Anchrum Hafeeza
Department of Africana Studies, Program on Race, Science and Society, University of Pennsylvania, Philadelphia, Pennsylvania, United States.
Policy Polit Nurs Pract. 2025 Feb;26(1):56-64. doi: 10.1177/15271544241296825. Epub 2025 Jan 3.
The Nurse Training Act (NTA) was passed by the United States Congress in 1964 in response to growing national concerns about a shortage of nurses. The legislation provided substantial funding for nursing education to increase the supply of nurses and improve the quality of nursing services. However, contemporary investigations into the causes of the shortage focused on the professional lives and experiences of white women, who were the main target of nurse recruitment and retention efforts. This research shifts the focus to Black women nurses, examining both the causes of the shortage and the impact of the NTA on the nursing workforce from their perspective. It argues that a key achievement of the NTA-alongside the Civil Rights Act of 1964-was the dismantling of legalized racial segregation in professional nursing schools, a major barrier to the development of the Black professional nursing class. Yet, this federal intervention was not simply bestowed; it was the result of decades of sustained advocacy by Black nurses from the 1890s to the 1960s to secure equal educational opportunity and federal support for their civil liberties. Viewing this landmark legislation through the eyes of Black nurses underscores the federal government's pivotal role in both promoting and obstructing racial and healthcare equality. As the nation faces yet another nursing shortage, coupled with the eradication of affirmative action and diversity, equity, and inclusion initiatives, this perspective is especially timely and important for informing current and future issues pertaining to health equity.
1964年,美国国会通过了《护士培训法案》(NTA),以回应全国对护士短缺日益增长的担忧。该立法为护理教育提供了大量资金,以增加护士供应并提高护理服务质量。然而,当代对短缺原因的调查集中在白人女性的职业生活和经历上,她们是护士招聘和留用工作的主要目标。这项研究将重点转移到黑人女性护士身上,从她们的角度审视短缺的原因以及NTA对护理劳动力的影响。它认为,NTA与1964年的《民权法案》一道取得的一项关键成就是消除了专业护理学校中合法化的种族隔离,这是黑人专业护理阶层发展的一个主要障碍。然而,这种联邦干预并非简单地给予;它是19世纪90年代到20世纪60年代黑人护士几十年持续倡导的结果,目的是确保平等的教育机会和联邦对其公民自由的支持。从黑人护士的角度看待这项具有里程碑意义的立法,凸显了联邦政府在促进和阻碍种族及医疗平等方面的关键作用。随着美国面临又一次护士短缺,再加上平权行动以及多元化、公平和包容倡议的取消,这一视角对于了解当前和未来与健康公平相关的问题尤为及时且重要。