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Florence Nightingale

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Florence Nightingale
Nightingale,c. 1860
Born(1820-05-12)12 May 1820
Died13 August 1910(1910-08-13)(aged 90)
Mayfair,London, England
NationalityBritish
Known for
Awards
Scientific career
FieldsHospitalhygieneandsanitation,statistics
Institutions
Signature

Florence NightingaleOMRRCDStJ(/ˈntɪŋɡl/;12 May 1820 – 13 August 1910) was an Englishsocial reformer,statisticianand the founder of modernnursing.Nightingale came to prominence while serving as a manager and trainer of nurses during theCrimean War,in which she organised care for wounded soldiers atConstantinople.[4]She significantly reduced death rates by improving hygiene and living standards. Nightingale gave nursing a favourable reputation and became an icon ofVictorian culture,especially in the persona of "The Lady with the Lamp" making rounds of wounded soldiers at night.[5][6]

Recent commentators have asserted that Nightingale's Crimean War achievements were exaggerated by the media at the time, but critics agree on the importance of her later work in professionalising nursing roles for women.[7]In 1860, she laid the foundation of professional nursing with the establishment ofher nursing schoolatSt Thomas' Hospitalin London. It was the first secular nursing school in the world and is now part ofKing's College London.[8]In recognition of her pioneering work in nursing, theNightingale Pledgetaken by new nurses, and theFlorence Nightingale Medal,the highest international distinction a nurse can achieve, were named in her honour, and the annualInternational Nurses Dayis celebrated on her birthday. Her social reforms included improving healthcare for all sections of British society, advocating better hunger relief in India, helping toabolish prostitution lawsthat were harsh for women, and expanding the acceptable forms of female participation in the workforce.

Nightingale was a pioneer in statistics; she represented her analysis in graphical forms to ease drawing conclusions and actionables from data. She is famous for usage of thepolar area diagram,also called the Nightingale rose diagram, equivalent to a modern circularhistogram.This diagram is still regularly used indata visualisation.

Nightingale was a prodigious and versatile writer. In her lifetime, much of her published work was concerned with spreading medical knowledge. Some of her tracts were written insimple Englishso that they could easily be understood by those with poor literary skills. She was also a pioneer in data visualisation with the use ofinfographics,using graphical presentations of statistical data in an effective way.[7]Much of her writing, including her extensive work on religion andmysticism,has only been published posthumously.

Early life

Embley Parkin Hampshire, now a school, one of the family homes ofWilliam Nightingale

Florence Nightingale was born on 12 May 1820 into a wealthy and well-connected British family at theVilla Colombaia,[9][10]inFlorence,Tuscany, Italy, and was named after the city of her birth. Florence's older sisterFrances Parthenopehad similarly been named after her place of birth,Parthenope,aGreeksettlement now part of the city ofNaples.The family moved back to England in 1821, with Nightingale being brought up in the family's homes atEmbley, Hampshire,andLea Hurst, Derbyshire.[11][12]

Florence inherited a liberal-humanitarian outlook from both sides of her family.[7]Her parents wereWilliam Edward Nightingale, born William Edward Shore(1794–1874) and Frances ( "Fanny" ) Nightingale (néeSmith; 1788–1880). William's mother Mary (néeEvans) was the niece of Peter Nightingale, under the terms of whose will William inherited his estate at Lea Hurst, and assumed the name and arms of Nightingale. Fanny's father (Florence's maternal grandfather) was theabolitionistandUnitarianWilliam Smith.[13]Nightingale's father educated her.[12]

ABBCdocumentary reported that "Florence and her older sister Parthenope benefited from their father's advanced ideas about women's education. They studied history, mathematics, Italian, classical literature, and philosophy, and from an early age Florence, who was the more academic of the two girls, displayed an extraordinary ability for collecting and analysing data which she would use to great effect in later life."[7]

Young Florence Nightingale

In 1838, her father took the family on a tour in Europe where she was introduced to the English-born Parisian hostessMary Clarke,with whom Florence bonded. She recorded that "Clarkey" was a stimulating hostess who did not care for her appearance, and while her ideas did not always agree with those of her guests, "she was incapable of boring anyone." Her behaviour was said to be exasperating and eccentric and she had little respect for upper-class British women, whom she regarded generally as inconsequential. She said that if given the choice between being a woman or a galley slave, then she would choose the freedom of the galleys. She generally rejected female company and spent her time with male intellectuals. Clarke made an exception, however, in the case of the Nightingale family and Florence in particular. She and Florence were to remain close friends for 40 years despite their 27-year age difference. Clarke demonstrated that women could be equal to men, an idea that Florence had not learnt from her mother.[14]

Nightingale underwent the first of several experiences that she believed were calls from God in February 1837 while atEmbley Park,prompting a strong desire to devote her life to the service of others. In her youth she was respectful of her family's opposition to her working as a nurse, only announcing her decision to enter the field in 1844. Despite the anger and distress of her mother and sister, she rejected the expected role for a woman of her status to become a wife and mother. Nightingale worked hard to educate herself in the art and science of nursing, in the face of opposition from her family and the restrictive social code for affluent young English women.[15]

Painting of Nightingale byAugustus Egg,c.1840s

As a young woman, Nightingale was described as attractive, slender, and graceful. While her demeanour was often severe, she was said to be very charming and to possess a radiant smile. Her most persistent suitor was the politician and poetRichard Monckton Milnes,but after a nine-year courtship, she rejected him, convinced that marriage would interfere with her ability to follow her calling to nursing.[15]

In Rome in 1847, she metSidney Herbert,a politician who had beenSecretary at War(1845–1846) who was on his honeymoon. He and Nightingale became lifelong close friends. Herbert would be Secretary of War again during theCrimean Warwhen he and his wife would be instrumental in facilitating Nightingale's nursing work in Crimea. She became Herbert's key adviser throughout his political career, though she was accused by some of having hastened Herbert's death fromBright's diseasein 1861 because of the pressure her programme of reform placed on him. Nightingale also much later had strong relations with academicBenjamin Jowett,who may have wanted to marry her.[16]

Nightingalec.1854

Nightingale continued her travels (now with Charles andSelina Bracebridge) as far as Greece and Egypt. While in Athens, Greece, Nightingale rescued a juvenilelittle owlfrom a group of children who were tormenting it, and she named the owl Athena. Nightingale often carried the owl in her pocket, until the pet died (shortly before Nightingale left for Crimea).[17]

Her writings on Egypt, in particular, are testimony to her learning, literary skill, and philosophy of life. Sailing up the Nile as far as Abu Simbel in January 1850, she wrote of theAbu Simbel temples,"Sublime in the highest style of intellectual beauty, intellect without effort, without suffering... not a feature is correct — but the whole effect is more expressive of spiritual grandeur than anything I could have imagined. It makes the impression upon one that thousands of voices do, uniting in one unanimous simultaneous feeling of enthusiasm or emotion, which is said to overcome the strongest man."[18]

At Thebes, she wrote of being "called to God", while a week later near Cairo she wrote in her diary (as distinct from her far longer letters that her elder sister Parthenope was to print after her return): "God called me in the morning and asked me would I do good for him alone without reputation."[18]Later in 1850, she visited theLutheranreligious community atKaiserswerth-am-Rheinin Germany, where she observed PastorTheodor Fliednerand thedeaconessesworking for the sick and the deprived. She regarded the experience as a turning point in her life and issued her findings anonymously in 1851;The Institution of Kaiserswerth on the Rhine, for the Practical Training of Deaconesses, etc.was her first published work.[19]She also received four months of medical training at the institute, which formed the basis for her later care.

On 22 August 1853, Nightingale took the post of superintendent at theInstitute for the Care of Sick GentlewomeninUpper Harley Street,London, a position she held until October 1854.[20]Her father had given her an annual income of £500 (roughly £40,000/US$65,000 in present terms), which allowed her to live comfortably and to pursue her career.[21]

Crimean War

A print of the jewel awarded to Nightingale byQueen Victoria,for her services to the soldiers in the war

Florence Nightingale's most famous contribution came during theCrimean War,which became her central focus when reports got back to Britain about the horrific conditions for the wounded at the military hospital on the Asiatic side of theBosporus,oppositeConstantinople,at Scutari (modern-dayÜsküdarinIstanbul). Britain and France entered the war against Russia on the side of theOttoman Empire.On 21 October 1854, she and the staff of 38 women volunteer nurses including her head nurseEliza Robertsand her aunt Mai Smith,[22]and 15 Catholic nuns (mobilised byHenry Edward Manning)[23]were sent (under the authorisation of Sidney Herbert) to theOttoman Empire.On the way, Nightingale was assisted in Paris by her friendMary Clarke.[24]The volunteer nurses worked about 295nautical miles(546 km; 339 mi) away from the main British camp across theBlack SeaatBalaklava,in theCrimea.

Letter from Nightingale toMary Mohl,1881

Nightingale arrived atSelimiye Barracksin Scutari early in November 1854. Her team found that poor care for wounded soldiers was being delivered by overworked medical staff in the face of official indifference. Medicines were in short supply,hygienewas being neglected, and mass infections were common, many of them fatal. There was no equipment to process food for the patients:

This frail young woman... embraced in her solicitude the sick of three armies.

— Lucien Baudens,La guerre de Crimée, les campements, les abris, les ambulances, les hôpitaux,p. 104.[25]

After Nightingale sent a plea toThe Timesfor a government solution to the poor condition of the facilities, the British Government commissionedIsambard Kingdom Brunelto design aprefabricatedhospital that could be built in England and shipped to theDardanelles.The result wasRenkioi Hospital,a civilian facility that, under the management ofEdmund Alexander Parkes,had a death rate less than one tenth of that of Scutari.[26]

Stephen Pagetin theDictionary of National Biographyasserted that Nightingale reduced the death rate from 42% to 2%, either by making improvements in hygiene herself, or by calling for the Sanitary Commission.[27]For example, Nightingale implementedhandwashingin the hospital where she worked.[28]

Florence Nightingale,an angel of mercy.Scutarihospital, 1855

During her first winter at Scutari, 4,077 soldiers died there. Ten times more soldiers died from illnesses such astyphus,typhoid,cholera,anddysenterythan from battle wounds. With overcrowding, defectivesewersand lack of ventilation, the Sanitary Commission had to be sent out by the British government to Scutari in March 1855, almost six months after Nightingale had arrived. The commission flushed out the sewers and improved ventilation.[29]Death rates were sharply reduced, but she never claimed credit for helping to reduce the death rate.[30][31]Head NurseEliza Robertsnursed Nightingale through her critical illness of May 1855.[32]

In 2001 and 2008 the BBC released documentaries that were critical of Nightingale's performance in the Crimean War, as were some follow-up articles published inThe Guardianand theSunday Times.Nightingale scholarLynn McDonaldhas dismissed these criticisms as "often preposterous", arguing they are not supported by the primary sources.[12]

Nightingale still believed that the death rates were due to poor nutrition, lack of supplies, stale air, and overworking of the soldiers. After she returned to Britain and began collecting evidence before the Royal Commission on the Health of the Army, she came to believe that most of the soldiers at the hospital were killed by poor living conditions. This experience influenced her later career when she advocated sanitary living conditions as of great importance. Consequently, she reduced peacetime deaths in the army and turned her attention to the sanitary design of hospitals and the introduction of sanitation in working-class homes (seeStatistics and Sanitary Reform).[33]

The Mission of Mercy: Florence Nightingale receiving the Wounded at Scutari(Jerry Barrett,1857)

According to some secondary sources, Nightingale had a frosty relationship with her fellow nurseMary Seacole,who ran a hotel/hospital for officers. Seacole's own memoir,Wonderful Adventures of Mrs. Seacole in Many Lands,records only one, friendly, meeting with her, when she asked her for a bed for the night and got it; Seacole was in Scutari en route to the Crimea to join her business partner and start their business. However, Seacole pointed out that when she tried to join Nightingale's group, one of Nightingale's colleagues rebuffed her, and Seacole inferred that racism was at the root of that rebuttal.[34]Nightingale told her brother-in-law, in a private letter, that she was worried about contact between her work and Seacole's business, claiming that while "she was very kind to the men and, what is more, to the Officers – and did some good (she) made many drunk".[35]Nightingale reportedly wrote, "I had the greatest difficulty in repelling Mrs. Seacole's advances, and in preventing association between her and my nurses (absolutely out of the question!)... Anyone who employs Mrs. Seacole will introduce much kindness – also much drunkenness and improper conduct".[36]On the other hand, Seacole told the French chefAlexis Soyerthat "You must know, M Soyer, that Miss Nightingale is very fond of me. When I passed through Scutari, she very kindly gave me board and lodging."[37]

The arrival of two waves of Irish nuns, theSisters of Mercy,to assist with nursing duties at Scutari met with different responses from Nightingale.Mary Clare Mooreheaded the first wave and placed herself and her Sisters under the authority of Nightingale. The two were to remain friends for the rest of their lives.[38]The second wave, headed byMary Francis Bridgemanmet with a cooler reception as Bridgeman refused to give up her authority over her Sisters to Nightingale while at the same time not trusting Nightingale, whom she regarded as ambitious.[39][40]

The Lady with the Lamp

The Lady with the Lamp.Popular lithograph reproduction of a painting of Nightingale byHenrietta Rae,1891.

During the Crimean War, Nightingale gained the nickname "The Lady with the Lamp" from a phrase in a report inThe Times:

She is a "ministering angel" without any exaggeration in these hospitals, and as her slender form glides quietly along each corridor, every poor fellow's face softens with gratitude at the sight of her. When all the medical officers have retired for the night and silence and darkness have settled down upon those miles of prostrate sick, she may be observed alone, with a little lamp in her hand, making her solitary rounds.

— William Russell, Cited in Cook, E. T. (1913).The Life of Florence Nightingale.Vol. 1, p. 237.

The phrase was further popularised byHenry Wadsworth Longfellow's 1857 poem "Santa Filomena":[41]

Lo! in that house of misery
A lady with a lamp I see
Pass through the glimmering gloom,
And flit from room to room.

Nightingale was nicknamed "the lady with the hammer" by the troops after using a hammer to break into locked storage to access medicine to treat the wounded. However, Russell thought the behaviour was unladylike, and invented an alternative, leading to "The Lady with the Lamp".[42][43]

Later career

In theCrimeaon 29 November 1855, the Nightingale Fund was established for the training of nurses during a public meeting to recognise Nightingale for her work in the war. There was an outpouring of generous donations. Sidney Herbert served as honorary secretary of the fund and theDuke of Cambridgewas chairman. In her 1856 letters she described spas in theOttoman Empire,detailing the health conditions, physical descriptions, dietary information, and other vital details of patients whom she directed there. She noted that the treatment there was significantly less expensive than in Switzerland.[44]

Nightingale,c.1858, by Goodman

Nightingale had £45,000 at her disposal from the Nightingale Fund to set up the first nursing school, the Nightingale Training School, atSt Thomas' Hospitalon 9 July 1860.[45]The first trained Nightingale nurses began work on 16 May 1865 at the Liverpool Workhouse Infirmary. Now called theFlorence Nightingale Faculty of Nursing and Midwifery,the school is part ofKing's College London.In 1866 she said theRoyal Buckinghamshire HospitalinAylesburynear her sister's homeClaydon Housewould be "the most beautiful hospital in England", and in 1868 called it "an excellent model to follow".[46]

Nightingale wroteNotes on Nursing(1859). The book served as the cornerstone of the curriculum at the Nightingale School and other nursing schools, though it was written specifically for the education of those nursing at home. Nightingale wrote, "Every day sanitary knowledge, or the knowledge of nursing, or in other words, of how to put the constitution in such a state as that it will have no disease, or that it can recover from disease, takes a higher place. It is recognised as the knowledge which every one ought to have – distinct from medical knowledge, which only a profession can have".[47]

Illustration in Charles Dickens'Martin Chuzzlewit.Nurse Sarah Gamp (left) became a stereotype of untrained and incompetent nurses of the early Victorian era, before the reforms of Nightingale.

Notes on Nursingalso sold well to the general reading public and is considered a classic introduction to nursing. Nightingale spent the rest of her life promoting and organising the nursing profession. In the introduction to the 1974 edition, Joan Quixley of the Nightingale School of Nursing wrote: "The book was the first of its kind ever to be written. It appeared at a time when the simple rules of health were only beginning to be known, when its topics were of vital importance not only for the well-being and recovery of patients, when hospitals were riddled with infection, when nurses were still mainly regarded as ignorant, uneducated persons. The book has, inevitably, its place in the history of nursing, for it was written by the founder of modern nursing".[48]

AsMark Bostridgehas demonstrated, one of Nightingale's signal achievements was the introduction of trained nurses into theworkhousesystem in Britain from the 1860s onwards.[49]This meant that sick paupers were no longer being cared for by other, able-bodied paupers, but by properly trained nursing staff. In the first half of the 19th century, nurses were usually former servants or widows who found no other job and therefore were forced to earn their living by this work.Charles Dickenscaricatured the standard of care in his 1842–1843 published novelMartin Chuzzlewitin the figure ofSarah Gampas being incompetent, negligent, alcoholic and corrupt. According to Caroline Worthington, director of theFlorence Nightingale Museum,"When she [Nightingale] started out there was no such thing as nursing. The Dickens character Sarah Gamp, who was more interested in drinking gin than looking after her patients, was only a mild exaggeration. Hospitals were places of last resort where the floors were laid with straw to soak up the blood. Florence transformed nursing when she got back [from Crimea]. She had access to people in high places and she used it to get things done. Florence was stubborn, opinionated, and forthright but she had to be those things in order to achieve all that she did."[50]

Letter from Nightingale advocating for the use of salicylic acid, an antiseptic, in dressings for cancer patients, 1886.[51]

Though Nightingale is sometimes said to have denied the theory of infection for her entire life, a 2008 biography disagrees,[49]saying that she was simply opposed to a precursor of germ theory known ascontagionism.This theory held that diseases could only be transmitted by touch. Before the experiments of the mid-1860s byPasteurandLister,hardly anyone took germ theory seriously; even afterwards, many medical practitioners were unconvinced. Bostridge points out that in the early 1880s Nightingale wrote an article for a textbook in which she advocated strict precautions designed, she said, to kill germs. Nightingale's work served as an inspiration for nurses in theAmerican Civil War.TheUniongovernment approached her for advice in organising field medicine. Her ideas inspired the volunteer body of theUnited States Sanitary Commission.[52]

Nightingale advocated autonomous nursing leadership, and that her new style of matrons had full control and discipline over their nursing staff.[53]The infamous "Guy's Hospitaldispute "in 1879–1880 between matron Margaret Burt and hospital medical staff highlighted how doctors sometimes felt that their authority was being challenged by these new style Nightingale matrons. This was not an isolated episode and other matrons experienced similar issues, such asEva Luckes.[54]

In the 1870s, Nightingale mentoredLinda Richards,"America's first trained nurse", and enabled her to return to the United States with adequate training and knowledge to establish high-quality nursing schools.[55]Richards went on to become a nursing pioneer in the US and Japan.[56]

By 1882, several Nightingale nurses had become matrons at several leading hospitals, including, in London (St Mary's Hospital,Westminster Hospital, St Marylebone Workhouse Infirmary and theHospital for IncurablesatPutney) and throughout Britain (Royal Victoria Hospital,Netley;Edinburgh Royal Infirmary;Cumberland Infirmary and Liverpool Royal Infirmary), as well as atSydney HospitalinNew South Wales,Australia.[57]

Florence Nightingale (middle) in 1886 with Miss Mary Crossland of theNightingale Training School,Sir Harry Verneyand a group of Nightingale Nurses fromSt Thomas'.Pictured outsideClaydon House,Buckinghamshire.[58]

In 1883, Nightingale became the first recipient of theRoyal Red Cross.In 1904, she was appointed aLady of Grace of the Order of St John (LGStJ).[59]

In 1907, she became the first woman to be awarded theOrder of Merit.[60]In the following year she was given theHonorary Freedomof theCity of London.

Her birthday is now celebrated asInternational May 12th Awareness Day.[61]

From 1857 onwards, Nightingale was intermittently bedridden and suffered from depression. A recent biography citesbrucellosisand associatedspondylitisas the cause.[62]Most authorities today accept that Nightingale suffered from a particularly extreme form of brucellosis, the effects of which only began to lift in the early 1880s. Despite her symptoms, she remained phenomenally productive in social reform. During her bedridden years, she also did pioneering work in the field of hospital planning, and her work propagated quickly across Britain and the world. Nightingale's output slowed down considerably in her last decade. She wrote very little during that period due to blindness and declining mental abilities, though she still retained an interest in current affairs.[12]

Relationships

Florence Nightingale by Charles Staal, engraved by G. H. Mote, used inMary Cowden Clarke'sFlorence Nightingale(1857)

Although much of Nightingale's work improved the lot of women everywhere, Nightingale believed that women cravedsympathyand were not as capable as men.[a]She criticised early women's rights activists for decrying an alleged lack of careers for women at the same time that lucrative medical positions, under the supervision of Nightingale and others, went perpetually unfilled.[b]She preferred the friendship of powerful men, insisting they had done more than women to help her attain her goals, writing: "I have never found one woman who has altered her life by one iota for me or my opinions."[65][66]She often referred to herself as, for example, "a man of action" and "a man of business".[67]

However, she did have several important and long-lasting friendships with women. Later in life, she kept up a prolonged correspondence with Irish nunMary Clare Moore,with whom she had worked in Crimea.[68]Her most beloved confidante wasMary Clarke,an Englishwoman she met in Paris in 1837 and kept in touch with throughout her life.[69]

Some scholars of Nightingale's life believe that she remained chaste for her entire life, perhaps because she felt a religious calling to her career.[70]

Death

The grave of Florence Nightingale in the churchyard of St Margaret's Church,East Wellow,Hampshire
In 1939 Belgium issued asemi-postalstamp in honour of Nightingale in recognition of her work with the Red Cross when in Belgium

Florence Nightingale died peacefully in her sleep in her room at 10South Street, Mayfair,London, on 13 August 1910, at the age of 90.[71][c]The offer of burial inWestminster Abbeywas declined by her relatives and she is buried in the churchyard of St Margaret's Church inEast Wellow,Hampshire, near Embley Park with a memorial with just her initials and dates of birth and death.[73][74]She left a large body of work, including several hundred notes that were previously unpublished.[75]A memorial monument to Nightingale was created inCarrara marbleby Francis William Sargant in 1913 and placed in the cloister of theBasilica of Santa Croce,in Florence, Italy.[76]

Contributions

Statistics and sanitary reform

Florence Nightingale exhibited a gift for mathematics from an early age and excelled in the subject under the tutelage of her father.[d]Later, Nightingale became a pioneer in the visual presentation of information andstatistical graphics.[78]She used methods such as thepie chart,which had first been developed byWilliam Playfairin 1801.[79]While taken for granted now, it was at the time a relatively novel method of presenting data.[80]

Indeed, Nightingale is described as "a true pioneer in the graphical representation of statistics" and is especially well known for her usage of apolar area diagram,[80]: 107 or occasionally theNightingale rose diagram,equivalent to a modern circularhistogram,to illustrate seasonal sources of patient mortality in the military field hospital she managed. While frequently credited as the creator of the polar area diagram, it is known to have been used by André-Michel Guerry in 1829[81]and Léon Louis Lalanne by 1830.[82]Nightingale called a compilation of such diagrams a "coxcomb",but later that term would frequently be used for the individual diagrams.[83]She made extensive use of coxcombs to present reports on the nature and magnitude of the conditions of medical care in the Crimean War toMembers of Parliamentand civil servants who would have been unlikely to read or understand traditional statistical reports. In 1859, Nightingale was elected the first female member of theRoyal Statistical Society.[84]In 1874 she became an honorary member of theAmerican Statistical Association.[85]

"Diagramof the causes of mortality in the army in the East"by Florence Nightingale

Her attention turned to the health of the British Army inIndiaand she demonstrated that bad drainage, contaminated water, overcrowding, and poor ventilation were causing the high death rate.[86]Following the reportThe Royal Commission on India(1858–1863), which included drawings done by her cousin, artistHilary Bonham Carter,with whom Nightingale had lived,[e]Nightingale concluded that the health of the army and the people of India had to go hand in hand and so campaigned to improve the sanitary conditions of the country as a whole.[7]

Nightingale made a comprehensive statistical study ofsanitationin Indian rural life and was the leading figure in the introduction of improved medical care and public health service in India. In 1858 and 1859, she successfully lobbied for the establishment of a Royal Commission into the Indian situation. Two years later, she provided a report to the commission, which completed its own study in 1863. "After 10 years of sanitary reform, in 1873, Nightingale reported that mortality among the soldiers in India had declined from 69 to 18 per 1,000".[80]: 107 

The Royal Sanitary Commission of 1868–1869 presented Nightingale with an opportunity to press for compulsory sanitation in private houses. She lobbied the minister responsible,James Stansfeld,to strengthen the proposed Public Health Bill to require owners of existing properties to pay for connection to mains drainage.[88]The strengthened legislation was enacted in the Public Health Acts of 1874 and 1875. At the same time, she combined with the retired sanitary reformerEdwin Chadwickto persuade Stansfeld to devolve powers to enforce the law to Local Authorities, eliminating central control by medical technocrats.[89]Her Crimean War statistics had convinced her that non-medical approaches were more effective given the state of knowledge at the time. Historians now believe that both drainage and devolved enforcement played a crucial role in increasing average national life expectancy by 20 years between 1871 and the mid-1930s during which time medical science made no impact on the most fatal epidemic diseases.[30][31][90]

Literature and the women's movement

Historian of scienceI. Bernard Cohenargues:

Nightingale's achievements are all the more impressive when they are considered against the background of social restraints on women in Victorian England. Her father, William Edward Nightingale, was an extremely wealthy landowner, and the family moved in the highest circles of English society. In those days, women of Nightingale's class did not attend universities and did not pursue professional careers; their purpose in life was to marry and bear children. Nightingale was fortunate. Her father believed women should be educated, and he personally taught her Italian, Latin, Greek, philosophy, history, and – most unusual of all for women of the time – writing and mathematics.[80]: 98 

Lytton Stracheywas famous for his book debunking 19th-century heroes,Eminent Victorians(1918). Nightingale gets a full chapter, but instead of debunking her, Strachey praised her in a way that raised her national reputation and made her an icon for English feminists of the 1920s and 1930s.[91]

While better known for her contributions in the nursing and mathematical fields, Nightingale is also an important link in the study of Englishfeminism.She wrote some 200 books, pamphlets and articles throughout her life.[50]During 1850 and 1852, she was struggling with her self-definition and the expectations of an upper-class marriage from her family. As she sorted out her thoughts, she wroteSuggestions for Thought to Searchers after Religious Truth.This was an 829-page, three-volume work, which Nightingale had printed privately in 1860, but which until recently was never published in its entirety.[92]An effort to correct this was made with a 2008 publication byWilfrid Laurier University,as volume 11[93]of a 16 volume project, theCollected Works of Florence Nightingale.[94]The best known of these essays, called "Cassandra", was previously published byRay Stracheyin 1928. Strachey included it inThe Cause,a history of the women's movement. Apparently, the writing served its original purpose of sorting out thoughts; Nightingale left soon after to train at the Institute for deaconesses atKaiserswerth.

"Cassandra" protests the over-feminisation of women into near helplessness, such as Nightingale saw in her mother's and older sister's lethargic lifestyle, despite their education. She rejected their life of thoughtless comfort for the world of social service. The work also reflects her fear of her ideas being ineffective, as wereCassandra's. Cassandra was a princess ofTroywho served as a priestess in the temple ofApolloduring theTrojan War.The god gave her the gift ofprophecy;when she refused his advances, he cursed her so that her prophetic warnings would go unheeded.Elaine Showaltercalled Nightingale's writing "a major text of English feminism, a link betweenWollstonecraftandWoolf".[95]Nightingale was initially reluctant to join the Women'sSuffrage Societywhen asked byJohn Stuart Mill,but throughJosephine Butlerwas convinced 'that women's enfranchisement is absolutely essential to a nation if moral and social progress is to be made'.[96]

In 1972, the poetEleanor Ross Taylorwrote "Welcome Eumenides", a poem written in Nightingale's voice and quoting frequently from Nightingale's writings.[97]Adrienne Richwrote that "Eleanor Taylor has brought together the waste of women in society and the waste of men in wars and twisted them inseparably."[98]

Theology

Despite being named as a Unitarian in several older sources, Nightingale's own rare references to conventional Unitarianism are mildly negative. She remained in theChurch of Englandthroughout her life, albeit with unorthodox views. Influenced from an early age by theWesleyan tradition,[f]Nightingale felt that genuine religion should manifest in active care and love for others.[g]She wrote a work of theology:Suggestions for Thought,her owntheodicy,which develops herheterodoxideas. Nightingale questioned the goodness of a God who would condemn souls to hell and was a believer inuniversal reconciliation– the concept that even those who die without being saved will eventually make it to heaven.[h]She would sometimes comfort those in her care with this view. For example, a dying young prostitute being tended by Nightingale was concerned she was going to hell and said to her "Pray God, that you may never be in the despair I am in at this time". The nurse replied "Oh, my girl, are you not now more merciful than the God you think you are going to? Yet the real God is far more merciful than any human creature ever was or can ever imagine."[11][66][i][j]

Despite her intense personal devotion to Christ, Nightingale believed for much of her life that the pagan and eastern religions had also contained genuine revelation. She was a strong opponent of discrimination both against Christians of different denominations and against those of non-Christian religions. Nightingale believed religion helped provide people with the fortitude for arduous good work and would ensure the nurses in her care attended religious services. However, she was often critical of organised religion. She disliked the role the 19th century Church of England would sometimes play in worsening the oppression of the poor. Nightingale argued that secular hospitals usually provided better care than their religious counterparts. While she held that the ideal health professional should be inspired by a religious as well as professional motive, she said that in practice many religiously motivated health workers were concerned chiefly in securing their own salvation and that this motivation was inferior to the professional desire to deliver the best possible care.[11][66]

Legacy

Nursing

Blue plaquefor Nightingale inSouth Street,Mayfair, London

Nightingale's lasting contribution has been her role in founding the modern nursing profession.[102]She set an example of compassion, commitment to patient care and diligent and thoughtful hospital administration. The first official nurses' training programme, herNightingale School for Nurses,opened in 1860 and is now called theFlorence Nightingale Faculty of Nursing and MidwiferyatKing's College London.[103]

She belongs to that select band of historical characters who are instantly recognisable: the Lady with the Lamp, ministering to the wounded and dying.

BBCprofile of Nightingale.[7]

In 1912, theInternational Committee of the Red Crossinstituted theFlorence Nightingale Medal,which is awarded every two years to nurses or nursing aides for outstanding service.[104]It is the highest international distinction a nurse can achieve and is awarded to nurses or nursing aides for "exceptional courage and devotion to the wounded, sick or disabled or to civilian victims of a conflict or disaster" or "exemplary services or a creative and pioneering spirit in the areas of public health or nursing education".[105]Since 1965,International Nurses Dayhas been celebrated on her birthday (12 May) each year.[106]ThePresident of Indiahonours nursing professionals with the "National Florence Nightingale Award" every year on International Nurses Day.[107]The award, established in 1973, is given in recognition of meritorious services of nursing professionals characterised by devotion, sincerity, dedication and compassion.[107]

TheNightingale Pledge

TheNightingale Pledgeis a modified version of theHippocratic Oathwhich nurses in the United States recite at theirpinning ceremonyat the end of training. Created in 1893 and named after Nightingale as the founder of modern nursing, the pledge is a statement of the ethics and principles of the nursing profession.[108]

The Florence Nightingale Declaration Campaign,[109]established by nursing leaders throughout the world through the Nightingale Initiative for Global Health (NIGH), aims to build a global grassroots movement to achieve twoUnited Nations Resolutionsfor adoption by the UN General Assembly of 2008. They will declare: The International Year of the Nurse–2010 (the centenary of Nightingale's death); The UN Decade for a Healthy World – 2011 to 2020 (the bicentenary of Nightingale's birth). NIGH also works to rekindle awareness about the important issues highlighted by Florence Nightingale, such as preventive medicine andholistic health.As of 2016, the Florence Nightingale Declaration has been signed by over 25,000 signatories from 106 countries.[110]

During theVietnam War,Nightingale inspired manyUS Armynurses, sparking a renewal of interest in her life and work. Her admirers includeCountry JoeofCountry Joe and the Fish,who has assembled an extensive website in her honour.[111]The Agostino Gemelli Medical School[112]in Rome, the first university-based hospital in Italy and one of its most respected medical centres, honoured Nightingale's contribution to the nursing profession by giving the name "Bedside Florence" to a wireless computer system it developed to assist nursing.[113]

Hospitals

Four hospitals in Istanbul are named after Nightingale: Florence Nightingale Hospital inŞişli(the biggest private hospital in Turkey), Metropolitan Florence Nightingale Hospital in Gayrettepe, European Florence Nightingale Hospital inMecidiyeköy,and Kızıltoprak Florence Nightingale Hospital inKadıköy,all belonging to the Turkish Cardiology Foundation.[114]

In 2011, an appeal was made for the former Derbyshire Royal Infirmary hospital in Derby, England to be named after Nightingale. It was suggested the name could be either Nightingale Community Hospital or Florence Nightingale Community Hospital. The area where the hospital is situated is sometimes referred to as the "Nightingale Quarter".[115]

During theCOVID-19 pandemic,a number of temporaryNHS Nightingale Hospitalswere set up in readiness for an expected rise in the number of patients needing critical care. The first was housed in theExCeL London[116]and several others followed across England.[117]Celebrations to mark her bicentenary in 2020, were disrupted by the coronavirus pandemic and Nightingale's contribution to scientific and statistical analysis of infectious disease and nursing practice may have led to the new temporary hospitals being in her name, in Scotland named theNHS Louisa Jordanafter a nurse who followed in Nightingale's footsteps in battlefield nursing inWorld War One.[118]

Museums and monuments

Statue of Nightingale byArthur George Walkerin Waterloo Place, London
Florence Nightingale Statue,London Road,Derby
A vertical rectangular stained glass window with nine panels, each holding one or more human figures
Florence Nightingale stained glass window, originally at the Derbyshire Royal Infirmary Chapel and now removed toSt Peter's Church, Derbyand rededicated 9 October 2010

A statue of Florence Nightingale by the 20th-century war memorialistArthur George Walkerstands inWaterloo Place,Westminster,London, just offThe Mall.There are three statues of Nightingale in Derby – one outside theDerbyshire Royal Infirmary(DRI), one in St Peter's Street, and one above the Nightingale-Macmillan Continuing Care Unit opposite the Derbyshire Royal Infirmary. Apubnamed after her stands close to the DRI.[119]The Nightingale-Macmillan continuing care unit is now at theRoyal Derby Hospital,formerly known as The City Hospital, Derby.[120]

Astained glass windowwas commissioned for inclusion in the DRI chapel in the late 1950s. When the chapel was demolished the window was removed and installed in the replacement chapel. At the closure of the DRI, the window was again removed and stored. In October 2010, £6,000 was raised to reposition the window inSt Peter's Church, Derby.The work features nine panels, of the original ten, depicting scenes of hospital life, Derby townscapes, and Nightingale herself. Some of the work was damaged and the tenth panel was dismantled for the glass to be used in the repair of the remaining panels. All the figures, who are said to be modelled on prominent Derby town figures of the early sixties, surround and praise a central pane of the triumphant Christ. A nurse who posed for the top right panel in 1959 attended the rededication service in October 2010.[121]

TheFlorence Nightingale MuseumatSt Thomas' Hospitalin London reopened in May 2010 in time for the centenary of Nightingale's death.[50]Another museum devoted to her is at her sister's family home,Claydon House,now a property of theNational Trust.[122][123]

Upon the centenary of Nightingale's death in 2010, and to commemorate her connection withMalvern,theMalvern Museumheld a Florence Nightingale exhibit[124]with a school poster competition to promote some events.[125]

In Istanbul, the northernmost tower of the Selimiye Barracks building is now the Florence Nightingale Museum.[126]and in several of its rooms, relics and reproductions related to Florence Nightingale and her nurses are on exhibition.[127]

When Nightingale moved on to the Crimea itself in May 1855, she often travelled on horseback to make hospital inspections. She later transferred to a mule cart and was reported to have escaped serious injury when the cart was toppled in an accident. Following this, she used a solid Russian-built black carriage, with a waterproof hood and curtains. The carriage was returned to England byAlexis Soyerafter the war and subsequently given to the Nightingale training school. The carriage was damaged when the hospital was bombed during the Second World War. It was restored and transferred to Claydon House and is now displayed at theArmy Medical Services MuseuminMytchett,Surrey, nearAldershot.[128]

Bust of Nightingale unveiled atGun Hill ParkinAldershotin 2021

A bronze plaque, attached to the plinth of the Crimean Memorial in theHaydarpaşa Cemetery,Istanbul, Turkey and unveiled onEmpire Day,1954, to celebrate the 100th anniversary of her nursing service in that region, bears the inscription: "To Florence Nightingale, whose work near this Cemetery a century ago relieved much human suffering and laid the foundations for the nursing profession."[129]Other monuments of Nightingale include a statue atChiba Universityin Japan, a bust atTarlac State Universityin the Philippines, and a bust atGun Hill ParkinAldershotin the UK. Other nursing schools around the world are named after Nightingale, such as inAnápolisin Brazil.[130]

Audio

Florence Nightingale's voice was saved for posterity in aphonographrecording from 1890 preserved in theBritish Library Sound Archive.The recording, made in aid of theLight Brigade Relief Fundand available to hear online, says:

When I am no longer even a memory, just a name, I hope my voice may perpetuate the great work of my life. God bless my dear old comrades of Balaclava and bring them safe to shore. Florence Nightingale.[131]

Theatre

The first theatrical representation of Nightingale wasReginald Berkeley'sThe Lady with the Lamp,premiering in London in 1929 withEdith Evansin the title role. It did not portray her as an entirely sympathetic character and draws much characterisation fromLytton Strachey's biography of her inEminent Victorians.[132]It was adapted as a film of the same name in 1951. In 2009, a stage musical play representation of Nightingale entitledThe Voyage of the Lasswas produced by the Association of Nursing Service Administrators of thePhilippines.

Film

In 1912, a biographical silent film titledThe Victoria Cross,starringJulia Swayne Gordonas Nightingale, was released, followed in 1915 by another silent film,Florence Nightingale,featuringElisabeth Risdon.In 1936,Kay Francisplayed Nightingale in the film titledThe White Angel.In 1951,The Lady with a LampstarredAnna Neagle.[133] In 1993,Nest Entertainmentreleased an animated filmFlorence Nightingale,describing her service as a nurse in the Crimean War.[134]

Television

Portrayals of Nightingale on television, in documentary as in fiction, vary – the BBC's 2008Florence Nightingale,featuringLaura Fraser,[135]emphasised her independence and feeling of religious calling, but in Channel 4's 2006Mary Seacole:The Real Angel of the Crimea,she is portrayed as narrow-minded and opposed to Seacole's efforts.[136]

Other portrayals include:

Banknotes

Commemorative £2 coin celebrating Nightingale and nursing.[145]

Florence Nightingale's image appeared on the reverse of£10 Series D banknotesissued by theBank of Englandfrom 1975 until 1994. As well as a standing portrait, she was depicted on the notes in a field hospital, holding her lamp.[146]Nightingale's note was in circulation alongside the images ofIsaac Newton,William Shakespeare,Charles Dickens,Michael Faraday,Sir Christopher Wren,theDuke of WellingtonandGeorge Stephenson,and prior to 2002, other than the female monarchs, she was the only woman whose image had ever adorned British paper currency.[7]

The centenary of her death in 2010 was also commemorated with a special £2 coin showing her taking a patient's pulse.[145]

Photographs

Nightingale had a principled objection to having photographs taken or her portrait painted. An extremely rare photograph of her, taken at Embley on a visit to her family home in May 1858, was discovered in 2006 and is now at theFlorence Nightingale Museumin London. A black-and-white photograph taken in about 1907 byLizzie Caswall Smithat Nightingale's London home in South Street, Mayfair, was auctioned on 19 November 2008 by Dreweatts auction house in Newbury, Berkshire, England, for £5,500.[147]

Biographies

The Wounded Soldier's Friend by Eliza Pollard, published in 1894[148]

The first biography of Nightingale was published in England in 1855. In 1911,Edward Tyas Cookwas authorised by Nightingale's executors to write the official life, published in two volumes in 1913. Nightingale was also the subject of one ofLytton Strachey's four mercilessly provocative biographical essays,Eminent Victorians.Strachey regarded Nightingale as an intense, driven woman who was both personally intolerable and admirable in her achievements.[149]

Cecil Woodham-Smith,like Strachey, relied heavily on Cook'sLifein her 1950 biography, though she did have access to new family material preserved at Claydon. In 2008,Mark Bostridgepublished a major new life of Nightingale, almost exclusively based on unpublished material from the Verney Collections at Claydon and from archival documents from about 200 archives around the world, some of which had been published by Lynn McDonald in her projected sixteen-volume edition of theCollected Works of Florence Nightingale(2001 to date).[7]

Other

A three-engine wide-body jet airliner in blue and gray livery
KLMMD-11,registration PH-KCD,Florence Nightingale

In 2002, Nightingale was ranked number 52 in theBBC's list of the100 Greatest Britonsfollowing a UK-wide vote. In 2006, the Japanese public ranked Nightingale number 17 inThe Top 100 Historical Persons in Japan.[150]

Several churches in theAnglican Communioncommemorate Nightingale with a feast day on theirliturgical calendars.[151]TheEvangelical Lutheran Church in Americacommemorates her as aRenewer of SocietywithClara Maasson 13 August.[152]Florence Li Tim-Oi,the first woman ordained priest in the Anglican Communion, in 1944, took Florence as her baptismal name after Florence Nightingale.[153]

Washington National Cathedralcelebrates Nightingale's accomplishments with a double-lancet stained glass window featuring six scenes from her life, designed by artist Joseph G. Reynolds and installed in 1983.[154]

TheUS Navyship theUSSFlorence Nightingale(AP-70)was commissioned in 1942. Beginning in 1968, theUS Air Forceoperated a fleet of 20C-9A "Nightingale"aeromedical evacuationaircraft, based on theMcDonnell Douglas DC-9platform.[155]The last of these planes was retired from service in 2005.[156]

In 1981, the asteroid3122 Florencewas named after her.[157]A DutchKLMMcDonnell-Douglas MD-11(registration PH-KCD) was also named in her honour; it served the airline for 20 years, from 1994 to 2014.[158][159]Nightingale has appeared on international postage stamps, including, the UK,Alderney,Australia, Belgium, Dominica, Hungary (showing the Florence Nightingale medal awarded by the International Red Cross), and Germany.[160]

Florence Nightingale isrememberedin theChurch of Englandwith acommemorationon 13 August.[161]Celebrations to mark her bicentenary in 2020, were disrupted by thecoronavirus pandemic,but theNHS Nightingalehospitals were named after her.[118]Nightingale Road (Chinese:Nam đinh cách nhĩ lộ) inHong Kong,between theQueen Elizabeth Hospitaland the nursing school, was officially named by theLands Departmentafter Florence Nightingale in 2008.[162]

Gallery

Works

  • Nightingale, Florence (1979).Cassandra.The Feminist Press.ISBN978-0-912670-55-3.Archivedfrom the original on 10 March 2021.Retrieved6 July2010.
  • "Notes on Nursing: What Nursing Is, What Nursing is Not".Philadelphia, London, Montreal: J.B. Lippincott Co. 1946 Reprint.First published London, 1859: Harrison & Sons.Retrieved6 July2010.{{cite journal}}:CS1 maint: location (link)
  • Nightingale, Florence (2001). McDonald, Lynn (ed.).Florence Nightingale's Spiritual Journey: Biblical Annotations, Sermons and Journal Notes.Collected Works of Florence Nightingale. Vol. 2. Ontario, Canada: Wilfrid Laurier University Press.ISBN978-0-88920-366-2.Archivedfrom the original on 10 March 2021.Retrieved6 July2010.
  • Nightingale, Florence (2002). McDonald, Lynn (ed.).Florence Nightingale's Theology: Essays, Letters and Journal Notes.Collected Works of Florence Nightingale. Vol. 3. Ontario, Canada: Wilfrid Laurier University Press.ISBN978-0-88920-371-6.Archivedfrom the original on 10 March 2021.Retrieved6 July2010.
  • Nightingale, Florence (2003). Vallee, Gerard (ed.).Mysticism and Eastern Religions.Collected Works of Florence Nightingale. Vol. 4. Ontario, Canada: Wilfrid Laurier University Press.ISBN978-0-88920-413-3.Archivedfrom the original on 10 March 2021.Retrieved6 July2010.
  • Nightingale, Florence (2008). McDonald, Lynn (ed.).Suggestions for Thought.Collected Works of Florence Nightingale. Vol. 11. Ontario, Canada: Wilfrid Laurier University Press.ISBN978-0-88920-465-2.Archivedfrom the original on 10 March 2021.Retrieved6 July2010.Privately printed by Nightingale in 1860.
  • Notes on Nursing for the Labouring Classes.London: Harrison. 1861.Retrieved6 July2010.
  • The Family,a critical essay in Fraser's Magazine (1870)
  • "Introductory Notes on Lying-In Institutions".Nature.5(106). London: 22–23. 1871.Bibcode:1871Natur...5...22..doi:10.1038/005022a0.S2CID3985727.Retrieved6 July2010.
  • Una and the Lion.Cambridge: Riverside Press. 1871.Retrieved6 July2010.Note: First few pages missing. Title page is present.
  • Una and Her Paupers, Memorials of Agnes Elizabeth Jones, by her sister.with an introduction by Florence Nightingale. New York: George Routledge and Sons, 1872. 1872.Retrieved6 July2010.{{cite book}}:CS1 maint: others (link).See also 2005 publication by Diggory Press,ISBN978-1-905363-22-3
  • Nightingale, Florence (1987).Letters from Egypt: A Journey on the Nile 1849–1850.Weidenfeld & Nicolson.ISBN1-55584-204-6.
  • Nightingale, Florence (1867).Workhouse nursing.London: Macmillan and Co.

See also

Explanatory footnotes

  1. ^In an 1861 letter Nightingale wrote, "Women have no sympathy.... Women crave for being loved, not for loving. They scream out at you for sympathy all day long, they are incapable of giving any in return, for they cannot remember your affairs long enough to do so.... They cannot state a fact accurately to another, nor can that other attend to it accurately enough for it to become information. "[63]
  2. ^In the same 1861 letter she wrote, "It makes me mad, the Women's Rights talk about 'the want of a field' for them – when I would gladly give £500 a year for a Woman secretary. And two English Lady superintendents have told me the same thing. And we can't getone... "[64]
  3. ^Florence Nightingale, the famous nurse of the Crimean war and the only woman who ever received the Order of Merit, died yesterday afternoon at her London home. Although she had been an invalid for a long time, rarely leaving her room, where she passed the time in a half-recumbent position and was under the constant care of a physician, her death was somewhat unexpected. A week ago she was quite sick, but then improved and on Friday was cheerful. During that night alarming symptoms developed and she gradually sank until 2 o'clock Saturday afternoon, when the end came. —New York Times(15 Aug 1910)[72]
  4. ^There were rumours that she was tutored by an eminent mathematician who was a friend of the family. Mark Bostridge says, "There appears to be no documentary evidence to connect Florence withJ. J. Sylvester."[77]
  5. ^[many letters were written by Nightingale to her cousin Hilary Bonham-Carter]... Royal Commission on India (1858–1863)... feeling that her cousin was neglecting her art, [Nightingale] made Hilary Bonham Carter leave... the Indian embroidery belonged to dear Hilary...[87]
  6. ^Her parents took their daughters to both Church of England and Methodist churches.[citation needed]
  7. ^Nightingale's rare references to Unitarianism are mildly negative, and while her religious views were heterodox, she remained in the Church of England throughout her life. Her biblical annotations, private journal notes, and translations of the mystics give quite a different impression of her beliefs, and these do have a bearing on her work with nurses, and not only at Edinburgh, but neither [Cecil(ia) Woodham-]Smith nor [her] followers consulted their sources. "[99]
  8. ^While this has changed by the 21st century,universal reconciliationwas very far from being mainstream in theChurch of Englandat the time.
  9. ^"Certainly the worst man would hardly torture his enemy, if he could, forever. Unless God has a scheme that every man is to be saved forever, it is hard to say in what He is not worse than man. For all good men would save others if they could."[100]
  10. ^Although not formally a Universalist by church membership, she had come of a Universalist family, was sympathetic to the tenets of the denomination, and has always been claimed by it.[101]

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  4. ^Strachey, Lytton (1918).Eminent Victorians.London: Chatto and Windus. p. 123.
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General and cited references

Primary sources

Secondary sources

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Further reading

External links