In times of war, the needs of the country have historically changed. By the end of World War I, military nurses had become an essential part of the functioning of the military. Many women in our country had begun serving as nurses during World War I, with as many as 21,000 nurses in the army and 1,386 nurses in the navy (Egenes, n.d., p. 16). The supply of nurses declined and the demand remained increasing as the war continued. As a result, the American Red Cross Department of Nursing began recruiting additional nurses, reaching beyond traditional nursing school graduates. Patriotic women and volunteers were used where possible and increased attempts were made to bring together women with college degrees into military nursing (Egenes, n.d., p.16). In 1923, the Goldmark Report was published, essentially stating that nursing schools should have training standards and that education should be provided at the university level (Egenes, n.d., p. 19). The nursing paradigm and its educational approach are evolving to meet the needs of the nation. Over the next decade, nursing underwent many changes and was greatly influenced by the country's postwar economic situation, the onset of the Great Depression, and the outbreak of another world war. The first licensure regulations had begun as early as 1901 in some states, and by 1921 almost the entire country had adopted these laws. Egenes (n.d.) stated that the purpose of this Nursing Practice Act was to stipulate the licensure of registered nurses (p. 13). Although a milestone for the nursing profession, this law was permissive rather than mandatory. This led to nurses who were not licensed being able to practice as long as they did not use the name "registered nurse" (Egenes, n.d., ...... middle of article.... ..ed and World War II Early on, registered nurses had become a mainstay of hospitals Advances in new technology and specialized medicine increased the demand for professional nurses. Nursing education standards had become a. major goal next phase of development (Bodie, April 2012) There was still a very real shortage of nurses as World War II began to pose a very serious problem. an increased need for nurses in order to serve in the armed forces (Whelan, 2014, it was estimated that over 77,000 nurses had joined the military, but as Whelan states in his). article, this created a compromised civilian population of nurses. Once again the cycle repeated itself.