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
1. In defining the office and duties of the Superintendent-General of
Nurses, her direct communication with, and qualified subordination to,
the Director-General of the Army Medical Department, and, abroad and
in war, with and to the Principal Medical Officer of the district,
or equivalent, must be very exactly defined. If the formation and
government of a body of women to serve in the Hospitals of the Army
Medical Department, and in these alone, is contemplated, the less
the Director-General and the Superintendent-General have to do with
each other, in matters of detail, the better, and the less chance of
collision. For very weighty moral and practical reasons, the sole
government of the women must belong to the Superintendent-General, and
to the Matrons, whom she delegates, and who are themselves responsible
and amenable to her. But it will never _work_ to introduce female
service into the Army Hospitals, and to leave the Director-General
of the Army Medical Department, which, like everything else in the
Army, is and must be a hierarchy, no other power in connection with
it, than to write and encourage confidential reports against it. There
ought to be a definition of the Superintendent-General’s position as
regards him, and also, as regards the Principal Medical Officer of the
district, abroad and in war. It is useless, and would be dangerous to
evade this; it ought to be deliberately settled, and distinctly stated.
In the “General Orders” of March 1856, the Superintendent-General’s
complete power over the women, and qualified subordination to the
Principal Medical Officer, are well and definitively expressed.
It is impossible to appoint the work of the Nurses without the
concurrence of the Director-General. It does not do to put a woman
into a great ward, or several smaller wards, of men, with several
orderlies, without clearly defining her position there. To put her
under the orderlies would be to make her being there at all much worse
than useless; but she cannot have assigned to her the responsibility of
the ward or wards, and consequently, authority over both orderlies and
patients, herself being responsible to the Surgeon and Matron, without
the concurrence of the Chief of the Army Medical Department.
Public-domain text, read in full here on John Shaqi.
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