Not just routine nursing: the roles and skills of the Australian Army Nursing Service during World War 1

Abstract

This comparative labour history seeks to reveal the working life and nursing practices of female military nurses I the Australian Army Nursing Service (AANS) during this period, and to highlight the importance of trained female professionals in caring for soldiers within many allied medical services. Official histories concern themselves with the logistics and administrative arrangements for the AANS rather than discussing the elements of hands-on nursing, and secondary sources tend to highlight the travel adventures of, and the impact of war on, the nurses themselves.

Through a detailed examination of archival sources, this thesis explores the development of the AANS’s roles and skills from a military perspective. From an examination of pre-war civilian nursing, it explores in detail the impact of foreign physical environments, other allied personnel and systems, the military itself and war diseases and injuries on nursing work. While A.G. Butler, the official medical historian, may have thought that work in Australia hospitals in France was ‘routine’, this study explores the many events such as the ebb and flow of war that make military nursing different to civilian nursing.

Australian army nurses did not limit their war work to nursing care. The exigencies of war expanded the scope of nursing into medical, military and non-nursing roles. The AANS performed military administrative roles such as Orderly Officer and in known roles such as that of Home Sister, now transformed into something akin to a hotel manager. They took on medical roles such as anaesthetist and assistant surgeon. Often providing the only female presence to soldiers who had been at the front for months, they also provided important mental comfort, moral support and friendship. In many cases, the expansion of their roles, skills and authority helped them to save more lives.

During World War I, military nurses formally became part of the Australian military system for the first time. In doing so, they created a recognized niche for future military nurses.