the American Society of Superintendents of Training Schools for Nurses of the US and Canada ( which later became the National League of Nursing Education), she helped lead the movement to implement industry guidelines, and served as acting president twice in 1896 and 1909. Further, Nutting established the American Journal of Nursing (1900), which provided a crucial information source for aspiring professionals and scholars. She also was the founder of the Maryland State Association of Graduate Nurses, and held the position of president in 1903. This association not only served as a liaison between nurses and the state, but also helped in the process of creating legislation that regarded the profession. One of these landmark pieces of legislation was the Maryland Registration Act of 1904, which registered and governed practicing nurses. Nutting was awarded RN card No. 1, marking her as the first registered nurse in the state of Maryland. Teachers College at Columbia University Nutting's ultimate goal was to coalesce nurse training schools with university education systems, which was not going to be attainable during her time at Hopkins. Therefore, in 1889, Nutting convinced the new dean at the Teachers College at Columbia, James E. Russell, to allow nurses to partake in hospital economics and physiology courses offered at the institution. The Teachers College was the first established school of education in the country, and Nutting believed nurses going into teaching and administrative positions would vastly benefit from studies at the school. Initially, she commuted between Baltimore and New York City teaching part-time at both universities. In 1907, after enjoying great success at her position at Columbia, Nutting took on a full-time position as a professor in institutional management. This was a historical achievement, as she was the first nurse to ever assume a chair position at a university. Johns Hopkins was greatly disappointed at the loss of such a major figure in the medical world, but the school acknowledged that Nutting would continue to play a major role in Maryland. In 1910, she was awarded the role of chairman of the department of nursing and health. Dean Russell proclaimed Nutting one of "the ablest men of either sex." In her chairman position, Nutting configured a world-renowned program in hospital administration and nurse education. Her ideology of nursing purported a "humanistic approach" where nurses served the role as both medical professionals and social workers. In 1920, Nutting was recognized