How one could once become a registered nurse in the United States without going to a hospital training school

Distant learning in nursing is both a new and old concept. This paper examines an early example of correspondence schools in nursing, namely the Chautauqua School which over the course of its existence enrolled over 20 000 students. Its closing was due in large part to the opposition of organized nursing which had become institutionalized in the hospital training school. It was not until the 1990's when license recertification was required that long distant nursing again assumed importance.