Subsidiary Notes as to the Introduction of Female Nursing into Military Hospitals in Peace and WarNightingale, Florence
History
Subsidiary Notes as to the Introduction of Female Nursing into Military Hospitals in Peace and War
Nightingale, Florence
Military hospitals -- Great Britain; Nurses -- Great Britain
3. In a Civil Hospital it is objectionable to give the female patients
right to take exercise in corridors which the officers and servants
have constantly to traverse to go to and from the wards. In a Military
Hospital it is of little comparative disadvantage that the patients
should do this, although,
4. In building a hospital it might be well worth while to contrive
that the covered space, essential to give the patients power of taking
exercise, should be used solely for that purpose.
5. In Germany, the general opinion is in favour of small wards, twenty
beds are considered the desirable maximum; twelve, _per se_, better
than twenty.
Ditto in Belgium, under the same restriction, although, in practice,
there are wards containing larger numbers.
In the old Hospitals at Paris, the number of patients is too large.
The Charité has long great wards of 100 and 120 patients. At St.
Louis (which is mostly for cutaneous, not venereal, diseases, where
the patients usually are long under treatment and able to go about,
and where there is little acute illness,) wards of eighty and seventy
beds are the rule, smaller wards the exception. This may be considered
an exceptional class of patients. The Charité, somewhat densely
pressed upon by neighbourhood, is also not considered a favourably
circumstanced Hospital as to air.
Putting aside for a moment the sanitary question, which we have fully
discussed elsewhere, and which appears to be decided in favour of wards
of from twenty to thirty patients, we will look upon the question of
administration. The moment we consider that a great public Hospital
has to provide efficient attendance for all the sick it receives,
that it must be economical of attendance, both because the expense of
attendance, as well as the other requirements of the sick, commands all
practicable economy; and because efficient attendance in sufficient
numbers is difficult to obtain; it becomes evident that it is far
better for the sick to have larger wards, efficiently served by as few
attendants as is compatible with efficiency.
This, which is the fair statement of the case, strikes those who have
watched the working of the system of small wards in North Germany as
more true than ever.
Such persons consider that the size and numbers of the wards at the
Lariboisière Hospital, viz., thirty-four beds, including the two in the
little ward, are good: that preserving the existing considerable space
between the beds, and supposing the same ratio of conditions as to
windows, &c., and the small ward for two at the end, wards of forty or
fifty would be equally healthy for the sick, but that the number fifty
should not be surpassed.
Assuming, however, that thirty patients in a ward, or thirty-two, are
the maximum number, sanitary and administrative necessities being
conciliated, let us see what we do in our Military Hospitals at home.
Public-domain text, read in full here on John Shaqi.
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