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
2. The Visiting or Managing Committee of the Guardians, whose
authority must not (and need not) in any way be interfered with.
3. The Governor, the Medical Officer, and Chaplain.
4. (And under the Governor) the proposed Superintendent of Nurses
and her nursing staff.
There is no reason why all these parts of the machine should not
work together.
The funds are provided to pay the extra nursing for a time.
The difficulty is to find the Lady to govern it.
When appointed, she must be authorized—indeed appointed—by the
Guardians. She must be their Officer; and must be invested by the
Governor with authority to superintend her Nurses in conformity
with regulations to be agreed upon.
So far, I see no more difficulty than there was in settling our
relations as Nurses to the government officials in the Crimean
War.
The cases are somewhat similar.
As to the funds, it is just possible that eventually the Guardians
might take all the cost on themselves, as soon as they saw the
great advantages and economy of good nursing.
If Liverpool succeeds, the system is quite sure to extend itself.
The Fever Hospital is one of the Workhouse Infirmaries. That is
the place to shew what skilful nursing can do. The patients are
not all paupers. How many families might be rescued from pauperism
by saving the lives of their heads, and by helping the
hard-working to more speedy convalescence!
Hopefully yours,
(Signed) FLORENCE NIGHTINGALE.
_Extract from a letter from the_ Right Honourable Sir John M^cNeill,
G.C.B., _dated Granton House, Edinburgh, 28th Feb., 1864_.
There can be no doubt, I think, that it would be a mistake to have
pauper nurses mixed up with paid nurses, and I think I expressed
that opinion when we conversed about those things. Paupers might,
however, be employed to scrub and to do other menial work, under
the orders of the paid nurses. If the paid nurses are to do much
good they must have a recognised authority in their wards. Without
authority there cannot be due responsibility, and things must get
into confusion. A nurse carrying out the instructions of the
medical officer must have authority to do so, and resistance to
that authority must be treated as a breach of discipline.
To put this upon a right footing from the first, would be
indispensable to success. The more a nurse does by influence, and
kindly influence, the better; but dealing with the promiscuous
inmates of a workhouse, the knowledge that there is authority in
reserve to be exercised if necessary, prevents the necessity of
resorting to it, and makes the patients duly appreciate the
kindness which keeps it in reserve.
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