| The six women that composed the first graduating class of the Columbia University School of Nursing entered their profession at a time when there was little classroom preparation for nurses. Modeled after European programs, training was based on apprenticeship. Students provided low-cost labor to hospitals and gained invaluable practical experience. Enrollment in increasingly university-based, rather than hospital-based, nursing programs rose after the turn of the century as the need for nurses in both civilian and military life became more and more apparent. |