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Building a New Nursing Service: Respectability and Efficiency in Victorian England

Published online by Cambridge University Press:  11 July 2014

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Extract

The main problem in staffing military hospitals with female nurses, Florence Nightingale explained in 1857, was to find “respectable and efficient women” who would be willing to undertake such work. Many women would apply for the positions but few would be acceptable. “Many a woman who will make a respectable and efficient Assistant-Nurse [the equivalent of our modern staff nurse] under the eye of a vigilant Head-Nurse, will not do at all when put in a military ward,” Nightingale said, because, “As a body, the mass of Assistant-Nurses are too low in moral principle, and too flighty in manner, to make any use of.” Nightingale thought that efficient and respectable assistant nurses had “in a great degree, to be created.” Developing respectability and efficiency in hospital nurses were the two major goals of nineteenth-century nursing reformers, and vigilant supervision was to be the major method for achieving them.

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Research Article
Copyright
Copyright © North American Conference on British Studies 2004

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Footnotes

*

I thank the Wellcome Trust, the Hanna Institute for the History of Medicine, and Wellesley College's History Department for funding that made possible research for this article.

References

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41 ST/NC/8/4, List of Sisters and Nurses Who Left, November 1855; BL 43402 ff 2-3, 5-7, 10-12, Nightingale's Notes on Character and Dismissal of Nurses, undated but c. 1856.

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43 MH, Minutes of Medical Committee, 2 June 1855.

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45 Archives of St. Bartholomew's Hospital (hereafter cited as SBH), Ha3/12, Minutes of Treasurer's and Almoners' Committee, 4 February & 5 August 1875.

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50 BL, Add. Mss, 45790 f157, Nightingale to her father, 22 February 1854.

51 Archives of St. George's Hospital (hereafter cited as SGH), MBG, 19 August 1857.

52 BL 47722 ff 142-43, Nightingale to Henry Bonham-Carter, 21 January 1890.

53 ibid, ff 163-64, Nightingale to Bonham-Carter, 4 February 1890.

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59 Archives of Guy's Hospital (hereafter cited as GY), LMA/H9/GY/A71/1, Report of Charity Commissioners 1837, p. 677.

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61 For a more detailed discussion of the failings of the old nurses see Helmstadter, Carol, “A Real Tone: Professionalizing Nursing in Nineteenth Century London,” Nursing History Review 11 (2003): 1222 CrossRefGoogle ScholarPubMed.

62 Lancet, 11 August 1866, p. 153 Google Scholar; Archives of Middlesex Hospital (hereafter cited as MH), Minutes of Subcommittees 1867-92, Sub-Committee on Nursing, 22 March & 7 May 1867; MH. MBG (1864-67), 9 April 1867.

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74 KC, Minutes of Committee of Management, 5 April & 9 May 1843, CM/M2.

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79 MH, Register, 1868.

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102 CCH, Minutes of Weekly Board, 21 May 1889.

103 CCH, Minutes of Medical Committee, 9 July 1889.

104 CCH, Minutes of Nursing Committee 1888-1945, 27 November 1888; CCH, MBG, 3 April 1889.

105 Hospital throat was a common problem among new probationers. It was thought at the time to be a strep throat.

106 CCH, Register of Nurses 1889-1904 & Register of Nurses B 1889-1904, March 1889-February 1891 for the years 1889-91. These registers also have no pagination and simply lists the probationers chronologically as they entered the hospital. This information is found on the first few pages of these two Registers.

107 Nursing Archives of Boston University, Letter of Nightingale to Catherine Marsh, 7 February 1877, Folder 6, 1877/71.

108 Ibid, 24 March 1892, Folder 10, 1892/128.

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117 Booth, Charles, Life and Labour of the People in London, 2nd series: Mdustry, Volume 5 (New York, 1970; reprint from 1902-04 edition), pp. 182200 Google Scholar. Booth listed the hours of 208 trades and professions. Thirteen trades worked 48 hours or less per week and 29 worked 72 hours or more. Generally speaking, in 1892, day nurses worked a 14 to 15 hour day and night nurses an 11-12 hour night. They never worked less than a six day week and normally more. (PP, 1892, 13: lxxxvi) This would put nursing, if Booth had included it, in the top 14% of these 208 occupations for the number of hours worked. In the 1880s and early 1890s, the Pall Mall Gazette in particular, published quite sensational articles on nursing as a sweated trade and sometimes as a “white slave trade.”

118 CCH, Mr. Biss's Report, (printed pamphlet opposite p. 253), Minutes of Board of Governors (1888-96), 13 July 1892.

119 Evidence of Miss Lückes, Select Committee on the Registration of Nurses, PP, 1905, 7: 761-66.

120 “Never let your voice be heard by the ladies and gentlemen of the house except when necessary, and then as little possible,” and “Never begin to talk to your mistress unless to deliver a message or ask a necessary question,” one servant's handbook explained in 1859. It pointed out that ladies were very differently educated from servants and often found the servant's conversation coarse and stupid ( Mrs.Motherly, , The Servant's Behaviour Book, or. Hints on Manners and Dress (London, 1859), pp. 1922.Google Scholar) Or again, “Always stand when a lady or a gentleman comes into the room,” and keep your hands in front of you or at your side (ibid, pp. 40-51) These were standard rules probationers had to follow.

121 Baly, , Nursing Legacy, pp. 2-4, 214-16, 218-19Google Scholar; idem, “The Nightingale Nurses: The Myth and the Reality,” in Christopher Maggs, ed., Nursing History: The State of the Art (London, 1987), pp. 33-45.

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123 GY/A225/2, Minutes of General Court of Governors, 10 March 1880, pp. 99-110.

124 PP, 1892, 13: 226.

125 Source: MH, MBG, 1 January 1867; ST/SJ/A19/3, Lady-Superintendent's Reports 1869-85, 17 June 1872.

126 In 1872 Guy's was paying day nurses £33,10.0 and night nurses an average of £35 a year, and they received board and lodging as well. GY/D40/21, Salaries and Wages, 25 March 1872, Table III.

127 There were two exceptions, the London where it was only one year, and St. Thomas's where it was three.

128 Baly, , Nursing Legacy, pp. 3942 Google Scholar.

129 PP, 1892, 13: lxxxiv–lxxxv.

130 Helmstadter, Carol, “Robert Bentley Todd, St. John's House, and the Origins of the Modern Trained Nurse,” Bulletin of the History of Medicine 67 (Summer 1993): 299302 Google Scholar.