Workhouse Nursing: The story of a successful experimentNightingale, Florence
History
Workhouse Nursing: The story of a successful experiment
Nightingale, Florence
Nursing; Poor -- Medical care
This proposal rests its claim to favourable consideration on the
presumption that the present system of nursing the sick in the
Workhouse Hospital is defective. The Committee are aware what that
system is. It may thus be briefly stated. Certain wards of the
workhouse are set apart as hospital wards. They do not form an
hospital worked as a whole, but are divided into five portions,
each forming a distinct set of wards, in close proximity to the
wards of the healthy paupers, and in five different parts of the
workhouse. These five sets of wards I shall call the Workhouse
Hospital. The hospital is divided into eleven sections. At the
head of each section there is an intelligent paid superintendent
nurse, and under each such superintendent nurse there is placed a
staff of pauper nurses, with the aid of whom she is required to
work her division, according to certain rules and regulations made
and provided for that purpose. A copy of these rules is appended
hereto; from which it will be seen that the burden of the
responsibility of carrying out the orders of the medical officers,
devolves upon the head nurses or superintendents of divisions. The
pauper nurses clean up the wards, carry the food, and give general
assistance to the superintendent—the duties of nursing in detail,
that is to say, the bedside nursing, falling chiefly upon them.
They are not permitted, however, to serve any patient with
stimulants, beer, porter, or medicines requiring exactness or
care; all such duties are discharged by the superintendent nurse.
The proposal now made to the Committee, means that the paid staff
shall be increased, so that the sick shall be cared for by
responsible officers only, and not left, even partially, to the
care of pauper nurses.
There is no doubt that pauper nurses are unreliable, inefficient,
and many of them very worthless; and it is only by careful
watching, and the utmost stringency of regulations, that they can
be made serviceable in the hospital. No stringency of regulations,
however, could guard against the most flagrant abuses, if these
women were employed to discharge duties of trust, such as serving
out the stimulants, &c. so that their services in attending upon
the sick are limited and common-place. There is therefore, in my
mind, no doubt, and I cannot see how any doubt can exist, that to
remove these women, and appoint in their places women of
character, trained as nurses, will tend to improve the position of
the sick, and more rapidly restore many of them to health.
Public-domain text, read in full here on John Shaqi.
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