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Emily Prudden came to the southern Appalachian Mountains in 1882 at the age of 50. Over the next 30 years she founded 15 schools for white and African American Appalachian children in western North Carolina. Her work across racial and denominational lines is unique in turn of the twentieth century Misssionary education.
With little money, scant opportunities for professional education and few white allies, African American physicians, nurses and other community leaders created their own hospitals and schools of nursing. This book chronicles the important but largely unknown histories of more than 35 hospitals, the Leonard Medical School and 11 hospital-based schools of nursing established in North Carolina.
Few career opportunities were available to minority women in Appalachia in the first half of the 20th century. Nursing offered them a respected, relatively well paid profession and--as few physicians or hospitals would treat people of color--their work was important in challenging health care inequities in the region. Working in both modern surgical suites and tumble-down cabins, these women created unprecedented networks of care, managed nursing schools and built professional nursing organizations while navigating discrimination in the workplace. Focusing on the careers and contributions of dozens of African American and Eastern Band Cherokee registered nurses, this first comprehensive study of minority nurses in Appalachia documents the quality of health care for minorities in the region during the Jim Crow era. Racial segregation in health care and education and state and federal policies affecting health care for Native Americans are examined in depth.
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