Workhouse Nursing: The story of a successful experiment — John Shaqi
Workhouse Nursing: The story of a successful experimentNightingale, Florence
History
Workhouse Nursing: The story of a successful experiment
Nightingale, Florence
Nursing; Poor -- Medical care
capacity out-of-doors, thus not only relieving the parish of their
own maintenance, but assisting to diminish sickness and pauperism
among their neighbours. The point is one which must be left to local
knowledge and experience. It might be well, however, not to promise
them payment till after some length of probationary service. It was
always after pay-day that the ex-pauper nurses were most liable to
get drunk and misbehave.[4] With the exception of the failure of the
nurses taken from the pauper class, the first year’s trial was
sufficiently successful to induce a continuance of the experiment.
It was impossible, however, to judge the result by statistics. None
that were available could be considered as an evidence of success or
failure, for several reasons. The season was very unhealthy, and to
relieve the pressure on the space and resources of the hospital,
steps were taken to treat slight cases outside, as will be seen from
the following extract from the Minutes of the Finance Committee,
24th November, 1865:—
“The district medical officers, Dr. Gee, Mr. Barnes, and the
Governor of the workhouse being in attendance, pursuant to
resolution of the Workhouse Committee at its meeting yesterday,
the practicability of limiting the admissions to the Workhouse
Hospital was considered, and the district medical officers were
requested to co-operate with the relieving officers in limiting
such admissions to those cases that cannot be properly treated
outside the Workhouse.”
The endeavour to limit the admissions to serious cases would of
course affect the returns, both as regards the time taken in curing,
and the proportion of deaths. Even had there been no exceptional
disturbing element, there is a defect in the statistics of workhouse
hospitals which affects all inferences from them, in the absence of
any careful classified list of cases kept by the medical officers,
such as might fairly enable one to form a judgment from mere
statistical tables. These, then, are not reliable as means of
judgment, unless extending over a long period. The character of
seasons, and nature of cases admitted, varies so much from year to
year as to invalidate any deductions, unless founded on complete and
minutely kept medical records. The following extracts, however, from
the reports of the Governor, and the surgical and medical officers
of the Workhouse, bear decisive witness to the value of the “new
system,” especially as contrasted with the “old system,” which in
1865-66 still prevailed in the female wards. All these reports bear
emphatic testimony to the merits and devotion of the Lady
Superintendent and her staff. The medical men, it is noteworthy,
speak strongly of the better discipline and far greater obedience to
their orders observable where the trained nurses are employed—a
point the more important because it is that on which, before
experience has reassured them, medical and other authorities have
often been most doubtful.
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