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CO2 Use lessons from nursing history to integrate clinical judgment into professional nursing practice (PO 4)

CO3 Demonstrate responsibility for continued professional growth by exploring the nursing and lay literature related to historical nursing practice (PO 5)

The basic story of Florence Nightingale is familiar to most nurses. This week we learned more about Nightingale’s life and work. Select at least one piece of the Nightingale legacy that was new to you and tell us how this changed your understanding of this great woman and her contributions to nursing.

references : Resources

Judd, D., & Sitzman, K. (2014). A history of American nursing: Trends and eras (2nd ed.). Burlington, MA: Jones & Bartlett

Karimi, H., & Masoudi Alavi, N. (2015). Florence Nightingale: The Mother of Nursing. Nursing and midwifery studies, 4(2), e29475.

Florence opted in her twenties to become a nurse in order to fulfill her strong passion to aid the sick. 
Florence’s parents were both astonished and disappointed when she expressed an interest in becoming a nurse. 
Nursing was not regarded as a prominent or vital occupation during Florence’s lifetime, and it was often conducted by poor men and women. 
Despite her parents’ opposition, Florence and a few of her friends enrolled in nursing school at Kaiserwerth, a world-famous German hospital.

 

Florence returned to England as a confident and well-trained nurse. 
Her first big nursing assignment, ironically, was to care for her parents and sister, who all became ill between 1851 and 1853.

 

Florence took a job as the manager of a small private hospital in London in 1853. 
Florence was kept busy in 1854, aiding sick and suffering individuals hit by a massive cholera outbreak that swept throughout London and beyond.

 

The Crimean War (Crimea)

 

In the year 1854, Florence’s life took a significant turn. 
The British, French, and Ottoman Turks joined forces to battle the Russian Empire. 
Because much of the combat took place on the Black Sea peninsula of Crimea, the war was dubbed the Crimean War.

 

The war’s fighting was far more savage than anyone had anticipated, and losses swiftly mounted. 
Due to a shortage of doctors, nurses, healthcare workers, and medical supplies, British troops were dying. 
Florence was approached by Sidney Herbert, a family acquaintance and a British government official, who asked if she could gather a group of nurses and other healthcare workers and fly to the Crimea to help the desperate, injured soldiers.

 

On November 4, 1854, Florence and her party of 38 volunteer nurses landed at Scutari, a neighborhood in the Turkish city of Constantinople. 
The primary British hospital was located in this neighborhood. 
Florence was appalled when she saw the hospital’s deplorable state. 
The hospital was filthy, with clogged plumbing and sewer drainage, as well as rodents and fleas.

 

Florence worked tirelessly to restore the overall state of the hospital and associated support structures in the Scutari area, in addition to immediately aiding the wounded men. 
She effectively took over the hospital’s operations, repairing and purifying the sewer and water systems, ensuring a supply of clean bandages, bedding, and other supplies, and instituting a strict nursing timetable to ensure that the soldiers were cared for and attended to on a regular basis in order to improve recovery.

 

The injured and ailing soldiers flocked to Florence in droves. 
Due to her nightly routines of checking on the patients’ well-being, she was lovingly referred to as the “Lady with the Lamp.”

 

Collecting information and keeping records

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Florence extensively overhauled and modernized the British hospital system’s entire healthcare delivery and sanitation systems in Scutari and beyond. 
Florence used her enormous mathematical aptitude to pioneer new statistical data gathering, analysis, and display/delivery strategies to help improve the existing healthcare system’s poor medical care and filthy circumstances.

 

Florence put in place a number of cutting-edge record-keeping and impact-analysis systems based on cutting-edge statistical methodologies. 
She created the Polar-Area Diagram to identify, map, and display soldiers who died needlessly due to a lack of ongoing, committed care, insufficient food, and filthy circumstances.

 

Florence demonstrated that statistics were a better way to learn about the overall state of healthcare delivery, and that data gathering and analysis resulted in better medical and surgical care. 
Her groundbreaking Model Hospital Statistical Form made it easier for hospitals to collect and generate uniform healthcare maintenance data for use in improving healthcare delivery.
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