This comparison has been suggested, because the question is so often
asked: Why can we not have trained domestics as we have trained
nurses? The answer must be that, in the present condition of affairs,
the resemblance between nurses and domestics is only superficial. The
trained nurse is the product, not of the family that has suffered
from the lack of such trained service, but of the discovery by the
medical profession that its labors must be ineffectual if orders are
not carried out by those who understand the reasons why these orders
are given. The more rapid the advance in scientific investigation
made in the medical world, the more rapid the advance made in all
grades of service connected with the medical profession. Pressure is
exerted from above and works downwards. More and more the subject of
health becomes one of the prevention, rather than of the cure, of
ill health. The distance between physician and nurse and nurse and
patient grows less as each understands better the function each has
to perform in securing good health.
Some parts of the household have already been put on a scientific
basis. It is to-day protected from impure water-supply, from
defective drainage, from poisonous foods, from contagious diseases,
but not through the efforts of the household itself. These benefits
it has reaped through the labors of scientific experts who, through
unwearied investigation, have discovered the means of preventing
certain large classes of diseases. Sanitary engineering and sanitary
chemistry have become professions through the work of scientific
investigators. When housekeepers, through scientific investigation,
have made a profession of housekeeping, then, and not till then, will
trained service in the household be possible.
It is very easy to see why progress in the household has up to this
time been so slow, and why it has, for the most part, been made
through forces exerted from without rather than from within. But the
Chinese wall that has so long surrounded it is giving way, and the
signs of the times point to another international exposition, when,
side by side with Mrs. Gamp and the trained nurse, will be found Dora
Copperfield and the new home,--the product of the trained minds of
scientific investigators.
ECONOMICS AND ETHICS IN DOMESTIC SERVICE
Public-domain text, read in full here on John Shaqi.
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