Tracing the history of nursing in rural America during the first half of the 20th century, this well-researched book describes how nurses shaped health care delivery in a variety of rural environments, and analyzes how insights from their remarkable achievements in the face of formidable barriers can be applied to health care today. The book examines the multiple factors that influenced how and why nurses responded to the health care needs of rural residents, with coverage of Rural Nursing in the advent of the American Red Cross, to Mary Breckinridge and her legendary Frontier Nursing Service. Through case histories, it depicts how nurses, working in the hinterlands of place, race, class, and ethnicity, broke geographic, cultural, and economic barriers to provide quality care. Based on nine case studies throughout rural America, the book identifies how nursing care was delivered to rural communities during the first five decades of the 20th century (before the advent of Medicare and Medicaid), and analyzes the impact of gender, class, race, policy, and place on rural health care delivery. It describes how nurses used ingenuity and self-reliance in order to practice to the full extent of their education, and explains how they provided access to care and health education in the face of many barriers. The book also highlights nurses' advocacy for their often disenfranchised patients, and examines how we can learn from their achievements to provide quality health care today.
