THE BIRTH OF NURSING AT THE INCEPTION OF THE FRANCOISM IN SPAIN

This study is aimed at analyzing the creation of the Nursing science in the early days of the Franco regime in Spain (19391942). This was a qualitative and historical study, that used as documentary sources, printed newspapers in different regions of Spain. Results. The importance of the work of nursing during the state of need, hunger, misery, for the post-war Spanish population was identified. Nurses with this attitude and commitment to one another, facilitated the administration of food for the needy, stocked up on clothes for those who were suffering from cold, and taught hygiene principles to mothers in order to reduce the high mortality rate of children and youth who was suffering due to the performance of social assistance. Therefore, in the face of adversity, nurses attended and cared for the children, sick, elderly and the poor. It is concluded that the humanitarian work of nurses became an element of repression, distributing benefits in exchange for an ideological model DESCRIPTORS: Nurses. Social welfare. War. Health. http://dx.doi.org/10.1590/0104-07072016000010015


INTRODUCTION
During the first decades of the twentieth century, several nationalist movements, illiberal, totalitarian, and anti-Marxist emerged in Europe.Their influence initiated small and diverse nuclei, labeled as fascist in character, during the 1930s.Among these movements, one had special relevance in the events that occurred, in a extremely fast manner, and that would lead Spain to a Civil war and subsequent dictatorship.The Phalanx, a movement led by José Antonio Primo de Rivera, was able to order, in a short time, the political doctrine of a fascist regime. 1 Addressing this kind of issue requires us to a briefly refer to the historical period immediately preceding this, so that the monumental regression experienced by women due to the introduction of the new Francoist State can be understood.The second Republic conducted a series of gender policies, which aimed to contribute for the modernization of the Spanish society.For the first time in our history, women broke through barriers that prevented them access to political rights and, in particular, to the vote.The Constitution of 1931 gave them that opportunity, as well as other rights that would have enabled their emancipation: divorce, positions of employment, better working conditions. 2 However, the model of a woman that was established at the end of the Civil War, by the military regime, represented a remarkable setback.The Franco dictatorship wanted to impose a model of organic society with a gender policy regulated by civil legislation, denying any type of individual autonomy to women, and the detention of women in the domestic sphere, ensuring their subordination*.
The postwar period was a time of deprivation and survival.The battle against hunger forced people to eat potato peels, orange peels and various food residues that were not enough to prevent serious epidemic cycles of tuberculosis, typhoid or dysentery.A great majority of men, women and children survive due to beneficent help, which embodied precisely the National Agency of Social Relief of Spanish Traditionalist Phalanx (Falange Española Tradicionalista -FET) and the Boards of National Syndicalist Offensive (Juntas de Ofensiva Nacional Sindicalista -JONS). 3The main mission was, at first, to alleviate the needs resulting from the war and, later, the disastrous effects of autarky by the absence of a coherent social policy**.Food, education, supply of clothes and hygiene were crucial points for the performance of social assistance.However, nurses and rural visitors played a role in the dissemination of care and charity according to the totalitarian regime's philosophy.
The aim of this study was to analyze the establishment of Nursing under the early Franco regime in the period from 1939-1942, in Spain.With nurses and rural visitors, in the guise of charity, support and understanding of those cared for, a network towards moral and ultimately juridical control and sanction was articulated.This handling with kid gloves was hiding the cruel power of the police that was about to come.

METHOD
This was an historical, social qualitative study, using documentary research as a method of collecting and analyzing data.The methodology used was the consultation of materials printed from 1939 to 1942, conducted in various newspaper archives of Spanish provinces: the Newspaper archives of the Provincial council of Almería and, the Municipal newspaper archive of Seville.In relation to the first, the semiannual newspaper, Yugo, was consulted between 1939 to 1942.The newspaper was semiannual, resulting in two volumes by year, from January to December, as well sd in another Spanish province, in the Municipal newspaper archive of Seville with the consultation of the newspapers: Falange Española (FE), ABC and the Correo de Andalucía.Franco's Spain maintained the press law of 1938, designed for a tight control of the publications.Its most important characteristic was prior censorship and the "Orders", by which the Ministry of information and tourism could command the inclusion of items, including editorials with a particular trend or content.
Once documents were collected and processed, documentary interpretation was performed, aiming to select and synthesize the information in documentary identification cards and content analysis sheets in accordance with the work plan, as well as the development and computerization of the documentary references, synthesis of content, and final drafting.Therefore, the nuclear part of the methodology developed was an exhaustive analysis obtained from the archive sources, literary, legislative and political discourse.

The work of social assistance and the nurses
At the end of the civil war, Spain was a ruined country in which the loss of human lives was added to the destruction of property.The autarchic economic model imposed by General Franco aimed to produce self-sufficiency in the country, using domestic production rather than imports.The ultimate goal was not only economic independence but the industrialization of the nation.The Franco regime resorted to two explanations to justify the adoption of autarkic economic policy as inevitable: on the one hand, the consequences of the Civil war, and on the other the World War II. 4 Thus, the economic policy remained anchored in the dictates of autarky in the years following the civil war; smuggling and black markets prospered, together with widespread tax evasion. 5The main beneficiaries of corruption were the groups' adherent to the regime, since they were the only ones who handled public funds and had commercial and industrial powers. 6Thus, a huge bureaucracy that hindered the management of scarce resources was generated and multiplied the administrative irregularities of auditors, mostly of internal trade. 7e Decree of the Ministry of Industry and Trade, of May 14, 1939, established a system of rationing of essential items to ensure supplies for the population. 8This description made by the Provincial Headquarters of Alicante in relation to supplies was about one situation: "[...] terrifying, the province was without bread and without the possibility nor the perspective of ac-quiring it.More than four months ago the oil was not rationed; other products, it does not even mention.Practically we would be all corpses in all the province, if we were eating of the rationing of the Delegación de Abastos (Agency of Abastos)". 9:9 Therefore, the lack of supplies became one of the most serious problems that the new regime confronted. 10It was merely a long-awaited consequence of the regime, in an attempt to make definitive the submission of those defeated in the war. 11On the other hand, some studies, based on official reports sent by provincial controls, demonstrate the constant concern of the Francoist authorities about the situation of misery that was impacting the population, as a result of disastrous adopted economic policies. 12wever, the significance of the new social protection measures were innovative.So, for example, the Family Allowances Act, of 1938, granted salary supplements to male heads of households based on the number of children, ending the motherhood protection, launched in 1931, and rewarding, on the other hand, paternity.In 1939, old-age and disability insurance (Seguro Obrero de Vejez e Invalidez -SOVI) began and, in 1942, Compulsory Health Insurance (Seguro Obligatorio de Enfermedad -SOE).Perhaps the scope of these insurances was very limited, since these measures only affected employees, and in many cases not even all of them, which meant that there were men, women and children as a part of the production process, but who did not have the benefits of social protection. 13en, the only solution left for those men, women and children was the old formula of beneficence, which represented precisely the National Delegation of Social Relief of FET and the JONS, who cared for those who were identified as impoverished, a context of extreme poverty, both with heavy dependence on those who had lost the war as well as the most underprivileged sectors among the victors. 14It was one of the keys to understanding the meaning of emergence and consolidation of an organization such as the Social Aid, which was one of the instruments for social control in the New Francoist Spain.Mercedes Sanz Bachiller inaugurated, in October of 1936, a collective dining room for children in Valladolid, the basis for the most symbolic welfare institution in the Franco Regime.Initially, she and her adventurous partner, Javier Martinez de Bedoya of JONS, presented this project as an attempt to alleviate the needs that had generated insurgency and the war: the Winter Relief. 16Their ideals were reduced to the spirit of sacrifi ce and self-sacrifi ce for work, imitating the Germans, from the name German Winterhilfe (Winter Relief), piggy banks and emblems of organizational concepts exceeding the pure assistance limits were fi lled with political content.Some years later the great work that Caudillo reserved for the most needy, the National Delegation of Social Aid, was created. 17The results did not stop with the opening of neighborhood dining areas and kitchens, with the organization of necessary fund raising activities.So, the leaders of Social Aid strove to prove that it was not a charity, as occurred with a traditional charity, but that it was providing social justice. 18According to news accounts: "Social Aid" is the concrete crystallization of all social benefi t policies of the Phalanx, in conjugation with the strength and activity of the State."Social Aid" included the following sections: "Winter Relief", "National-Syndicalist Organization for the Protection of Mother and Child", "Aid for the Sick" and "Aid for the Elderly". 19:8

It would include, "children's dining rooms, neighborhood kitchens (for unemployed adults) and defense of the child, which in turn was divided into households and promotion of the family work. The national syndicalist protection of mother and child consisted Preintra-natal dispensary (offi ce, equipment, dining areas, mutual societies and subsidies); the Child Care Dispensary (dining area for mothers, clinics, home work for the mother and mutuality); nursing rooms (in industries); nurseries (children aged one month to three years) and kindergartens (children aged three to seven years). This work required in certain areas, a provincial or territorial
Motherhood and Child Care Institute.The Aid for the sick in our work is not provided through medicines or technical elements, but has the following sections expressed: Supply of clothing, diet kitchens (in them three types of menus suitable for all kinds of disease are prepared and distributed).:2 Therefore, visiting nurses had an important role in the reconstruction of the new state by visiting humble homes, helping mothers with their children's care, disseminating hygiene standards to prevent epidemics.A nursing degree could be achieved by a course, so the press appealed for Social Nurses: "The comrades who have to require the diploma are kindly requested to be there during this day, from 10am to 2pm and 4pm to 7pm, at the Administration of FET and JONS, located in the Provincial Headquarters for this purpose.Almería, February 2nd, 1940.:4 On the other hand, the decree issued in October of 1937, provided a formal basis for the new Social Service and indicated Social Assistance as a favorable sector where Social Service could be to performed, entrusting the task of putting it into practice to the National Delegation. 22Pilar Primo de Rivera, delegate of the Women's Section, fought to have those extensions of Social Service allocated to the Women's Section.Indeed, according the decree of December 28, 1939, Social Service was transferred from the National Delegation of Social Aid to the Women's Section. 23eoretically, pursuing Social Service was preparing women for domestic life, as a mother, and to acquire a general education about the home.In any case, seeking an education that predisposed them to work in social tasks, such as nurses, cooks, seamstresses, among others, and to allow them to provide services, if necessary. 24:5 Thus, the nurse team of the Phalanx was created at the beginning of the decade of the 1940s.:7 Source: Archives of the Provincial Council of Seville, 1942 The creation of the nursing team of the Phalanx On January 3, 1942, the Official Gazette published an Act of the Head of the state which provided for the creation of the nursing team of FET and JONS, as a result of the agreement reached in the Council of Ministers.Thus, nursing would report directly to the National Delegation of Women section. 27Nurses with the title of nurses, and those who would obtain this in the future, could be part of that automatically. 28Similarly, the establishment of a school composed of the Medical Corps of Military Health was available. 29The Yugo reported the following: "Nurses found themselves, available with the same promising spirit of sacrifice and efforts, two paths that will diverge, with the specialties in service, two different behaviors and a single goal: the health of the country, with nurses caring during peace and in times of war, and with two titles that will be a source of pride for those that achieve them.The titles of specialties that women can aspire once they possess the title of nurse of F.E.T. and J.O.N.S., are those corresponding to the two sections instituted: Visiting nurses and Military nurses.:6 The press appealed to all nurses in order to implement the law: "All nurse comrades must pass through this Women's Health Section Regiment during office hours, before the 28th of this month, when the deadline for title exchange is over.Likewise all comrades who have not yet applied to the Nurses Corps, in the way that it has been done so far, must quickly do so, because there is little time remaining and when the deadline is over, admission to the Nurses Corps will be definitely closed by request and only those who attended our courses will be admitted from then on.:9 Therefore, because the title of Traditionalist Spanish Phalanx already had an official status within the State, the provisory titles had to be exchanged for the definite ones.:9 It should be recalled that at the beginning of the Civil War, still in the early stages of fighting, that the Women's Section was quick to mobilize all its affiliates because that is what the circumstances required, paying special attention to health services: war hospitals, first aid units of the Army, vanguard infirmaries, laboratories, surgical teams, etc.Then it was necessary to channel the efforts of those who were enthusiastic, full of good will, without a doubt, but lacking technical preparation for the mission assigned to them. 32The fighting required a continuous increase in the number of nurses, due to which the first training mini courses emerged.There were two categories of nurses: the one called Traditionalist Spanish Phalanx and the Social Nurses, each of which had a specific and concrete task.Once they completed these minicourses, they were give the corresponding title officially recognized for all purposes by the Government, dated April 16, 1937. 33ugo says: "Of this exemplary behavior of the nurses, who served in various positions to which they were assigned during the war, often in the line of fire, there will rise the notion that glorious deaths happened during acts of service: four were injured, many others mutilated, and two fell into enemy hands.To reward these facts, 13 were awarded the Collective Laureate of San Fernando; 50 were awarded the Red Cross of Military Merit; and the Gold Ÿ", which only has been awarded to a total of seven comrades of the Women's Section; ten were awarded the Silver or Red "Y". 34ce the Civil War was over, the Phalanx women were awarded various commendations for their exemplary service.The Women's Section Rewards Service was created with a Permanent Board of Rewards as a liaison with the General Secretariat, thereby founding a particular award named "Y", in honor of Isabel the Catholic.The first news on the granting of these awards was published in May of 1939, which narrated the great concentration of the Women's Section in honor of Caudillo in Medina del Campo.In the aforementioned concentration, individual gold "Y" were awarded to comrades fallen during the war, and the silver individual "Y" were awarded to comrades who were distinguished by different events during the war.The Spanish women, represented with dignity, had a great concentration from Medina del Campo.6][37] It should be noted that, in addition to adopting the emblem of the bow and arrows, the Women's Section coveted Isabel the Catholic and St. Teresa of Jesus as role models and symbols of action.
Two of those nurses who received the gold "Y" were Maria Luisa Terry, who died helping a wounded soldier, and Agustina Simon, killed "by the horde occupying the place of Belchite". 38:6 Maria Luisa Terry was the local chief in Puerto Real in the early days of the war.After leaving Ronda, holding the position of vanguard nurse, she was later attributed to the Seseña infirmary, where she was severely wounded in September of 1937, and died in the Hospital de Griñón.The other nurse, Agustina Simon, did not want to leave Belchite, where she also found death.The aforementioned collaborator highlights the work of nurses when he wrote the following: "we want to deal with the silent, admirable and dedicated work as shown by other comrades of the Women's Section engaged in the task of home care or care and attention to the little ones provided in multiple institutions created for this purpose.In addition to these services, they kept vigil so that there were always clean clothes for the soldiers.For this purpose, there were fixed and mobile laundry rooms served by them: 1,140 comrades worked in these services and the number of washed garments amounted to 8,538,221.In establishments called "Soldier Rest", set up in San Sebastian and Seville, so that nothing was missed by the combatants during their leave, 400 affiliates worked, attending a total of 17,892 soldiers.We deal exclusively with services performed by nurses and we do not cite, therefore, another series of tasks entrusted to the Women's Section, although they could be more or less directly related to infirmaries and hospitals, or care and attention provided to those who fought in occupation fronts in defense of Spain ". 38 In 1942, the Women's Section of FET and JONS gave the collective red "Y" to all those Phalanx women who had rendered outstanding services in hospitals during the liberation war.In this way, they would be entitled to this recognition provided they met the following conditions:

"One hundred and eighty days of service as nurses or nurse auxiliaries in vanguard hospitals; 250 days of service as nurses or nurse auxiliaries in hospitals with infectious diseases or night shifts; 365 days of service as auxiliary nurses in hospitals not covered above. The requests can be presented at the Provincial Delegation of the
:8 After a year since the enactment of the law establishing nursing, there remained a lack of war nurses in the Military Health Section.Thus, the dictator ordered the organization of the first war nursing courses for the Women's Section, according to the National Delegation of Health, following a plan of theoretical and practical studies.The future mission would be to practice in war hospitals.This was publicized by El Correo de Andalucía: "For the first time one can count on a precious auxiliary Female Corps of the Sanitary Technical Corps, which, if necessary, will provide valuable services not only due to their knowledge and skills but due to their discipline, as framed within the Women's Section of FET and JONS ". 40:7 This news was also echoed in the Yugo: "This law has a broad sense of precision, because it is guided to count on female staff with a required and sufficient ability for missions that they have to perform and that require expertise.:6 Therefore, the Phalanx offered in each of its formative stages a new balance of reality with the establishment of new services.In this case, with the official creation of the War Nurses specialty.However, Yugo noted that: "These new services are met with high Falangist decision and spirit, for the comrades of the Women's Section are aware of the mission that the Party and the Caudillo imposed on them, solving an action problem that is highly decisive for the destinations in Spain.:4 In Almeria, in the auditorium of the School of Arts and Crafts, the official closing of the nursing minicourse, organized by the Provincial Delegation of the Women's Section, was held.The presidential table consisted of the Civil Governor and Provincial Chief of the Movement, with the representation of the military government, the Commander of the Navy, the accidental Mayor, the Attorney General and the Provincial Delegate of the Women's Section.First Mercedes Alonso, Provincial Deputy of the Women's Section, made the following speech: "During the war, when the Women's Section was required to cover the nursing services in the hospitals, there was a need to organize training courses in order to initiate them through their development for the work awaiting them.Provisionally,40-day mini courses were organized by the National Delegation of Health, according to the Women's Section.Ten thousand affiliates of the Women's Section took their positions in hospitals, infirmaries, surgical teams, etc.In vanguard and rearguard our comrades worked tirelessly throughout the campaign, without haggling any effort or sacrifice.After the war, we have before us a new task, also full of constant effort.And this new task just began, of which I, the Caudillo, will now speak, rewarding the efforts of nurses of the Women's Section and recognizing their services.Dated January 3,  1942, the Nurses Law is promulgated, through which the Nurse Corps of FET and JONS is open, granting official recognition to this title and creating the Visiting Nurses and War Nurses.In order to answer this confidence, and the official title granted only to those comrades who really deserve it and have a minimum of technical knowledge, we proceeded to make careful selection.First by reviewing service records, not only of the campaign season but this second stage of labor, when it has become clear who the true Falangist was.Once this initial selection was done, a revalidation test was performed, because our nurses must have a minimum knowledge.:3 In 1944, the National Deputy of the Women's Section imposed emblems on the nurses of FET and JONS.The event took place in Corunna, Pilar Primo de Rivera.The National Deputy, together with all authorities and hierarchies, made the distribution of titles and emblems.:6 At the heart of the matter what was broadcast was an offer of a good image of a true repressive state.Counting on nurses was essential to channel female mobilization towards the right direction to build a New State. 45According to periodical testimonials: "It is very easy to understand the importance of this task imposed by the Phalanx to the women, and of which such good results are being received.But its importance is even bigger, considering that part of the sanitary work is aimed at reducing child mortality, making a happy and smiling future possible, in which they can provide their perfect service to the Fatherland.:4 In Almeria, an official nine-month nursing course was ordered by the National Delegation of the Women's Section, and organized by the Provincial Department of Divulgation and Social Health Care. 44It was inaugurated under the chairmanship of the Provincial Deputy, Mercedes Alonso, the Provincial Deputy for Health, the physician Martinez Zamora; the Provincial Assessor of the Women's Advisory Section, the physician Soriano Romera, and the Provincial Secretary, Durbán.The Provincial Deputy spoke about the story of how nursing was born within the Women's Section.Yugo gathered much of her speech: "[...] at the beginning of the war, our comrades were covering the nursing services in all hospitals and then it was necessary to organize some 40-day courses in order to start them in the work that they would later develop.:8 On the other hand, in Santander, the National Deputy of the Women's Section, Pilar Primo de Rivera, gave emblems and membership cards to fifty nurses of the Women's Section. 50

FINAL CONSIDERATIONS
In light of the uncovered ideas, the National-Syndicalist Movement, single party in the Franco dictatorship in Spain, developed several controlling mechanisms to ensure the consolidation, enforcement and compliance with its ideology.To carry out this work, they used their women's organization, the Women's Section, which was responsible for the training of Spanish women.These women were in charge of feeding the needy, educating the children, supplying clothes for those who lacked them, hygiene, crucial points for the performance of social assistance.In this regard it is worth noting the importance of the work of nurses and rural visitors, their duty to the country for which they launched themselves to perform their task, without objection, unceremoniously and without demands, except of themselves.They supplemented with their dedication and work the shortage of materials and means.The service to the country was based on the performance of tasks in the role that the national-syndicalist ideology attributed to women, because their work was always regarded by others and by themselves as secondary.Now, nurses and rural visitors, under the guise of charity, support and understanding for the unbecoming, articulated a network of social control through comprehensive study of the situation of the needy family.The humanitarian work would become an element of repression for distributing benefits in exchange for the requirement of an ideological model.Such was the importance of their work that on January 3, 1942, the Act provided for the establishment of the Traditionalist Spanish Nurses Phalanx and of the Boards of the National Syndicalist Offensive following the agreement reached in the Council of Ministers, which depend directly from the National Delegation of the Women's Section.The Women's Section was used by the General Franco regime not only to achieve the subjugation and education of women, but to cover almost all of the issues related with shortages and economic and social needs.Franco built his own model of women between traditional and conservative influences of the prevailing Catholicism, one of the fundamental pillars of legitimacy.They never wanted to recognize the true value of the work done, except to praise them from the point of view of charity and sacrifice;not as necessary, useful or essential It is also seen that from the belief that indi-viduals are profoundly unequal, the perception of women was of a lower spiritual and intellectual being, who lacked a social and political dimension and had a clear vocation of housewife and mother.Therefore the Franco regime does not hide its intention to oppose feminist tendencies outlined during the Second Republic, of a reformist and democratizing spirit.
The strong character of the Social Service on the female world meant a way to socialize and generalize collaboration in the national task of assisting and rebuilding the Fatherland.Thus, the Women's Section assumed important care functions, particularly in the health sector, given the context of extreme poverty and pauperism existing in Spain in the 1940s.
In short, the Women's Section would be an indoctrinating organism for the established power of Francoism that served as support for nationalism and the actions arising from the war.