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The Sacred Twenty were a group of nurses who were the first female members to ever formally serve in the
United States Navy The United States Navy (USN) is the maritime service branch of the United States Armed Forces and one of the eight uniformed services of the United States. It is the largest and most powerful navy in the world, with the estimated tonnage ...
representing the
Nurse Corps Most professional militaries employ specialised military nurses. They are often organised as a distinct nursing corps. Florence Nightingale formed the first nucleus of a recognised Nursing Service for the British Army during the Crimean War in 1854 ...
. Officially formed in 1908, the Sacred Twenty made broad contributions during wartime, not only including training of field nurses and disease treatment, but also providing education programs for nurses abroad and professional publications to the field of
nursing Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health ...
.


History

Shortly after the formation of the Army Nurse Corps in 1901, the Navy's
Bureau of Medicine and Surgery The Bureau of Medicine and Surgery (BUMED) is an agency of the United States Department of the Navy that manages health care activities for the United States Navy and the United States Marine Corps. BUMED operates hospitals and other health care ...
(BUMED) campaigned to create a similar organization for itself. Congress officially permitted the creation of the organization on 13 May 1908, where twenty women were selected as the first members. The women were required to be between the ages of 22 and 44, to be citizens of the United States, and also could not be married. They were initially headed by Esther Voorhees Hasson, a former member of the Army Nurse Corps, who was appointed as superintendent. Hasson and the
Bureau of Medicine and Surgery The Bureau of Medicine and Surgery (BUMED) is an agency of the United States Department of the Navy that manages health care activities for the United States Navy and the United States Marine Corps. BUMED operates hospitals and other health care ...
collaboratively selected the other 19 nurses, who were chosen from various nursing schools and had training across a broad range of nursing skills. The Sacred Twenty were assigned to the U.S. Naval Hospital in Washington, D.C for initial training and were subsequently assigned to hospitals in Washington, New York City, Norfolk, and
Annapolis Annapolis ( ) is the capital city of the U.S. state of Maryland and the county seat of, and only incorporated city in, Anne Arundel County. Situated on the Chesapeake Bay at the mouth of the Severn River, south of Baltimore and about east o ...
for supervised duty. Assignments were later expanded to many other cities including
Philadelphia Philadelphia, often called Philly, is the largest city in the Commonwealth of Pennsylvania, the sixth-largest city in the U.S., the second-largest city in both the Northeast megalopolis and Mid-Atlantic regions after New York City. Sinc ...
and
Puget Sound Puget Sound ( ) is a sound of the Pacific Northwest, an inlet of the Pacific Ocean, and part of the Salish Sea. It is located along the northwestern coast of the U.S. state of Washington. It is a complex estuarine system of interconnected ma ...
. Overseas, U.S. naval hospitals were built in
Guam Guam (; ch, Guåhan ) is an organized, unincorporated territory of the United States in the Micronesia subregion of the western Pacific Ocean. It is the westernmost point and territory of the United States (reckoned from the geographic cent ...
,
Samoa Samoa, officially the Independent State of Samoa; sm, Sāmoa, and until 1997 known as Western Samoa, is a Polynesian island country consisting of two main islands (Savai'i and Upolu); two smaller, inhabited islands (Manono Island, Manono an ...
, and the
Philippines The Philippines (; fil, Pilipinas, links=no), officially the Republic of the Philippines ( fil, Republika ng Pilipinas, links=no), * bik, Republika kan Filipinas * ceb, Republika sa Pilipinas * cbk, República de Filipinas * hil, Republ ...
where some of the Sacred Twenty served. The navy did not provide room or board for them, and so the nurses rented their own accommodations and provided their own meals. In 1910, Superintendent Hasson noted the dwindling applications from qualified candidates to the Nurse Corps, and subsequently pushed for initiatives such as better pay and reducing the cost of applications by foregoing an in-person interview and replacing it with a written essay requirement. Initially, hospital administration was wary about the idea of introducing female nurses into settings without female patients because they believed they may serve to distract male patients. Consequently, existing male nurses, who had not received sufficient training, performed most of the nursing tasks. Some years after the Sacred Twenty's formation in 1908, however, female nurses began to champion this role in the Hospital Corps, even abroad.


Service

In addition to administering medical care on the battlefield and training of local nurses to do the same, the Sacred Twenty also implemented a number of other programs during their service. For instance, Chief Nurse Elizabeth Leonhardt, who arrived at the Naval Hospital in
Guam Guam (; ch, Guåhan ) is an organized, unincorporated territory of the United States in the Micronesia subregion of the western Pacific Ocean. It is the westernmost point and territory of the United States (reckoned from the geographic cent ...
1911, not only worked with women and children, but also created a training school for local
Chamorro Chamorro may refer to: * Chamorro people, the indigenous people of the Mariana Islands in the Western Pacific * Chamorro language, an Austronesian language indigenous to The Marianas * Chamorro Time Zone, the time zone of Guam and the Northern Mar ...
women. Six women attended the first class, which was later expanded due to interest. Later classes included discussion of
tuberculosis Tuberculosis (TB) is an infectious disease usually caused by '' Mycobacterium tuberculosis'' (MTB) bacteria. Tuberculosis generally affects the lungs, but it can also affect other parts of the body. Most infections show no symptoms, in ...
cases and training and teaching of
massage therapy Massage is the manipulation of the body's soft tissues. Massage techniques are commonly applied with hands, fingers, elbows, knees, forearms, feet or a device. The purpose of massage is generally for the treatment of body stress or pain. In Eu ...
. Some training in
midwifery Midwifery is the health science and health profession that deals with pregnancy, childbirth, and the postpartum period (including care of the newborn), in addition to the sexual and reproductive health of women throughout their lives. In many cou ...
was also implemented by Leonhardt, in part due to her own perceived problems with native approaches to treatment. However, some have noted that these concerns may have been motivated by racial- and gender-based discrimination towards women in the tropics. Chief Nurse Beatrice Bowman, who arrived in 1916, also taught courses in midwifery and practical nursing, which later allowed trained nurses to provide more complete healthcare to the villages they were assigned to. Later, when Bowman became Superintendent, she implemented mandatory inspections of all naval hospitals in order to create a more consistent standard of nursing and to gain firsthand experience of what challenges different hospitals and nurses faced. Bowman is also noted to have pushed for Navy nurses to continue their education and keep up-to-date with developments in medicine by taking postgraduate courses. Superintendent Lenah Higbee focused on publicizing and enhancing the reputation of the Nurse Corps. She often published articles in professional journals such as the
American Journal of Nursing The ''American Journal of Nursing'' (AJN) is a monthly peer-reviewed nursing journal established in 1900. the editor-in-chief was Maureen Shawn Kennedy and it is published by Lippincott Williams & Wilkins. In 2009 the journal was selected as one o ...
and encouraged nurses to contribute as well.


Members

The Sacred Twenty included three Nurse Corps Superintendents and twelve chief nurses. They were: # Josephine Beatrice Bowman, the third Superintendent of the Navy Nurse Corps, 1922–1935 # Sara M. Cox #Clare L. De Ceu #Mary H. Du Bose #Estelle Hine #Elizabeth M. Hewitt # Esther Voorhees Hasson, the first Superintendent of the Navy Nurse Corps, 1908–1911; # Lenah H. Sutcliffe Higbee, the second Superintendent of the Navy Nurse Corps, 1911–1922; # Della V. Knight # Elizabeth Leonhardt #Florence T. Milburn #Margaret D. Murray #Sara B. Myer #Ethel R. Parsons #Adah M. Pendleton #Martha E. Pringle #Isabelle Rose Roy #Boniface T. Small #Victoria White #Elizabeth J. Wells


References


Further reading

* Budreau, Lisa M. ''Answering the Call : The U.S. Army Nurse Corps, 1917–1919 : A Commemorative Tribute to Military Nursing in World War I''. Washington, DC : Office of the Surgeon General, Borden Institute, Walter Reed Army Medical Center, 2008. . * Daly, Nora Elizabeth. ''Memoirs of a World War I Nurse''. .l.: Iuniverse Inc., 2011. . * Gavin, Lettie. ''American Women in World War I : They Also Served''. Niwot, Colo. : University Press of Colorado, 1997. . * Hallett, Christine E. ''Containing Trauma : Nursing Work in the First World War''. Manchester : Manchester University Press, 2009. . * Hunter, Nick. ''Women in World War I''. Chicago, Illinois : Heinemann Library, 014 . * Lamb, Helen Jordan. ''World War I : An American Nurse with the British Troops in France, Nov. 1916-Feb. 1919''. Provo, Utah : Stevenson's Genealogical Center, 1981. . * Powell, Anne. ''Women in the War Zone : Hospital Service in the First World War''. Gloucestershire : History Press, 2009. . * Sarnecky, Mary T. ''A History of the U.S. Army Nurse Corps''. Philadelphia : University of Pennsylvania Press, 1999. . * Stevenson, Sarah Sand. ''Lamp for a Soldier : The Caring Story of a Nurse in World War I''. Bismarck : North Dakota State Nurses' Association, 1976. . * United States, and National Naval Medical Center (U.S.). ''Navy Nursing The Traditions Continue'' (film). Bethesda, MD: National Naval Medical Center, 1996. * Wigle, Shari Lynn and Anderson, Grace. ''Pride of America, We're With You : The Letters of Grace Anderson, U.S. Army Nurse Corps, World War I''. Rockville, MD : Seaboard Press, 2007. {{OCLC , 232626105.


External links


WWI and WWII US Navy Nurse Corps.The Nurse Corps.The "Sacred Twenty": The Navy's First Nurses.
World War I nurses Nursing organizations in the United States Female wartime nurses Female United States Navy personnel American women in World War I United States Navy Nurse Corps officers Medical units and formations of the United States Navy United States Navy in the 20th century All-female military units and formations