Notes on Nursing: What It Is, and What It Is NotNightingale, Florence
Science
Notes on Nursing: What It Is, and What It Is Not
Nightingale, Florence
Nursing
Pathology teaches the harm that disease has done. But it teaches nothing
more. We know nothing of the principle of health, the positive of which
pathology is the negative, except from observation and experience. And
nothing but observation and experience will teach us the ways to
maintain or to bring back the state of health. It is often thought that
medicine is the curative process. It is no such thing; medicine is the
surgery of functions, as surgery proper is that of limbs and organs.
Neither can do anything but remove obstructions; neither can cure;
nature alone cures. Surgery removes the bullet out of the limb, which is
an obstruction to cure, but nature heals the wound. So it is with
medicine; the function of an organ becomes obstructed; medicine, so far
as we know, assists nature to remove the obstruction, but does nothing
more. And what nursing has to do in either case, is to put the patient
in the best condition for nature to act upon him. Generally, just the
contrary is done. You think fresh air, and quiet and cleanliness
extravagant, perhaps dangerous, luxuries, which should be given to the
patient only when quite convenient, and medicine the _sine qua non_, the
panacea. If I have succeeded in any measure in dispelling this illusion,
and in showing what true nursing is, and what it is not, my object will
have been answered.
Now for the caution:--
(3.) It seems a commonly received idea among men and even among women
themselves that it requires nothing but a disappointment in love, the
want of an object, a general disgust, or incapacity for other things, to
turn a woman into a good nurse.
This reminds one of the parish where a stupid old man was set to be
schoolmaster because he was "past keeping the pigs."
Apply the above receipt for making a good nurse to making a good
servant. And the receipt will be found to fail.
Yet popular novelists of recent days have invented ladies disappointed
in love or fresh out of the drawing-room turning into the war-hospitals
to find their wounded lovers, and when found, forthwith abandoning their
sick-ward for their lover, as might be expected. Yet in the estimation
of the authors, these ladies were none the worse for that, but on the
contrary were heroines of nursing.
What cruel mistakes are sometimes made by benevolent men and women in
matters of business about which they can know nothing and think they
know a great deal.
The everyday management of a large ward, let alone of a hospital--the
knowing what are the laws of life and death for men, and what the laws
of health for wards--(and wards are healthy or unhealthy, mainly
according to the knowledge or ignorance of the nurse)--are not these
matters of sufficient importance and difficulty to require learning by
experience and careful inquiry, just as much as any other art? They do
not come by inspiration to the lady disappointed in love, nor to the
poor workhouse drudge hard up for a livelihood.
Public-domain text, read in full here on John Shaqi.
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