Purpose statement

According to various authors, Nightingale’s work provides some evidence that her contribution to health reforms in the public sector is a major aspect of her legacy, which influences the modern guidelines and programs in public health reforms. The purpose of this paper is to analyze Nightingale’s contribution to modern nursing with an aim of predicting the possible future of nursing. It is possible that the future of nursing will remain strongly inclined to Florence Nightingale’s ideas of nursing, despite the technological, social and economic developments in the modern health and nursing field.

Historical background

Florence Nightingale’s contribution to modern nursing started long before her involvement in the Crimean War. Evidently, historical facts indicate that she wanted to serve the community throughout her life, a fact that is portrayed by her dedication to work rather than the family. Nightingale was born in Bellosguardo, Italy, on 12 May 1820 to a wealthy British family. The family returned to England in 1821 and settled in Embley, where Nightingale received her early education (Stanley & Sherratt, 2010). The young woman had a passion for nursing as a way of serving her community, although the family rejected this idea. However, most authors agree that the actual contribution to nursing began during and after the Crimean War. At the time, legal codes prohibited women from serving in the military, but some were called to care for the injured troops. Nightingale and her 38 students and 15 nuns volunteered to serve the British army in the war. In November 1854, the group arrived in Scutari, where the British army had set up a camp. Immediately, the group realized that more soldiers were dying of injuries while at the camp than in the warfront (Lee, Clark & Thompson, 2013). Nightingale realized that the primary cause of death was poor sanitation, poor care and inability of the medical staff to deliver adequate care in the line of duty. Mass infections among the military caused more deaths than the effects of the gun wounds. Nightingale’s first action was to request for a solution from the government in London, which resulted to the creation of Renkoi Hospital as a center of care for the soldiers. On her request, the British government commissioned massive improvement of sanitation at the military camp, which included reduction in overcrowding, flushing out of sewers and adequate supply of drugs. A number of records indicate that the death rate in the camps reduced by 40%.

The long-term effect of Nightingale’s work on nursing

Nightingale thought that the major cause of death was poor nutrition, poor supplies and the inability of soldiers to take care of their wounded colleagues. She believed that human suffering results from poor healthcare and nutrition rather than diseases and injuries. To reduce these deaths, Nightingale saw the need to train more nurses and caregivers. Her work influenced the foundation of the Nightingale Fund for training nurses. With this funding, Nightingale was able to set up the Nightingale Training school, a department of St Thomas Hospital. The first graduates of the school started serving the community in 1865, five years after the foundation of the school.

In her research work “Notes on Nursing” that was published in 1859, Nightingale argues that knowledge in sanitation and methods of putting diseases way takes place every day. Accordingly, knowledge is distinct from medical knowledge that can only be offered by a professional physician. In addition, she argues that the bulk of the work in a clinical set up requires nursing professionals rather than clinicians because it concerns care, provision of hygiene, nutrition and support.

Nightingale’s ability to reduce the rates of death in the war and later in London influenced many other institutions and countries. For instance, Nightingale’s school trained Linda Richards before she went to train other nurses in the American Civil War. Richards, known as “the first American trained nurse”, was influential in saving the lives of thousands of troops serving under the Union Government. She applied Nightingale’s ideas and knowledge of nursing in the war and later in Japan. By 1880s, most of Nightingale’s trainees were providing excellent services in various hospitals in Britain, Ireland, Australia and the US.

Contribution to the modern nursing and public health

From an in-depth analysis of Nightingale’s work, it is clear that the impact of her ideas goes beyond the practice of taking care for the injured and the sick. For instance, she believed that the high rate of death among the soldiers in the Crimean War was due to a number of factors. First, she thought t


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