Emily Elizabeth Parsons, founder of the Mount Auburn Hospital.

As we reflect on the fifth anniversary of the start of the Covid lockdown, and as we mark the end of March as Womenโ€™s History Month, History Cambridge looks back on our exploration of womenโ€™s roles as essential workers in Cambridge past and present. In our last installment, we examined the role of Cambridge teachers as essential workers during the 20th century. As it involved nurturing young children, teaching was viewed by many as a natural outgrowth of womenโ€™s caregiving responsibilities within the family, and education, especially at the elementary level, was considered a profession to which women devoted themselves for noble and selfless purposes and not for economic prosperity.

This installment explores the role of Cambridge women in another essential caregiving profession: nursing. Just as women were largely responsible for educating children within their households, they were likewise tasked with caring for the sick and injured in their families. During the Civil War, many women ventured outside of the domestic realm to care for soldiers at the front and in army hospitals โ€“ a trend that gave birth to the professionalization of nursing in the postbellum era. Emily Elizabeth Parsons, who founded the Mount Auburn Hospital after returning home from her service as a Civil War nurse, is perhaps the best-known Cambridge example.

Nursing was a suitable โ€“ even ideal โ€“ profession for women because of what was believed to be their โ€œnatural inclinationโ€ toward sympathy and caregiving. The ranks of nurses in Cambridge, as in many cities, included a fair number of religious women, particularly Catholic nuns. As members of a religious order whose vows included poverty and obedience, these women were able to devote themselves fully to their nursing duties without thought of remuneration. Describing a 1901 fair held to raise money for the creation of the Deaconess Hospital in Bostonโ€™s Longwood neighborhood, the Cambridge Chronicle explained the origins of the hospitalโ€™s name: โ€œThere are now about 12,000 deaconesses in Germany and about 1,000 in America โ€ฆ The duties of a deaconess are โ€˜to minister to the poor, visit the sick, care for the orphan, seek the wandering, comfort in sorrow, and save the sinning.โ€™โ€ย 

The author goes on to describe the hospitalโ€™s operational structure, explaining that โ€œthe deaconess nurses are unsalaried, their support being guaranteed. No patient is ever turned away because he cannot pay โ€ฆ The free patient has exactly the same care as the one who pays.โ€ Deaconess nurses were unpaid, as they were supported by their religious order, and so were unencumbered by the economic need to earn a salary and the family responsibilities that could compete with secular nurses for their time and attention.ย 

Nursing Corps Members in Boston in 1942.

Cambridgeโ€™s Holy Ghost Hospital, too, was run by a religious order, the Catholic Sisters of Charity. In a 1905 article celebrating the hospitalโ€™s 10th anniversary, the Cambridge Tribune quoted its annual report, stating:

โ€œNo Cambridge charity is more deserving of support than the Holy Ghost Hospital for Incurables โ€ฆย At the present time there are 17 sisters of charity engaged in the administration of the hospital, assisted by 28 employees. We desire to express our sincere thanks to one and all who have labored so untiringly for the institution and the comfort and happiness of its inmates, and we will ever pray that God may bless and reward them for their kindness.โ€

Those working for a religious hospital, especially the nursing nuns, were removed from squabbles over salary and working conditions that could otherwise plague those in the medical professions.

Although those nurses who were members of a religious order were seen as selfless and desexualized, the nursing profession as a whole could not escape the stereotype of nurse-as-femme-fatale that often accompanied descriptions of young, attractive nurses. In a 1911 article entitled โ€œNurses Find Cupid in the Sick Room,โ€ the Cambridge Sentinel noted:

โ€œThe trained nurse appears to play a more prominent part in the romantic news of the day than any other professional woman. Hardly a day passes but the newspapers chronicle some marriage, will, love affair or litigation in which a trained nurse figures โ€ฆ Venus in a nurseโ€™s cap and gown is a most enticing siren โ€ฆ Men marry their nurses so frequently that the instances are beyond all counting.โ€

The romantic image of the pretty young nurse soothing the sick or injured male patient was especially prevalent during wartime. Although the United States had not yet entered World War I in 1916, its status as an ally providing aid to the British and French military included widespread support for the Red Cross and its operations overseas. That year, a report on a fundraising fair in New York noted that โ€œthere were many pretty girls at the great allied bazaar in New York, but Miss Margaret Fair was acclaimed the prettiest of them all. Miss Fair was attired in a nurseโ€™s costume and assisted Mrs. Caspar Whitney at the booth of the French wounded emergency fund.โ€ It was apparently worth noting that Miss Fairโ€™s nurse attire was a contributing factor in her being crowned the prettiest at the fair.

Once the United States formally entered the war in 1917, nursing became a central way in which young women could serve their country and community, and nurses became role models for girls to emulate, as evidenced by coverage of the Cambridge Liberty Loan parade in 1918:

โ€œCambridgeโ€™s Liberty Loan parade last Saturday afternoon was the largest and best military and civic display ever seen in this city โ€ฆ There were more than 15,000 men, women and children in line โ€ฆ Some of the girls of the [High and Latin] school paraded as Red Cross nurses and others as members of the Girlsโ€™ Athletic Association โ€ฆ Ten elderly women who have worked in four wars rode in an auto truck, all busily knitting โ€ฆ The Cambridge Red Cross women, led by Mrs. Charles A. Stover, president of the Cantabrigia club, made a splendid showing.โ€

Cambridge women could also contribute to the greater national effort during wartime by working within their own community to serve those in need. Declaring that โ€œthe women of Cambridge are second to no community in combining intelligence with zeal in this great work,โ€ the Sentinel praised local nursesโ€™ involvement not only in war service, but also with the cityโ€™s Board of Health and the Visiting Nurses Association in their work with mothers and children:

โ€œThe [Cambridge Visiting Nurses Association] is trying to increase its obstetrical nursing work in the homes of the poor to ensure cleanliness and proper care to those of limited means who, in spite of their financial condition, are in just as much need of adequate medical service. Last year the C.V.N.A. attended at confinement the mother of one-fifth of the children born in Cambridge, and gave care to an additional one-tenth.โ€

Supporting the health and well-being of children and families was an especially important part of the nationalist agenda coming out of World War I, and Cambridge nurses had a central role to play in this effort. They were also faced with an additional challenge as the war was ending: the 1918 influenza epidemic.ย 

With its proximity to military facilities in greater Boston and the use of Harvard and the Massachusetts Institute of Technology as military training centers, Cambridge quickly saw its number of influenza cases on the rise. By mid-September of 1918, hundreds of civilians were infected in the city, and so many of the nurses at the Cambridge City Hospital were suffering from influenza that the hospital was effectively closed to new patients.ย 

As the epidemic continued into the fall, schools were closed and their facilities were converted into makeshift hospital wards staffed by Cantabrigian volunteers, including many teachers. With their professional lives on hold due to school closings, these women received acclaim from patients and the wider community for their service, including publication of their names in a โ€œroll of honorโ€ in the Sentinel. Although the high schools (at which many men served as teachers) were also closed, most of the schools converted to clinics were elementary schools and the individuals listed in the roll of honor were exclusively women. Given the shared stereotypes of teaching and nursing as naturally feminine caring professions, it should come as no surprise that out-of-work teachers transitioned to nursing influenza patients during the pandemic.

Nursing students at Cambridge City Hospital, circa 1935.

Following the dual challenges of World War I and influenza, Cambridge experienced a shortage of nurses โ€“ a problem that would recur periodically over the coming decades. In 1921, in response to this shortage, the Charlesgate Hospital (once at 350 Memorial Drive, now an MIT sorority house) planned an enlargement of its training school for nurses. The schoolโ€™s founder and superintendent, Anne Radford, had served as an army nurse in Europe and, upon her return to Cambridge, vowed to put her wartime knowledge and experience to work in the service of the Charlesgate: โ€œMore than a month ago Miss Radford returned from Europe with much wonderful knowledge of what the English, French and American boys did in the world war, and it is due more or less to her varied experiences there that she intends to enlarge the hospital, with the idea of being of more value to humanity.โ€ย 

As part of her planned expansion, Radford envisioned widening the professional knowledge and training of nurses, as well as their numbers. Through a new partnership with the Boston Lying-In Hospital, student nurses completed an eight-month course in obstetrics; cooperation with the Brookline Friendly Hospital allowed them to serve a two-month fellowship in public health. Radford expanded the coursework for all nurses to include โ€œHistology, Anatomy, Physiology, Fever, Nursing, Hygiene, Bacteriology, Material Medicine, Dietetics, Gynecological and Obstetrical Nursing, in Surgery and Orthopedic Surgery.โ€

In addition to the increasingly diverse and rigorous coursework for student nurses in hospitals, the interwar period also saw a growing emphasis on nursing beyond the hospital setting. Visiting nurses provided vital services to individuals and families as part of a team of health professionals. In 1932, Dr. Donald Currier told the annual meeting of the Cambridge Visiting Nursing Association that โ€œthe best visiting nurses in Metropolitan Boston I know of are our own right here in Cambridge.โ€ Currier went on to extol the virtues of the C.V.N.A. and its role in the cityโ€™s public health system:

โ€œ[Public health] is a field wherein all may work, and the state has valuable material for distribution, including diet lists and household budgets which will be mailed upon application. With our board of health and its staff of nurses, our hospitals with their dieticians and social service workers, the teachers in our schools, the dental clinics with their dentists and hygienists, mothersโ€™ classes in the settlement houses, and parent-teachers associations, as well as doctors and nurses already in the field, we ought to reach every family in Cambridge and interest all parents in the growth and development of their children, our future citizens.โ€

Currierโ€™s description of the public health system as a network through which to reach and bolster the health of every Cantabrigian underscores the link between healthy children and a healthy citizenry, a link that intensified as the nation headed toward another World War. As they had in World War I, Cambridge nurses took their place as members of the military medical corps.ย 

Although concerns resurfaced about a possible nurse shortage, those serving as army nurses were a point of pride for the city, and local papers took every opportunity to publicize Cambridge nurses who were decorated or promoted. A 1945 Boston Globe article highlighted the case of Lt. Marian Donahue, โ€œa pretty Cambridge army nurseโ€ who had been bedridden for nine months with a mystery ailment contracted during her service in England. Interviewed at the army hospital in Charleston, South Carolina, where she was receiving treatment, Donahue โ€œhad nothing but praise for the combat men, for whom she served on special missions overseas, about which she would say nothing โ€ฆ โ€˜You can always tell the combat men here at Lovell,โ€™ she said, โ€˜even when they say nothing. For theyโ€™re the ones who never complain.โ€™โ€ย 

Despite her own health struggles, she maintained that โ€œwe havenโ€™t gone through much compared with what the combat boys did,โ€ and cautioned the reporter: โ€œโ€˜Donโ€™t expect me to feel sorry for myself,โ€™ she said. โ€˜Iโ€™m treated swell here. Theyโ€™ve got me spoiled.โ€™โ€ In focusing on her former patients rather than herself, Donahue exemplified the selfless image of the nurse putting her own needs and desires last, even in times of great personal trial.

Although Cambridge nurses, like their counterparts around the country, were lauded for their service in wartime, once the war was over they again faced the challenge of low pay and long hours. In 1946, Cambridge city councillor McNamara โ€œtold the City Mgr. that he was ashamed of conditions there, relating to nursesโ€™ hours, working problems, pay, etc.โ€ The city manager answered this complaint by saying that changes would be made by Aug. 1; councillor Sullivan replied that the proposed pay raise of $3 per week was โ€œan insultโ€ and said โ€œthat he had advised some of them to go on strike, rather than accept such a sum.โ€ย 

The nurses did not go on strike in 1946, but continued to file complaints about low pay and poor working conditions in Cambridge hospitals. A 1957 Boston Globe article cites Cambridge City Council support for a petition by nurses at Cambridge City Hospital for higher salaries and better conditions, stating that the nursesโ€™ complaint โ€œcharged conditions at the hospital are โ€˜disgracefulโ€™ and that the nurses are โ€˜overworked and underpaid.โ€™โ€ The nurses in this case were seeking a raise of $440 per year, the same amount that had recently been allotted to the cityโ€™s police officers and firefighters. As selfless caregivers and defenders of public safety, nurses viewed themselves in the same category of essential workers as police and firemen, and the rhetoric they used to argue for better wages and conditions centered not on their own economic well-being but the broader protection of those in their care. Nurses who were overworked with too many patients could not care properly for each person entering the hospital, and the push to improve conditions was presented as an extension of their self-sacrificing professionalism rather than a desire for personal gain.

When the director of nurses at Cambridge City Hospital was fired in 1967, she employed similar language to dissuade her fellow nurses from striking on her behalf. Patricia Powers was terminated by the hospital โ€œbecause she refused to rehire a subordinate nurse whom she had discharged for a disciplinary infraction.โ€ Noting that she was the mother of a 3-year-old daughter and the wife of a Cambridge police officer, the Boston Globe reported that Powers โ€œsaid she will go to the meeting and ask them to think of the patients and not strike.โ€ By emphasizing her roles as a mother and as the wife of a public servant, the article underscores her portrayal as a selfless caregiver placing the needs of her patients above her own. The next year, when the same group of nurses voted to ask the Massachusetts Nurses Association to impose sanctions against the Cambridge City Hospital, they did so using the same rhetoric of concern for patient care and conditions. Speaking on behalf of her fellow nurses, Virginia Petralia stated that โ€œpoor working conditions and apparent lack of interest by the city in improving conditions have continually frustrated the nurses in their attempts to upgrade nursing care for the patients, and the hospitalโ€™s attempts to recruit more nurses.โ€ By focusing on their capacity to adequately care for their patients rather than directly on their own economic well-being, nurses were able to push for reforms while remaining in the public eye as selfless caregivers whose only concern was for those they served.

Amid the continuing push for nursing reform in the second half of the 20th century, a trend emerged that highlighted the rigors of the nursing profession and the extent to which nurses were still evaluated on their physical appearance and presentation. In 1970, the Boston Globe devoted nearly a full page to an article describing the new fashion at the Cambridge City Hospital: pantsuits. Noting that โ€œthe nursing profession is a strenuous one, what with all the bending, lugging, kneeling, pushing and pulling. It is also, increasingly, a youthful one, and this has presented a problem for the fashion-conscious nurse in the mini uniform. The problem: how to be fashionable and still operate with comfort, efficiency and decorum in a busy hospital?โ€ The solution, it seems, was the introduction of pants into the wardrobes of nurses in the Intensive Care Unit (at press time, this was the only department whose head had approved the new uniform). The article includes reactions from a wide variety of doctors, nurses, and even patients, including Rosemary McDonald, head of the hospitalโ€™s ambulatory service:

โ€œI think pants are terrific. Mini skirts are terrible. Most of the younger girls like the idea of wearing pantsuits. Older nurses, of course, who have been nursing 20 or 30 years wonโ€™t make the switch. But our main concern is what the patients think โ€“ and the men say the most important thing is shape, anyway! They like seeing something new, and they like pants.โ€

Although the addition of pantsuits into the nursesโ€™ wardrobe undoubtedly gave them more flexibility, comfort and coverage in their work, the shift in appearance called into question their femininity and presence as attractive and affable caregivers; by soliciting the opinions of male patients, nurses were able to show that their new work uniforms were practical and appealing, and ultimately led to the adoption of pants for nurses hospitalwide.

As the Cambridge population expanded and aged over the 20th century, the cityโ€™s nurses became even more vital; whether serving at hospitals, in homes with the Visiting Nurses Association or abroad during wartime, Cambridge nurses were lauded as selfless and self-sacrificing caregivers who put the needs of their patients above their own economic concerns and even above their own health. This has never been more true than in the current era of the Covid pandemic and its aftermath.

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Beth Folsom is programs manager for History Cambridge.

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