Great War was a factor in professionalization, in that it represented a growing need for medical and surgical care. Many notables’ wives, especially princesses and noblewomen, were nurses for quite some time, but many of them did not take care of wounded soldiers. This was useful for war propaganda and was meant to persuade people that the sacrifices were shared. Thus, women from higher social classes could leave their social environment, which caused them to mature. This was a factor in women’s emancipation in all the classes. It was not by chance that the writer Victor Margueritte (1866-1942) literary creation in his book La Garçonne [The Tomboy] (1922) was a former war nurse.

Conclusion

War was not the only scourge of wartime Europe. In 1918 and 1919, a great influenza pandemic, the “Spanish flu”, killed millions of people. Many nurses, who had come into contact with sufferers, died. Even when peace returned, the war still influenced the destiny of the nurses. In the hospitals, the demographic imbalance changed the labor market. So, men did not accept arduous and badly paid employment. This is one of the reasons why nursing staff are generally women. This characteristic became enduring; however, it was not a certainty before the war.

Christian Chevandier, Université du Havre

Section Editor: Alexandre Lafon
Christian Chevandier: Nurses, in: 1914-1918-online. International Encyclopedia of the First World War, ed. by Ute Daniel, Peter Gatrell, Oliver Janz, Heather Jones, Jennifer Keene, Alan Kramer, and Bill Nasson, issued by Freie Universität Berlin, Berlin 2015-08-20. DOI: 10.15463/ie1418.10706
Note

Images9

Nurses with the First Expeditionary Force
Nearly 3,000 Australian women served as nurses during the First World War. Most of these served in the Australian Army Nursing Service (AANS). Four nurses to sail for theatres of war with the First Expeditionary Force can be seen on this group photograph aboard the HMAT Omrah, c. November 1914. From left to right: Sister E. M. Paten, Captain Conrick, Sister J. M. Hart, Captain (later Colonel) Arthur Graham Butler (after the war Capt Butler wrote the three volume ‘Official History of the Australian Army Medical Services 1914-18’), Regimental Medical Officer (RMO) of the 9th Battalion, Sister C. M. Keys, and Sister B. M. Williams (seated).
Unknown photographer: black-and-white-photograph, HMAT Omrah, c. November 1914; source: Australian War Memorial, C02538, https://www.awm.gov.au/collection/C02538/.
This file has been identified as Public Domain Mark 1.0: http://creativecommons.org/publicdomain/mark/1.0/.

If you are good enough for war you are good enough to vote, poster, 1917
Uncle Sam as “Public Opinion” is embracing a nurse personifying “American womanhood”, saying: “If you are good enough for war you are good enough to vote.”
Morris: If you are good enough for war you are good enough to vote, drawing, in: The Brooklyn Magazine, 10 November 1917; source: Library of Congress Prints and Photographs Division, LC-USZ62-7601, http://www.loc.gov/pictures/item/2002698238/.
Courtesy of the Library of Congress.

Portuguese nurses on the Western Front
The Portuguese government had difficulty in assembling the necessary medical staff at home to combat the influx of diseases because a great number of physicians and nurses had been commissioned by the army. These Portuguese nurses for example were deployed to a Western Front field hospital.
Unknown photographer, n.d., n.p.
IWM (Q 64450), http://www.iwm.org.uk/collections/item/object/205311706.

British base hospital Basra, 1917
Patients and nursing staff in the ward of a British base hospital at Basra in 1917.
Unknown photographer, 1917, Basra, Mesopotamia.
IWM (Q 25698), http://www.iwm.org.uk/collections/item/object/205213250.

Mary Borden at French field hospital
Mary Borden, a young heiress and Vassar graduate, financed this French field hospital that, according to her estimates, treated some 25,000 men during the Somme offensive. In 1929 she authored “The Forbidden Zone”, a collection of short stories on her experiences during the war.
Unknown photographer: Unloading the wounded, black-and-white photograph, n.p., n.d.; source: Jane Conway: Mary Borden: A Women of Two Wars, Munday Books 2010, http://www.maryborden.com/page5/files/page5-1009-full.html.
Courtesy of Jane Conway.

American Red Cross nurse in France, 1918
In a typical gesture of providing comforts to troops, a Red Cross nurse hands out chocolate and cigarettes to U.S. soldiers of the Third Infantry Division in the vicinity of Montmirail, France on 31 May 1918.
Unknown photographer: American Red Cross Nurse, black-and-white photograph, Montmirail, France, 31 May 1918; source: Record Group 165, War Department Records, Signal Corps Photograph Collection, Box 97, No. 14109.
Courtesy of the U.S. National Archives and Records Administration.

Florence Nightingale (1820-1910)
Florence Nightingale (1820-1910) famously cared for wounded soldiers during the Crimean War.
Kilburn, William E, c 1860, n.p.
IWM (Q 71088), http://www.iwm.org.uk/collections/item/object/205018792.

Queen Marie of Romania (1875-1938)
Queen Marie of Romania, wife of Ferninand I, was very involved in the war effort. She is pictured here wearing a nurse’s uniform.
Unknown photographer: Regina Maria in uniforma de asistenta cu crini in mana, black-and-white photograph, Romania, 1917; source: Principele Radu al Romaniei, via Europeana 1914-1918, http://www.europeana.eu/portal/record/2020601/attachments_69872_6160_69872_original_69872_jpg.html.
This file is licensed under the Creative Commons Attribution-Share Alike 3.0 Unported license: http://creativecommons.org/licenses/by-sa/3.0/deed.en.

Elsa Brändström (1888-1948)
Known as the “Angel of Siberia”, Elsa Brändström worked as a nurse with prisoners of war, and served in the neutral Swedish Red Cross in Russia, Turkmenistan, and Serbia from 1914 until 1920.
Unknown photographer (Scherl): Elsa Brandström, die während und auch noch nach dem Weltkriege ihre caritative Arbeit bei den Kriegsgefangenen in Sibirien verrichtete. In Deutschland ist sie unter dem Namen “Engel von Sibirien” bekannt, black-and-white photograph, n.p., 1929; source: Bundesarchiv, Bild 183-R06836, via Wikimedia Commons http://commons.wikimedia.org/wiki/File:Bundesarchiv_Bild_183-R06836,_Elsa_Brandstr%C3%B6m.jpg.
This file is licensed under the Creative Commons Attribution-Share Alike 3.0 Germany license: http://creativecommons.org/licenses/by-sa/3.0/de/deed.en.