Florence Nightingale was born into a British aristocratic liberal Unitarian family and grew up in England. Her parents had a liberal and advanced approach to women’s education, so she and her older sister studied mathematics, philosophy, history, literature, German, French, Latin, and Greek.
Nightingale supported the ill and poor people in the village near her family’s estate from an early age. At 16, she experienced a series of “calls from god” that encouraged her to devote her life to helping the sick and become a nurse. It was an unusual decision for these days when aristocrat girls were expected to get married and be in charge of the children and household. Despite her family disapproval, Nightingale educated herself on the principles of nursing, and in 1850, at the age of 30, she enrolled in a three months training at the Institution of Protestant Deaconesses at Kaiserswerth in Germany, where she learned basic nursing skills, patient observation practices, and hospital organization methods.
In 1853, 33 years old Nightingale was appointed as superintendent at the Institute for the Care of Sick Gentlewomen in London. There, she worked on improving the working conditions, nursing care, and efficiency of the facility. In that same year, the Crimean War broke out, and thousands of British soldiers were sent to the Black Sea to fight the Russian Empire over the control of the Ottoman Empire. The field hospitals were founded in Scutari, but the conditions and medical supplies were not adequate to treat the wounded soldiers, and more soldiers were dying from infectious diseases they contracted in the hospital than the battle injuries that brought them there.
In 1854, Sidney Herbert, the secretary of state at war for the British government, whom Nightingale met a few years earlier in her traveling in Europe, requested her to lead a delegation of nurses to Scutari in a mission to organize the hospital and tend the soldiers. On October 21st, 1854, Nightingale, with 38 nurses, left for Turkey. On their arrival at the Barrack Hospital in Scutari on November 5th, they found an establishment that was not fit for human habitation. The hospital was located on top of a cesspool that contaminated the water supply; the patients lay on stretchers throughout the hallways, soaking in their own excrement, bugs and rodents were everywhere, and basic medical and hygiene supplies, such as bandages and soap, were scarce.
Nightingale and her nurses immediately began to clean and improve the sanitary conditions of the hospital. They established a bathing routine for the patients and a cleaning schedule of the clothing and linens, and they created an “invalid’s kitchen” to cook meals for patients with special dietary needs. Nightingale was also aware of the importance of psychological care, assisting the soldiers in writing letters for their families and providing intellectual stimulation and entertainment with a classroom and library. During the nights, she used to go through the dark wards with her lamp, talking to the patients and supporting them physically and mentally, for which she earned the nickname “The Lady with the Lamp.” Within six months, her methods reduced the mortality rate in the facility to merely 2%.
The Crimean War ended on March 30th, 1856, and Nightingale stayed in Scutari for a few more months to close and evacuate the hospital properly. When she returned to England, she was accepted as heroin. She met with Queen Victoria and Prince Albert to discuss medical care reform in the British military establishment. She presented the records, statistics, and charts she made while running the Barrack Hospital, showing how the nurses’ work improved the facility’s and soldiers’ conditions and decreased the death rate. The Queen rewarded her with an engraved brooch and a prize of $250,000 from the British government.
In 1860, Nightingale used the fund to open the Nightingale School of Nursing at St. Thomas’ Hospital in London. The school educated its students on all the aspects of the profession, from physical and mental care to hygiene and management, redefined nursing as a respectable and available occupation for women outside their homes. Soon, the school model was replicated around the world. The Nightingale Fund financed other healthcare reforms, including midwives’ school at King’s College Hospital and the district nursing training program for improving home health care for the poor.
During her time in Scutari, Nightingale contracted a bacterial infection known as the “Crimean fever.” The fatigue and severe chronic pain caused by the disease affected her for the rest of her life. By the age of 38, she was mainly homebound and confined to her bed, but this limitation did not prevent her from implementing her ideas on improving health care. She corresponded with health facilities from the US to Australia, sharing her knowledge, experience, and thoughts, and wrote more than 200 books, reports, and pamphlets on health-related issues. She died in her sleep at the age of 90 at her home in London.
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