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Florence Nightingale

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

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
FieldsHospital hygiene and sanitation, statistics
Institutions
Signature
Notes

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 of her nursing school at St Thomas' Hospital in London. It was the first secular nursing school in the world and is now part of King's College London.[8] In recognition of her pioneering work in nursing, the Nightingale Pledge taken by new nurses, and the Florence Nightingale Medal, the highest international distinction a nurse can achieve, were named in her honour, and the annual International Nurses Day is celebrated on her birthday. Her social reforms included improving healthcare for all sections of British society, advocating better hunger relief in India, helping to abolish prostitution laws that 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 the polar area diagram, also called the Nightingale rose diagram, equivalent to a modern circular histogram. This diagram is still regularly used in data 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 in simple English so that they could easily be understood by those with poor literary skills. She was also a pioneer in data visualisation with the use of infographics, using graphical presentations of statistical data in an effective way.[7] Much of her writing, including her extensive work on religion and mysticism, has only been published posthumously.

Early life

 
Embley Park in Hampshire, now a school, one of the family homes of William Nightingale

Florence Nightingale was born on 12 May 1820 into a wealthy and well-connected British family at the Villa Colombaia,[9][10] in Florence, Tuscany, Italy, and was named after the city of her birth. Florence's older sister Frances Parthenope had similarly been named after her place of birth, Parthenope, a Greek settlement now part of the city of Naples. The family moved back to England in 1821, with Nightingale being brought up in the family's homes at Embley, Hampshire, and Lea Hurst, Derbyshire.[11][12]

Florence inherited a liberal-humanitarian outlook from both sides of her family.[7] Her parents were William Edward Nightingale, born William Edward Shore (1794–1874) and Frances ("Fanny") Nightingale (née Smith; 1788–1880). William's mother Mary (née Evans) 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 the abolitionist and Unitarian William Smith.[13] Nightingale's father educated her.[12]

A BBC documentary 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 hostess Mary 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 equals 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 at Embley 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 by Augustus 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 poet Richard 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 met Sidney Herbert, a politician who had been Secretary at War (1845–1846) who was on his honeymoon. He and Nightingale became lifelong close friends. Herbert would be Secretary of War again during the Crimean War when 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 from Bright's disease in 1861 because of the pressure her programme of reform placed on him. Nightingale also much later had strong relations with academic Benjamin Jowett, who may have wanted to marry her.[16]

 
Nightingale c. 1854

Nightingale continued her travels (now with Charles and Selina Bracebridge) as far as Greece and Egypt. While in Athens, Greece, Nightingale rescued a juvenile little owl from 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 the Abu 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 the Lutheran religious community at Kaiserswerth-am-Rhein in Germany, where she observed Pastor Theodor Fliedner and the deaconesses working 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 the Institute for the Care of Sick Gentlewomen in Upper 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 by Queen Victoria, for her services to the soldiers in the war

Florence Nightingale's most famous contribution came during the Crimean 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 the Bosporus, opposite Constantinople, at Scutari (modern-day Üsküdar in Istanbul). Britain and France entered the war against Russia on the side of the Ottoman Empire. On 21 October 1854, she and the staff of 38 women volunteer nurses including her head nurse Eliza Roberts and her aunt Mai Smith,[22] and 15 Catholic nuns (mobilised by Henry Edward Manning)[23] were sent (under the authorisation of Sidney Herbert) to the Ottoman Empire. On the way, Nightingale was assisted in Paris by her friend Mary Clarke.[24] The volunteer nurses worked about 295 nautical miles (546 km; 339 mi) away from the main British camp across the Black Sea at Balaklava, in the Crimea.

 
Letter from Nightingale to Mary Mohl, 1881

Nightingale arrived at Selimiye Barracks in 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, hygiene was 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 to The Times for a government solution to the poor condition of the facilities, the British Government commissioned Isambard Kingdom Brunel to design a prefabricated hospital that could be built in England and shipped to the Dardanelles. The result was Renkioi Hospital, a civilian facility that, under the management of Edmund Alexander Parkes, had a death rate less than one tenth of that of Scutari.[26]

Stephen Paget in the Dictionary of National Biography asserted 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 implemented handwashing in the hospital where she worked.[28]

 
Florence Nightingale, an angel of mercy. Scutari hospital 1855.

During her first winter at Scutari, 4,077 soldiers died there. Ten times more soldiers died from illnesses such as typhus, typhoid, cholera, and dysentery than from battle wounds. With overcrowding, defective sewers and 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 Nurse Eliza Roberts nursed 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 in The Guardian and the Sunday Times. Nightingale scholar Lynn McDonald has 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 (see Statistics and Sanitary Reform, below).[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 nurse Mary 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 chef Alexis Soyer that "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, the Sisters of Mercy to assist with nursing duties at Scutari met with different responses from Nightingale. Mary Clare Moore headed 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 by Mary Francis Bridgeman met 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 by Henrietta Rae, 1891.

During the Crimean war, Nightingale gained the nickname "The Lady with the Lamp" from a phrase in a report in The 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.

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

The phrase was further popularised by Henry 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.

Later career

In the Crimea on 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 the Duke of Cambridge was chairman. In her 1856 letters she described spas in the Ottoman 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.[42]

 
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, at St Thomas' Hospital on 9 July 1860.[43] The first trained Nightingale nurses began work on 16 May 1865 at the Liverpool Workhouse Infirmary. Now called the Florence Nightingale Faculty of Nursing and Midwifery, the school is part of King's College London. In 1866 she said the Royal Buckinghamshire Hospital in Aylesbury near her sister's home Claydon House would be "the most beautiful hospital in England", and in 1868 called it "an excellent model to follow".[44]

Nightingale wrote Notes 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".[45]

Notes on Nursing also 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".[46]

 
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

As Mark Bostridge has demonstrated, one of Nightingale's signal achievements was the introduction of trained nurses into the workhouse system in Britain from the 1860s onwards.[47] 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 Dickens caricatured the standard of care in his 1842–1843 published novel Martin Chuzzlewit in the figure of Sarah Gamp as being incompetent, negligent, alcoholic and corrupt. According to Caroline Worthington, director of the Florence 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."[48]

Though Nightingale is sometimes said to have denied the theory of infection for her entire life, a 2008 biography disagrees,[47] saying that she was simply opposed to a precursor of germ theory known as contagionism. This theory held that diseases could only be transmitted by touch. Before the experiments of the mid-1860s by Pasteur and Lister, 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 the American Civil War. The Union government approached her for advice in organising field medicine. Her ideas inspired the volunteer body of the United States Sanitary Commission.[49]

Nightingale advocated autonomous nursing leadership, and that her new style of matrons had full control and discipline over their nursing staff.[50] The infamous 'Guy's Hospital dispute' 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 as Eva Luckes.[51]

 
Florence Nightingale (middle) in 1886 with her graduating class of nurses from St Thomas' outside Claydon House, Buckinghamshire

In the 1870s, Nightingale mentored Linda 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.[52] Richards went on to become a nursing pioneer in the US and Japan.[53]

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 the Hospital for Incurables at Putney) and throughout Britain (Royal Victoria Hospital, Netley; Edinburgh Royal Infirmary; Cumberland Infirmary and Liverpool Royal Infirmary), as well as at Sydney Hospital in New South Wales, Australia.[54]

In 1883, Nightingale became the first recipient of the Royal Red Cross. In 1904, she was appointed a Lady of Grace of the Order of St John (LGStJ).[55]

In 1907, she became the first woman to be awarded the Order of Merit.[56] In the following year she was given the Honorary Freedom of the City of London. Her birthday is now celebrated as International CFS Awareness Day.[57]

From 1857 onwards, Nightingale was intermittently bedridden and suffered from depression. A recent biography cites brucellosis and associated spondylitis as the cause.[58] 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 in Mary Cowden Clarke's Florence Nightingale (1857)

Although much of Nightingale's work improved the lot of women everywhere, Nightingale believed that women craved sympathy and 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."[61][62] She often referred to herself in the masculine, as for example "a man of action" and "a man of business".[63]

However, she did have several important and long-lasting friendships with women. Later in life, she kept up a prolonged correspondence with Irish nun Sister Mary Clare Moore, with whom she had worked in Crimea.[64] Her most beloved confidante was Mary Clarke, an Englishwoman she met in Paris in 1837 and kept in touch with throughout her life.[65]

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.[66]

Death

 
The grave of Florence Nightingale in the churchyard of St Margaret's Church, East Wellow, Hampshire

Florence Nightingale died peacefully in her sleep in her room at 10 South Street, Mayfair, London, on 13 August 1910, at the age of 90.[67][c] The offer of burial in Westminster Abbey was declined by her relatives and she is buried in the churchyard of St Margaret's Church in East Wellow, Hampshire, near Embley Park with a memorial with just her initials and dates of birth and death.[69][70] She left a large body of work, including several hundred notes that were previously unpublished.[71] A memorial monument to Nightingale was created in Carrara marble by Francis William Sargant in 1913 and placed in the cloister of the Basilica of Santa Croce, in Florence, Italy.[72]

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 and statistical graphics.[74] She used methods such as the pie chart, which had first been developed by William Playfair in 1801.[75] While taken for granted now, it was at the time a relatively novel method of presenting data.[76]

Indeed, Nightingale is described as "a true pioneer in the graphical representation of statistics", and is especially well-known for her usage of a polar area diagram,[76]: 107  or occasionally the Nightingale rose diagram, equivalent to a modern circular histogram, 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[77] and Léon Louis Lalanne by 1830.[78] Nightingale called a compilation of such diagrams a "coxcomb", but later that term would frequently be used for the individual diagrams.[79] She made extensive use of coxcombs to present reports on the nature and magnitude of the conditions of medical care in the Crimean War to Members of Parliament and civil servants who would have been unlikely to read or understand traditional statistical reports. In 1859, Nightingale was elected the first female member of the Royal Statistical Society.[80] In 1874 she became an honorary member of the American Statistical Association.[81]

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

Her attention turned to the health of the British Army in India and she demonstrated that bad drainage, contaminated water, overcrowding, and poor ventilation were causing the high death rate.[82] Following the report The Royal Commission on India (1858–1863), which included drawings done by her cousin, artist Hilary 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 of sanitation in 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".[76]: 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.[84] The strengthened legislation was enacted in the Public Health Acts of 1874 and 1875. At the same time, she combined with the retired sanitary reformer Edwin Chadwick to persuade Stansfeld to devolve powers to enforce the law to Local Authorities, eliminating central control by medical technocrats.[85] 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][86]

Literature and the women's movement

Historian of science I. Bernard Cohen argues:

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.[76]: 98 

Lytton Strachey was 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.[87]

While better known for her contributions in the nursing and mathematical fields, Nightingale is also an important link in the study of English feminism. She wrote some 200 books, pamphlets and articles throughout her life.[48] 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 wrote Suggestions 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.[88] An effort to correct this was made with a 2008 publication by Wilfrid Laurier University, as volume 11[89] of a 16 volume project, the Collected Works of Florence Nightingale.[90] The best known of these essays, called "Cassandra", was previously published by Ray Strachey in 1928. Strachey included it in The 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 at Kaiserswerth.

"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 were Cassandra's. Cassandra was a princess of Troy who served as a priestess in the temple of Apollo during the Trojan War. The god gave her the gift of prophecy; when she refused his advances, he cursed her so that her prophetic warnings would go unheeded. Elaine Showalter called Nightingale's writing "a major text of English feminism, a link between Wollstonecraft and Woolf".[91] Nightingale was initially reluctant to join the Women's Suffrage Society when asked by John Stuart Mill, but through Josephine Butler was convinced 'that women's enfranchisement is absolutely essential to a nation if moral and social progress is to be made'.[92]

In 1972, the poet Eleanor Ross Taylor wrote "Welcome Eumenides", a poem written in Nightingale's voice and quoting frequently from Nightingale's writings.[93] Adrienne Rich wrote that "... Eleanor Taylor has brought together the waste of women in society and the waste of men in wars and twisted them inseparably."[94]

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 the Church of England throughout her life, albeit with unorthodox views. Influenced from an early age by the Wesleyan 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 own theodicy, which develops her heterodox ideas. Nightingale questioned the goodness of a God who would condemn souls to hell and was a believer in universal 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][62][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][62]

Legacy

Nursing

 
Blue plaque for Nightingale in South Street, Mayfair, London

Nightingale's lasting contribution has been her role in founding the modern nursing profession.[98] She set an example of compassion, commitment to patient care and diligent and thoughtful hospital administration. The first official nurses' training programme, her Nightingale School for Nurses, opened in 1860 and is now called the Florence Nightingale Faculty of Nursing and Midwifery at King's College London.[99]

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

BBC profile of Nightingale.[7]

In 1912, the International Committee of the Red Cross instituted the Florence Nightingale Medal, which is awarded every two years to nurses or nursing aides for outstanding service.[100] 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".[101] Since 1965, International Nurses Day has been celebrated on her birthday (12 May) each year.[102] The President of India honours nursing professionals with the "National Florence Nightingale Award" every year on International Nurses Day.[103] The award, established in 1973, is given in recognition of meritorious services of nursing professionals characterised by devotion, sincerity, dedication and compassion.[103]

The Nightingale Pledge is a modified version of the Hippocratic Oath which nurses recite at their pinning ceremony at 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.[104]

The Florence Nightingale Declaration Campaign,[105] established by nursing leaders throughout the world through the Nightingale Initiative for Global Health (NIGH), aims to build a global grassroots movement to achieve two United Nations Resolutions for 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 and holistic health. As of 2016, the Florence Nightingale Declaration has been signed by over 25,000 signatories from 106 countries.[106]

During the Vietnam War, Nightingale inspired many US Army nurses, sparking a renewal of interest in her life and work. Her admirers include Country Joe of Country Joe and the Fish, who has assembled an extensive website in her honour.[107] The Agostino Gemelli Medical School[108] 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.[109]

Hospitals

Four hospitals in Istanbul are named after Nightingale: Florence Nightingale Hospital in Şişli (the biggest private hospital in Turkey), Metropolitan Florence Nightingale Hospital in Gayrettepe, European Florence Nightingale Hospital in Mecidiyeköy, and Kızıltoprak Florence Nightingale Hospital in Kadıköy, all belonging to the Turkish Cardiology Foundation.[110]

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".[111]

During the COVID-19 pandemic, a number of temporary NHS Nightingale Hospitals were set up in readiness for an expected rise in the number of patients needing critical care. The first was housed in the ExCeL London[112] and several others followed across England.[113] 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 the NHS Louisa Jordan after a nurse who followed in Nightingale's footsteps in battlefield nursing in World War One.[114]

Museums and monuments

 
Statue of Nightingale by Arthur George Walker in Waterloo Place, London
 
Florence Nightingale Statue, London Road, Derby
 
Florence Nightingale stained glass window, originally at the Derbyshire Royal Infirmary Chapel and now removed to St Peter's Church, Derby and rededicated 9 October 2010

A statue of Florence Nightingale by the 20th-century war memorialist Arthur George Walker stands in Waterloo Place, Westminster, London, just off The Mall. There are three statues of Nightingale in Derby – one outside the Derbyshire Royal Infirmary (DRI), one in St Peter's Street, and one above the Nightingale-Macmillan Continuing Care Unit opposite the Derbyshire Royal Infirmary. A pub named after her stands close to the DRI.[115] The Nightingale-Macmillan continuing care unit is now at the Royal Derby Hospital, formerly known as The City Hospital, Derby.[116]

A stained glass window was 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 in St 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.[117]

The Florence Nightingale Museum at St Thomas' Hospital in London reopened in May 2010 in time for the centenary of Nightingale's death.[48] Another museum devoted to her is at her sister's family home, Claydon House, now a property of the National Trust.[118][119]

Upon the centenary of Nightingale's death in 2010, and to commemorate her connection with Malvern, the Malvern Museum held a Florence Nightingale exhibit[120] with a school poster competition to promote some events.[121]

In Istanbul, the northernmost tower of the Selimiye Barracks building is now the Florence Nightingale Museum.[122] and in several of its rooms, relics and reproductions related to Florence Nightingale and her nurses are on exhibition.[123]

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 by Alexis Soyer after 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 the Army Medical Services Museum in Mytchett, Surrey, near Aldershot.[124]

 
Bust of Nightingale unveiled at Gun Hill Park in Aldershot in 2021

A bronze plaque, attached to the plinth of the Crimean Memorial in the Haydarpaşa Cemetery, Istanbul, Turkey and unveiled on Empire 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."[125] Other monuments of Nightingale include a statue at Chiba University in Japan, a bust at Tarlac State University in the Philippines, and a bust at Gun Hill Park in Aldershot in the UK. Other nursing schools around the world are named after Nightingale, such as in Anápolis in Brazil.[126]

Audio

Florence Nightingale's voice was saved for posterity in a phonograph recording from 1890 preserved in the British Library Sound Archive. The recording, made in aid of the Light Brigade Relief Fund and 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.[127]

Theatre

The first theatrical representation of Nightingale was Reginald Berkeley's The Lady with the Lamp, premiering in London in 1929 with Edith Evans in the title role. It did not portray her as an entirely sympathetic character and draws much characterisation from Lytton Strachey's biography of her in Eminent Victorians.[128] It was adapted as a film of the same name in 1951. In 2009, a stage musical play representation of Nightingale entitled The Voyage of the Lass was produced by the Association of Nursing Service Administrators of the Philippines.

Film

In 1912, a biographical silent film titled The Victoria Cross, starring Julia Swayne Gordon as Nightingale, was released, followed in 1915 by another silent film, Florence Nightingale, featuring Elisabeth Risdon. In 1936, Kay Francis played Nightingale in the film titled The White Angel. In 1951, The Lady with a Lamp starred Anna Neagle.[129] In 1993, Nest Entertainment released an animated film Florence Nightingale, describing her service as a nurse in the Crimean War.[130]

Television

Portrayals of Nightingale on television, in documentary as in fiction, vary – the BBC's 2008 Florence Nightingale, featuring Laura Fraser,[131] emphasised her independence and feeling of religious calling, but in Channel 4's 2006 Mary Seacole: The Real Angel of the Crimea, she is portrayed as narrow-minded and opposed to Seacole's efforts.[132]

Other portrayals include:

Banknotes

Florence Nightingale's image appeared on the reverse of £10 Series D banknotes issued by the Bank of England from 1975 until 1994. As well as a standing portrait, she was depicted on the notes in a field hospital, holding her lamp.[141] Nightingale's note was in circulation alongside the images of Isaac Newton, William Shakespeare, Charles Dickens, Michael Faraday, Sir Christopher Wren, the Duke of Wellington and George Stephenson, and prior to 2002, other than the female monarchs, she was the only woman whose image had ever adorned British paper currency.[7]

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 the Florence Nightingale Museum in London. A black-and-white photograph taken in about 1907 by Lizzie Caswall Smith at 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.[142]

Biographies

The first biography of Nightingale was published in England in 1855. In 1911, Edward Tyas Cook was authorised by Nightingale's executors to write the official life, published in two volumes in 1913. Nightingale was also the subject of one of Lytton 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.[143]

Cecil Woodham-Smith, like Strachey, relied heavily on Cook's Life in her 1950 biography, though she did have access to new family material preserved at Claydon. In 2008, Mark Bostridge published 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 the Collected Works of Florence Nightingale (2001 to date).[7]

Other

 
KLM MD-11, registration PH-KCD, Florence Nightingale

In 2002, Nightingale was ranked number 52 in the BBC's list of the 100 Greatest Britons following a UK-wide vote. In 2006, the Japanese public ranked Nightingale number 17 in The Top 100 Historical Persons in Japan.[144]

Several churches in the Anglican Communion commemorate Nightingale with a feast day on their liturgical calendars. The Evangelical Lutheran Church in America commemorates her as a Renewer of Society with Clara Maass on 13 August.[145]

Washington National Cathedral celebrates 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.[146]

The US Navy ship the USS Florence Nightingale (AP-70) was commissioned in 1942. Beginning in 1968, the US Air Force operated a fleet of 20 C-9A "Nightingale" aeromedical evacuation aircraft, based on the McDonnell Douglas DC-9 platform.[147] The last of these planes was retired from service in 2005.[148]

In 1981, the asteroid 3122 Florence was named after her.[149] A Dutch KLM McDonnell-Douglas MD-11 (registration PH-KCD) was also named in her honour; it served the airline for 20 years, from 1994 to 2014.[150][151] 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.[152]

Florence Nightingale is remembered in the Church of England with a commemoration on 13 August.[153] Celebrations to mark her bicentenary in 2020, were disrupted by the coronavirus pandemic, but the NHS Nightingale hospitals were named after her.[114]

Gallery

Works

  • Nightingale, Florence (1979). Cassandra. The Feminist Press. ISBN 978-0-912670-55-3. from the original on 10 March 2021. Retrieved 6 July 2010.
  • "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. Retrieved 6 July 2010.{{cite journal}}: CS1 maint: location (link)
  • Nightingale, Florence; McDonald, Lynn (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. ISBN 978-0-88920-366-2. from the original on 10 March 2021. Retrieved 6 July 2010.
  • 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. ISBN 978-0-88920-371-6. from the original on 10 March 2021. Retrieved 6 July 2010.
  • Nightingale, Florence (2003). Vallee, Gerard (ed.). Mysticism and Eastern Religions. Collected Works of Florence Nightingale. Vol. 4. Ontario, Canada: Wilfrid Laurier University Press. ISBN 978-0-88920-413-3. from the original on 10 March 2021. Retrieved 6 July 2010.
  • Nightingale, Florence; McDonald, Lynn (2008). McDonald, Lynn (ed.). Suggestions for Thought. Collected Works of Florence Nightingale. Vol. 11. Ontario, Canada: Wilfrid Laurier University Press. ISBN 978-0-88920-465-2. from the original on 10 March 2021. Retrieved 6 July 2010. Privately printed by Nightingale in 1860.
  • Notes on Nursing for the Labouring Classes. London: Harrison. 1861. Retrieved 6 July 2010.
  • The Family, a critical essay in Fraser's Magazine (1870)
  • "Introductory Notes on Lying-In Institutions". Nature. London. 5 (106): 22–23. 1871. Bibcode:1871Natur...5...22.. doi:10.1038/005022a0. S2CID 3985727. Retrieved 6 July 2010.
  • Una and the Lion. Cambridge: Riverside Press. 1871. Retrieved 6 July 2010. 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. Retrieved 6 July 2010.{{cite book}}: CS1 maint: others (link). See also 2005 publication by Diggory Press, ISBN 978-1-905363-22-3
  • Nightingale, Florence (1987). Letters from Egypt: A Journey on the Nile 1849–1850. ISBN 1-55584-204-6.
  • 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."[59]
  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 get one ..."[60]
  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)[68]
  4. ^ There were rumors 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 with J. J. Sylvester."[73]
  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 ...[83]
  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."[95]
  8. ^ While this has changed by the 21st century, universal reconciliation was very far from being mainstream in the Church of England at 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."[96]
  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.[97]

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General and cited references

Primary sources

  • Goldie, Sue, A Calendar of the Letters of Florence Nightingale, Oxford: Wellcome Institute for the History of Medicine, 1983.
  • McDonald, Lynn, ed., Collected Works of Florence Nightingale. Wilfrid Laurier University Press. 16 volumes.

Secondary sources

  • Baly, Monica E., and Matthew, H.C.G., "Nightingale, Florence (1820–1910)", Oxford Dictionary of National Biography, Oxford University Press, 2004; online ed., January 2011.
  • Bostridge, Mark (2008), Florence Nightingale: The Woman and Her Legend. Viking (2008), Penguin (2009). US title Florence Nightingale: The Making of an Icon. New York: Farrar, Straus and Giroux (2008).
  • Bullough, Vern L.; Bullough, Bonnie; and Stanton, Marieta P., Florence Nightingale and Her Era: A Collection of New Scholarship, New York, Garland, 1990.
  • Chaney, Edward (2006), "Egypt in England and America: The Cultural Memorials of Religion, Royalty and Revolution," in Sites of Exchange: European Crossroads and Faultlines, eds. Ascari, Maurizio, and Corrado, Adriana. Rodopi BV, Amsterdam and New York, 39–74.
  • Cope, Zachary, Florence Nightingale and the Doctors, London: Museum Press, 1958; Philadelphia: J. B. Lippincott & Co., 1958.
  • Davey, Cyril J. (1958). Lady with a Lamp. Lutterworth Press. ISBN 978-0-7188-2641-3.
  • Gill, Gillian (2004). Nightingales: The Extraordinary Upbringing and Curious Life of Miss Florence Nightingale. Ballantine Books. ISBN 978-0-345-45187-3
  • Magnello, M. Eileen. "Victorian statistical graphics and the iconography of Florence Nightingale's polar area graph," BSHM Bulletin: Journal of the British Society for the History of Mathematics (2012) 27#1 pp 13–37
  • Nelson, Sioban, and Rafferty, Anne Marie, eds. Notes on Nightingale: The Influence and Legacy of a Nursing Icon (Cornell University Press; 2010) 184 pages. Essays on Nightingale's work in the Crimea and Britain's colonies, her links to the evolving science of statistics, and debates over her legacy and historical reputation and persona.
  • Parton, James (1868). "Florence Nightingale," in Eminent Women of the Age; Being Narratives of the Lives and Deeds of the Most Prominent Women of the Present Generation, Hartford, Conn.: S. M. Betts & Company.
  • Pugh, Martin, The March of the Women: A Revisionist Analysis of the Campaign for Women's Suffrage, 1866–1914, Oxford (2000), at 55.
  • Rees, Joan. Women on the Nile: Writings of Harriet Martineau, Florence Nightingale, and Amelia Edwards. London: Rubicon Press (1995, 2008).
  • Rehmeyer, Julia (26 November 2008). "Florence Nightingale: The Passionate Statistician". Science News. from the original on 2 February 2009. Retrieved 4 December 2008.
  • Richards, Linda (2006). America's First Trained Nurse: My Life as a Nurse in America, Great Britain and Japan 1872–1911. Diggory Press. ISBN 978-1-84685-068-4.
  • Sokoloff, Nancy Boyd, Three Victorian Women Who Changed their World: Josephine Butler, Octavia Hill, Florence Nightingale, London: MacMillan (1982).
  • Strachey, Lytton (1918). Eminent Victorians. Garden City, N.Y.: Garden City Pub. Co. ISBN 978-0-8486-4604-2. Available online at Florence Nightingale: Part I. Strachey, Lytton. 1918. Eminent Victorians 30 January 2009 at the Wayback Machine.
  • Webb, Val, The Making of a Radical Theologician, Chalice Press (2002).
  • Woodham-Smith, Cecil, Florence Nightingale, Penguin (1951), rev. 1955.

Further reading

  • Andrews, R. J., ed. (2022). Florence Nightingale: Mortality and Health Diagrams. San Francisco: Visionary Press. ISBN 9798986194516. OCLC 1353186725.

External links

  • Works by Florence Nightingale at Project Gutenberg
  • Works by or about Florence Nightingale at Internet Archive
  • Works by Florence Nightingale at LibriVox (public domain audiobooks)  
  • 1890 audio recording of Florence Nightingale speaking
  • Victorians.co.uk: Florence Nightingale
  • Eminent Victorians: Florence Nightingale by Lytton Strachey
  • "New photo of 'Lady of the Lamp'". BBC News. 6 August 2006. Retrieved 7 August 2008.
  • "Archival material relating to Florence Nightingale". UK National Archives.  
  • Florence Nightingale Foundation
  • Florence Nightingale Correspondence from the Historic Psychiatry Collection, Menninger Archives, Kansas Historical Society
  • Florence Nightingale Letters Collection – A collection of letters written by and to Florence Nightingale from the UBC Library Digital Collections
  • Florence Nightingale Letters Collection – correspondence in the University of Illinois at Chicago digital collections
  • Florence Nightingale Collection at Wayne State University Library consists primarily of letters written by Florence Nightingale throughout her life. Major topics of the letters include medical care for the soldiers and the poor, the role of nursing, and sanitation and public works in colonized India.
  • Florence Nightingale Declaration Campaign for Global Health established by the Nightingale Initiative for Global Health (NIGH)
  • O'Connor, John J.; Robertson, Edmund F., "Florence Nightingale", MacTutor History of Mathematics archive, University of St Andrews
  • Florence Nightingale Window at St Peter's, Derby
  • Southern Star article 18 November 2018 at the Wayback Machine
  • Episode 6: Florence Nightingale from Babes of Science podcasts
  • Texas Woman's University Special Collections has a large collection of Florence Nightingale artefacts, letters, and primary sources.

florence, nightingale, lady, with, lamp, redirects, here, 1951, film, lady, with, lamp, other, uses, disambiguation, dstj, 1820, august, 1910, english, social, reformer, statistician, founder, modern, nursing, nightingale, came, prominence, while, serving, man. The Lady with the Lamp redirects here For the 1951 film see The Lady with a Lamp For other uses see Florence Nightingale disambiguation Florence Nightingale OM RRC DStJ ˈ n aɪ t ɪ ŋ ɡ eɪ l 12 May 1820 13 August 1910 was an English social reformer statistician and the founder of modern nursing Nightingale came to prominence while serving as a manager and trainer of nurses during the Crimean War in which she organised care for wounded soldiers at Constantinople 4 She significantly reduced death rates by improving hygiene and living standards Nightingale gave nursing a favourable reputation and became an icon of Victorian culture especially in the persona of The Lady with the Lamp making rounds of wounded soldiers at night 5 6 Florence NightingaleOM RRC DStJNightingale c 1860Born 1820 05 12 12 May 1820Florence Grand Duchy of TuscanyDied13 August 1910 1910 08 13 aged 90 Mayfair London EnglandNationalityBritishKnown forPioneering modern nursingPolar area diagramAwardsRoyal Red Cross 1883 Lady of Grace of the Order of St John LGStJ 1904 Order of Merit 1907 Scientific careerFieldsHospital hygiene and sanitation statisticsInstitutionsSelimiye Barracks ScutariSt Thomas Hospital 1 SignatureNotesNightingale s voice source source track Recorded to wax cylinder on 30 July 1890 to raise money for veterans of the Charge of the Light Brigade 2 3 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 of her nursing school at St Thomas Hospital in London It was the first secular nursing school in the world and is now part of King s College London 8 In recognition of her pioneering work in nursing the Nightingale Pledge taken by new nurses and the Florence Nightingale Medal the highest international distinction a nurse can achieve were named in her honour and the annual International Nurses Day is celebrated on her birthday Her social reforms included improving healthcare for all sections of British society advocating better hunger relief in India helping to abolish prostitution laws that 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 the polar area diagram also called the Nightingale rose diagram equivalent to a modern circular histogram This diagram is still regularly used in data 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 in simple English so that they could easily be understood by those with poor literary skills She was also a pioneer in data visualisation with the use of infographics using graphical presentations of statistical data in an effective way 7 Much of her writing including her extensive work on religion and mysticism has only been published posthumously Contents 1 Early life 2 Crimean War 2 1 The Lady with the Lamp 3 Later career 4 Relationships 5 Death 6 Contributions 6 1 Statistics and sanitary reform 6 2 Literature and the women s movement 6 3 Theology 7 Legacy 7 1 Nursing 7 2 Hospitals 7 3 Museums and monuments 7 4 Audio 7 5 Theatre 7 6 Film 7 7 Television 7 8 Banknotes 7 9 Photographs 7 10 Biographies 7 11 Other 8 Gallery 9 Works 10 See also 11 Explanatory footnotes 12 Citations 13 General and cited references 13 1 Primary sources 13 2 Secondary sources 14 Further reading 15 External linksEarly life Embley Park in Hampshire now a school one of the family homes of William Nightingale Florence Nightingale was born on 12 May 1820 into a wealthy and well connected British family at the Villa Colombaia 9 10 in Florence Tuscany Italy and was named after the city of her birth Florence s older sister Frances Parthenope had similarly been named after her place of birth Parthenope a Greek settlement now part of the city of Naples The family moved back to England in 1821 with Nightingale being brought up in the family s homes at Embley Hampshire and Lea Hurst Derbyshire 11 12 Florence inherited a liberal humanitarian outlook from both sides of her family 7 Her parents were William Edward Nightingale born William Edward Shore 1794 1874 and Frances Fanny Nightingale nee Smith 1788 1880 William s mother Mary nee Evans 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 the abolitionist and Unitarian William Smith 13 Nightingale s father educated her 12 A BBC documentary 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 hostess Mary 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 equals 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 at Embley 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 by Augustus 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 poet Richard 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 met Sidney Herbert a politician who had been Secretary at War 1845 1846 who was on his honeymoon He and Nightingale became lifelong close friends Herbert would be Secretary of War again during the Crimean War when 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 from Bright s disease in 1861 because of the pressure her programme of reform placed on him Nightingale also much later had strong relations with academic Benjamin Jowett who may have wanted to marry her 16 Nightingale c 1854 Nightingale continued her travels now with Charles and Selina Bracebridge as far as Greece and Egypt While in Athens Greece Nightingale rescued a juvenile little owl from 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 the Abu 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 the Lutheran religious community at Kaiserswerth am Rhein in Germany where she observed Pastor Theodor Fliedner and the deaconesses working 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 the Institute for the Care of Sick Gentlewomen in Upper 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 by Queen Victoria for her services to the soldiers in the war Florence Nightingale s most famous contribution came during the Crimean 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 the Bosporus opposite Constantinople at Scutari modern day Uskudar in Istanbul Britain and France entered the war against Russia on the side of the Ottoman Empire On 21 October 1854 she and the staff of 38 women volunteer nurses including her head nurse Eliza Roberts and her aunt Mai Smith 22 and 15 Catholic nuns mobilised by Henry Edward Manning 23 were sent under the authorisation of Sidney Herbert to the Ottoman Empire On the way Nightingale was assisted in Paris by her friend Mary Clarke 24 The volunteer nurses worked about 295 nautical miles 546 km 339 mi away from the main British camp across the Black Sea at Balaklava in the Crimea Letter from Nightingale to Mary Mohl 1881 Nightingale arrived at Selimiye Barracks in 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 hygiene was 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 Crimee les campements les abris les ambulances les hopitaux p 104 25 After Nightingale sent a plea to The Times for a government solution to the poor condition of the facilities the British Government commissioned Isambard Kingdom Brunel to design a prefabricated hospital that could be built in England and shipped to the Dardanelles The result was Renkioi Hospital a civilian facility that under the management of Edmund Alexander Parkes had a death rate less than one tenth of that of Scutari 26 Stephen Paget in the Dictionary of National Biography asserted 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 implemented handwashing in the hospital where she worked 28 Florence Nightingale an angel of mercy Scutari hospital 1855 During her first winter at Scutari 4 077 soldiers died there Ten times more soldiers died from illnesses such as typhus typhoid cholera and dysentery than from battle wounds With overcrowding defective sewers and 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 Nurse Eliza Roberts nursed 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 in The Guardian and the Sunday Times Nightingale scholar Lynn McDonald has 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 see Statistics and Sanitary Reform below 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 nurse Mary 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 chef Alexis Soyer that 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 the Sisters of Mercy to assist with nursing duties at Scutari met with different responses from Nightingale Mary Clare Moore headed 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 by Mary Francis Bridgeman met 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 by Henrietta Rae 1891 During the Crimean war Nightingale gained the nickname The Lady with the Lamp from a phrase in a report in The 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 Cited in Cook E T 1913 The Life of Florence Nightingale Vol 1 p 237 The phrase was further popularised by Henry 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 Later careerIn the Crimea on 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 the Duke of Cambridge was chairman In her 1856 letters she described spas in the Ottoman 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 42 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 at St Thomas Hospital on 9 July 1860 43 The first trained Nightingale nurses began work on 16 May 1865 at the Liverpool Workhouse Infirmary Now called the Florence Nightingale Faculty of Nursing and Midwifery the school is part of King s College London In 1866 she said the Royal Buckinghamshire Hospital in Aylesbury near her sister s home Claydon House would be the most beautiful hospital in England and in 1868 called it an excellent model to follow 44 Nightingale wrote Notes 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 45 Notes on Nursing also 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 46 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 As Mark Bostridge has demonstrated one of Nightingale s signal achievements was the introduction of trained nurses into the workhouse system in Britain from the 1860s onwards 47 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 Dickens caricatured the standard of care in his 1842 1843 published novel Martin Chuzzlewit in the figure of Sarah Gamp as being incompetent negligent alcoholic and corrupt According to Caroline Worthington director of the Florence 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 48 Though Nightingale is sometimes said to have denied the theory of infection for her entire life a 2008 biography disagrees 47 saying that she was simply opposed to a precursor of germ theory known as contagionism This theory held that diseases could only be transmitted by touch Before the experiments of the mid 1860s by Pasteur and Lister 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 the American Civil War The Union government approached her for advice in organising field medicine Her ideas inspired the volunteer body of the United States Sanitary Commission 49 Nightingale advocated autonomous nursing leadership and that her new style of matrons had full control and discipline over their nursing staff 50 The infamous Guy s Hospital dispute 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 as Eva Luckes 51 Florence Nightingale middle in 1886 with her graduating class of nurses from St Thomas outside Claydon House Buckinghamshire In the 1870s Nightingale mentored Linda 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 52 Richards went on to become a nursing pioneer in the US and Japan 53 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 the Hospital for Incurables at Putney and throughout Britain Royal Victoria Hospital Netley Edinburgh Royal Infirmary Cumberland Infirmary and Liverpool Royal Infirmary as well as at Sydney Hospital in New South Wales Australia 54 In 1883 Nightingale became the first recipient of the Royal Red Cross In 1904 she was appointed a Lady of Grace of the Order of St John LGStJ 55 In 1907 she became the first woman to be awarded the Order of Merit 56 In the following year she was given the Honorary Freedom of the City of London Her birthday is now celebrated as International CFS Awareness Day 57 From 1857 onwards Nightingale was intermittently bedridden and suffered from depression A recent biography cites brucellosis and associated spondylitis as the cause 58 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 in Mary Cowden Clarke s Florence Nightingale 1857 Although much of Nightingale s work improved the lot of women everywhere Nightingale believed that women craved sympathy and 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 61 62 She often referred to herself in the masculine as for example a man of action and a man of business 63 However she did have several important and long lasting friendships with women Later in life she kept up a prolonged correspondence with Irish nun Sister Mary Clare Moore with whom she had worked in Crimea 64 Her most beloved confidante was Mary Clarke an Englishwoman she met in Paris in 1837 and kept in touch with throughout her life 65 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 66 Death The grave of Florence Nightingale in the churchyard of St Margaret s Church East Wellow Hampshire Florence Nightingale died peacefully in her sleep in her room at 10 South Street Mayfair London on 13 August 1910 at the age of 90 67 c The offer of burial in Westminster Abbey was declined by her relatives and she is buried in the churchyard of St Margaret s Church in East Wellow Hampshire near Embley Park with a memorial with just her initials and dates of birth and death 69 70 She left a large body of work including several hundred notes that were previously unpublished 71 A memorial monument to Nightingale was created in Carrara marble by Francis William Sargant in 1913 and placed in the cloister of the Basilica of Santa Croce in Florence Italy 72 ContributionsStatistics 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 and statistical graphics 74 She used methods such as the pie chart which had first been developed by William Playfair in 1801 75 While taken for granted now it was at the time a relatively novel method of presenting data 76 Indeed Nightingale is described as a true pioneer in the graphical representation of statistics and is especially well known for her usage of a polar area diagram 76 107 or occasionally the Nightingale rose diagram equivalent to a modern circular histogram 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 Andre Michel Guerry in 1829 77 and Leon Louis Lalanne by 1830 78 Nightingale called a compilation of such diagrams a coxcomb but later that term would frequently be used for the individual diagrams 79 She made extensive use of coxcombs to present reports on the nature and magnitude of the conditions of medical care in the Crimean War to Members of Parliament and civil servants who would have been unlikely to read or understand traditional statistical reports In 1859 Nightingale was elected the first female member of the Royal Statistical Society 80 In 1874 she became an honorary member of the American Statistical Association 81 Diagram of the causes of mortality in the army in the East by Florence Nightingale Her attention turned to the health of the British Army in India and she demonstrated that bad drainage contaminated water overcrowding and poor ventilation were causing the high death rate 82 Following the report The Royal Commission on India 1858 1863 which included drawings done by her cousin artist Hilary 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 of sanitation in 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 76 107 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 84 The strengthened legislation was enacted in the Public Health Acts of 1874 and 1875 At the same time she combined with the retired sanitary reformer Edwin Chadwick to persuade Stansfeld to devolve powers to enforce the law to Local Authorities eliminating central control by medical technocrats 85 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 86 Literature and the women s movement Historian of science I Bernard Cohen argues 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 76 98 Lytton Strachey was 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 87 While better known for her contributions in the nursing and mathematical fields Nightingale is also an important link in the study of English feminism She wrote some 200 books pamphlets and articles throughout her life 48 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 wrote Suggestions 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 88 An effort to correct this was made with a 2008 publication by Wilfrid Laurier University as volume 11 89 of a 16 volume project the Collected Works of Florence Nightingale 90 The best known of these essays called Cassandra was previously published by Ray Strachey in 1928 Strachey included it in The 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 at Kaiserswerth 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 were Cassandra s Cassandra was a princess of Troy who served as a priestess in the temple of Apollo during the Trojan War The god gave her the gift of prophecy when she refused his advances he cursed her so that her prophetic warnings would go unheeded Elaine Showalter called Nightingale s writing a major text of English feminism a link between Wollstonecraft and Woolf 91 Nightingale was initially reluctant to join the Women s Suffrage Society when asked by John Stuart Mill but through Josephine Butler was convinced that women s enfranchisement is absolutely essential to a nation if moral and social progress is to be made 92 In 1972 the poet Eleanor Ross Taylor wrote Welcome Eumenides a poem written in Nightingale s voice and quoting frequently from Nightingale s writings 93 Adrienne Rich wrote that Eleanor Taylor has brought together the waste of women in society and the waste of men in wars and twisted them inseparably 94 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 the Church of England throughout her life albeit with unorthodox views Influenced from an early age by the Wesleyan 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 own theodicy which develops her heterodox ideas Nightingale questioned the goodness of a God who would condemn souls to hell and was a believer in universal 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 62 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 62 LegacyNursing Blue plaque for Nightingale in South Street Mayfair London Nightingale s lasting contribution has been her role in founding the modern nursing profession 98 She set an example of compassion commitment to patient care and diligent and thoughtful hospital administration The first official nurses training programme her Nightingale School for Nurses opened in 1860 and is now called the Florence Nightingale Faculty of Nursing and Midwifery at King s College London 99 She belongs to that select band of historical characters who are instantly recognisable the Lady with the Lamp ministering to the wounded and dying BBC profile of Nightingale 7 In 1912 the International Committee of the Red Cross instituted the Florence Nightingale Medal which is awarded every two years to nurses or nursing aides for outstanding service 100 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 101 Since 1965 International Nurses Day has been celebrated on her birthday 12 May each year 102 The President of India honours nursing professionals with the National Florence Nightingale Award every year on International Nurses Day 103 The award established in 1973 is given in recognition of meritorious services of nursing professionals characterised by devotion sincerity dedication and compassion 103 The Nightingale Pledge The Nightingale Pledge is a modified version of the Hippocratic Oath which nurses recite at their pinning ceremony at 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 104 The Florence Nightingale Declaration Campaign 105 established by nursing leaders throughout the world through the Nightingale Initiative for Global Health NIGH aims to build a global grassroots movement to achieve two United Nations Resolutions for 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 and holistic health As of 2016 the Florence Nightingale Declaration has been signed by over 25 000 signatories from 106 countries 106 During the Vietnam War Nightingale inspired many US Army nurses sparking a renewal of interest in her life and work Her admirers include Country Joe of Country Joe and the Fish who has assembled an extensive website in her honour 107 The Agostino Gemelli Medical School 108 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 109 Hospitals Four hospitals in Istanbul are named after Nightingale Florence Nightingale Hospital in Sisli the biggest private hospital in Turkey Metropolitan Florence Nightingale Hospital in Gayrettepe European Florence Nightingale Hospital in Mecidiyekoy and Kiziltoprak Florence Nightingale Hospital in Kadikoy all belonging to the Turkish Cardiology Foundation 110 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 111 During the COVID 19 pandemic a number of temporary NHS Nightingale Hospitals were set up in readiness for an expected rise in the number of patients needing critical care The first was housed in the ExCeL London 112 and several others followed across England 113 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 the NHS Louisa Jordan after a nurse who followed in Nightingale s footsteps in battlefield nursing in World War One 114 Museums and monuments Statue of Nightingale by Arthur George Walker in Waterloo Place London Florence Nightingale Statue London Road Derby Florence Nightingale stained glass window originally at the Derbyshire Royal Infirmary Chapel and now removed to St Peter s Church Derby and rededicated 9 October 2010 A statue of Florence Nightingale by the 20th century war memorialist Arthur George Walker stands in Waterloo Place Westminster London just off The Mall There are three statues of Nightingale in Derby one outside the Derbyshire Royal Infirmary DRI one in St Peter s Street and one above the Nightingale Macmillan Continuing Care Unit opposite the Derbyshire Royal Infirmary A pub named after her stands close to the DRI 115 The Nightingale Macmillan continuing care unit is now at the Royal Derby Hospital formerly known as The City Hospital Derby 116 A stained glass window was 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 in St 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 117 The Florence Nightingale Museum at St Thomas Hospital in London reopened in May 2010 in time for the centenary of Nightingale s death 48 Another museum devoted to her is at her sister s family home Claydon House now a property of the National Trust 118 119 Upon the centenary of Nightingale s death in 2010 and to commemorate her connection with Malvern the Malvern Museum held a Florence Nightingale exhibit 120 with a school poster competition to promote some events 121 In Istanbul the northernmost tower of the Selimiye Barracks building is now the Florence Nightingale Museum 122 and in several of its rooms relics and reproductions related to Florence Nightingale and her nurses are on exhibition 123 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 by Alexis Soyer after 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 the Army Medical Services Museum in Mytchett Surrey near Aldershot 124 Bust of Nightingale unveiled at Gun Hill Park in Aldershot in 2021 A bronze plaque attached to the plinth of the Crimean Memorial in the Haydarpasa Cemetery Istanbul Turkey and unveiled on Empire 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 125 Other monuments of Nightingale include a statue at Chiba University in Japan a bust at Tarlac State University in the Philippines and a bust at Gun Hill Park in Aldershot in the UK Other nursing schools around the world are named after Nightingale such as in Anapolis in Brazil 126 Audio Florence Nightingale s voice was saved for posterity in a phonograph recording from 1890 preserved in the British Library Sound Archive The recording made in aid of the Light Brigade Relief Fund and 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 127 Theatre The first theatrical representation of Nightingale was Reginald Berkeley s The Lady with the Lamp premiering in London in 1929 with Edith Evans in the title role It did not portray her as an entirely sympathetic character and draws much characterisation from Lytton Strachey s biography of her in Eminent Victorians 128 It was adapted as a film of the same name in 1951 In 2009 a stage musical play representation of Nightingale entitled The Voyage of the Lass was produced by the Association of Nursing Service Administrators of the Philippines Film In 1912 a biographical silent film titled The Victoria Cross starring Julia Swayne Gordon as Nightingale was released followed in 1915 by another silent film Florence Nightingale featuring Elisabeth Risdon In 1936 Kay Francis played Nightingale in the film titled The White Angel In 1951 The Lady with a Lamp starred Anna Neagle 129 In 1993 Nest Entertainment released an animated film Florence Nightingale describing her service as a nurse in the Crimean War 130 Television Portrayals of Nightingale on television in documentary as in fiction vary the BBC s 2008 Florence Nightingale featuring Laura Fraser 131 emphasised her independence and feeling of religious calling but in Channel 4 s 2006 Mary Seacole The Real Angel of the Crimea she is portrayed as narrow minded and opposed to Seacole s efforts 132 Other portrayals include Laura Morgan in Victoria episode 3 4 Foreign Bodies 2018 133 Kate Isitt in the Magic Grandad episode Famous People Florence Nightingale 1994 134 Jaclyn Smith in the TV biopic Florence Nightingale 1985 135 Emma Thompson in the ITV sketch comedy series Alfresco episode 1 2 1983 136 Jayne Meadows in PBS series Meeting of Minds 1978 137 Janet Suzman in the British theatre style biopic Miss Nightingale 1974 138 Julie Harris in Hallmark Hall of Fame episode 14 4 The Holy Terror 1965 139 Sarah Churchill in Hallmark Hall of Fame episode 1 6 Florence Nightingale 1952 140 Banknotes Florence Nightingale s image appeared on the reverse of 10 Series D banknotes issued by the Bank of England from 1975 until 1994 As well as a standing portrait she was depicted on the notes in a field hospital holding her lamp 141 Nightingale s note was in circulation alongside the images of Isaac Newton William Shakespeare Charles Dickens Michael Faraday Sir Christopher Wren the Duke of Wellington and George Stephenson and prior to 2002 other than the female monarchs she was the only woman whose image had ever adorned British paper currency 7 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 the Florence Nightingale Museum in London A black and white photograph taken in about 1907 by Lizzie Caswall Smith at Nightingale s London home in South Street Mayfair was auctioned on 19 November 2008 by Dreweatts auction house in Newbury Berkshire England for 5 500 142 Biographies The first biography of Nightingale was published in England in 1855 In 1911 Edward Tyas Cook was authorised by Nightingale s executors to write the official life published in two volumes in 1913 Nightingale was also the subject of one of Lytton 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 143 Cecil Woodham Smith like Strachey relied heavily on Cook s Life in her 1950 biography though she did have access to new family material preserved at Claydon In 2008 Mark Bostridge published 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 the Collected Works of Florence Nightingale 2001 to date 7 Other KLM MD 11 registration PH KCD Florence Nightingale In 2002 Nightingale was ranked number 52 in the BBC s list of the 100 Greatest Britons following a UK wide vote In 2006 the Japanese public ranked Nightingale number 17 in The Top 100 Historical Persons in Japan 144 Several churches in the Anglican Communion commemorate Nightingale with a feast day on their liturgical calendars The Evangelical Lutheran Church in America commemorates her as a Renewer of Society with Clara Maass on 13 August 145 Washington National Cathedral celebrates 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 146 The US Navy ship the USS Florence Nightingale AP 70 was commissioned in 1942 Beginning in 1968 the US Air Force operated a fleet of 20 C 9A Nightingale aeromedical evacuation aircraft based on the McDonnell Douglas DC 9 platform 147 The last of these planes was retired from service in 2005 148 In 1981 the asteroid 3122 Florence was named after her 149 A Dutch KLM McDonnell Douglas MD 11 registration PH KCD was also named in her honour it served the airline for 20 years from 1994 to 2014 150 151 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 152 Florence Nightingale is remembered in the Church of England with a commemoration on 13 August 153 Celebrations to mark her bicentenary in 2020 were disrupted by the coronavirus pandemic but the NHS Nightingale hospitals were named after her 114 Gallery A tinted lithograph by William Simpson illustrating evacuation of the sick and injured from Balaklava Picture of Nightingale in The Illustrated London News 24 February 1855 A ward of the hospital at Scutari where Nightingale worked from an 1856 lithograph by William Simpson Nightingale s moccasins that she wore in the Crimean War the other items are not hers Florence Nightingale exhibit at Malvern Museum England 2010 Nightingale s medals displayed in the National Army Museum Memorial to Nightingale Church of Santa Croce Florence ItalyWorksNightingale Florence 1979 Cassandra The Feminist Press ISBN 978 0 912670 55 3 Archived from the original on 10 March 2021 Retrieved 6 July 2010 Notes on Nursing What Nursing Is What Nursing is Not Philadelphia London Montreal J B Lippincott Co 1946 Reprint First published London 1859 Harrison amp Sons Retrieved 6 July 2010 a href Template Cite journal html title Template Cite journal cite journal a CS1 maint location link Nightingale Florence McDonald Lynn 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 ISBN 978 0 88920 366 2 Archived from the original on 10 March 2021 Retrieved 6 July 2010 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 ISBN 978 0 88920 371 6 Archived from the original on 10 March 2021 Retrieved 6 July 2010 Nightingale Florence 2003 Vallee Gerard ed Mysticism and Eastern Religions Collected Works of Florence Nightingale Vol 4 Ontario Canada Wilfrid Laurier University Press ISBN 978 0 88920 413 3 Archived from the original on 10 March 2021 Retrieved 6 July 2010 Nightingale Florence McDonald Lynn 2008 McDonald Lynn ed Suggestions for Thought Collected Works of Florence Nightingale Vol 11 Ontario Canada Wilfrid Laurier University Press ISBN 978 0 88920 465 2 Archived from the original on 10 March 2021 Retrieved 6 July 2010 Privately printed by Nightingale in 1860 Notes on Nursing for the Labouring Classes London Harrison 1861 Retrieved 6 July 2010 The Family a critical essay in Fraser s Magazine 1870 Introductory Notes on Lying In Institutions Nature London 5 106 22 23 1871 Bibcode 1871Natur 5 22 doi 10 1038 005022a0 S2CID 3985727 Retrieved 6 July 2010 Una and the Lion Cambridge Riverside Press 1871 Retrieved 6 July 2010 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 Retrieved 6 July 2010 a href Template Cite book html title Template Cite book cite book a CS1 maint others link See also 2005 publication by Diggory Press ISBN 978 1 905363 22 3 Nightingale Florence 1987 Letters from Egypt A Journey on the Nile 1849 1850 ISBN 1 55584 204 6 Nightingale Florence 1867 Workhouse nursing London Macmillan and Co See also Mathematics portalCrimean War Memorial Dasha from Sevastopol Florence Nightingale effect History of feminism Licensed practical nurse List of suffragists and suffragettes Nightingale s environmental theory Nursing process Cicely Saunders Timeline of women in science Women s suffrage in the United KingdomExplanatory footnotes 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 59 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 get one 60 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 68 There were rumors 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 with J J Sylvester 73 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 83 Her parents took their daughters to both Church of England and Methodist churches citation needed 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 95 While this has changed by the 21st century universal reconciliation was very far from being mainstream in the Church of England at the time 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 96 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 97 Citations Florence Nightingale King s College London Archived from the original on 8 December 2015 Retrieved 30 November 2015 Florence Nightingale 2nd rendition 1890 greetings to the dear old comrades of Balaclava Internet Archive Retrieved 13 February 2014 Buhnemann Kristin 17 February 2020 Florence Nightingale s Voice 1890 florence nightingale co uk Florence Nightingale Museum London Retrieved 7 April 2022 Strachey Lytton 1918 Eminent Victorians London Chatto and Windus p 123 Swenson Kristine 2005 Medical Women and Victorian Fiction University of Missouri Press p 15 ISBN 978 0 8262 6431 2 Ralby Aaron 2013 The Crimean War 1853 1856 Atlas of Military History Parragon pp 281 ISBN 978 1 4723 0963 1 a b c d e f g h Bostridge Mark 17 February 2011 Florence Nightingale the Lady with the Lamp BBC Archived from the original on 25 December 2019 Retrieved 20 December 2019 Petroni A 1969 The first nursing school in the world St Thomas Hospital School in London Munca Sanit 17 8 449 454 PMID 5195090 Shiller Joy 1 December 2007 The true Florence Exploring the Italian birthplace of Florence Nightingale Archived from the 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1859 Preface Notes on Nursing What it is and what it is not Glasgow and London Blackie amp Son Ltd ISBN 978 0 216 89974 2 Nightingale Florence 1974 1859 Introduction by Joan Quixley Notes on Nursing What it is and what it is not Blackie amp Son Ltd ISBN 978 0 216 89974 2 a b Florence Nightingale the Woman and her Legend by Mark Bostridge Viking 2008 a b c Florence Nightingale the medical superstar Daily Express 12 May 2016 Archived from the original on 4 June 2016 Retrieved 12 May 2016 The Sanitary Commission The Red Cross Cambridge University Press JSTOR 1910 JSTOR 2186240 Vicinus Martha 1985 Independent Women Work and Community for Single Women 1850 1920 London The University of Chicago Press p 109 Rogers Sarah 2022 A Maker of Matrons A study of Eva Luckes s influence on a generation of nurse leaders 1880 1919 Unpublished PhD thesis University of Huddersfield April 2022 Role Development for Doctoral Advanced Nursing Practice Springer Publishing Company 15 December 2010 p 325 Linda Richards 1915 Reminiscences of Linda Richards Whitcomb amp Barrows Boston OCLC 1350705 Bicentenary of a hospital built from a rum deal Sydney Morning Herald 26 October 2017 Archived from the original on 27 October 2017 Retrieved 26 October 2017 No 27677 The London Gazette 17 May 1904 p 3185 No 28084 The London Gazette 29 November 1907 p 8331 May 12th International Awareness Day Archived from the original on 18 July 2015 Retrieved 12 May 2015 Bostridge 2008 published in The Life of Florence Nightingale vol 2 of 2 by Edward Tyas Cook pp 14 17 at Project Gutenberg available at Project Gutenberg The same 1861 letter published in The Life of Florence Nightingale vol 2 of 2 by Edward Tyas Cook pp 14 17 at Project Gutenberg a b c Nightingale Florence 2005 McDonald Lynn ed Florence Nightingale on Women Medicine Midwifery and Prostitution Wilfrid Laurier University Press pp 7 48 49 414 ISBN 978 0 88920 466 9 Stark Myra Florence Nightingale s Cassandra The Feminist Press 1979 p 17 Institute of 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Public Health Care p 550 Lambert Royston 1963 Sir John Simon 1816 1904 McGibbon amp Kee pp 521 523 Szreter Simon 1988 The Importance of Social Intervention in Britain s Mortality Decline c 1850 1914 Soc Hist Med 1 1037 James Southern A Lady in Proper Proportions Feminism Lytton Strachey and Florence Nightingale s Reputation 1918 39 Twentieth Century British History 28 1 March 2017 1 28 doi 10 1093 tcbh hww047 PMID 28922795 Nightingale Florence 1994 Calabria Michael D MacRae Janet A eds Suggestions for Thought Selections and Commentaries ISBN 978 0 8122 1501 4 Archived from the original on 10 March 2021 Retrieved 6 July 2010 McDonald Lynn ed 2008 Florence Nightingale sSuggestions for Thought Collected Works of Florence Nightingale Vol 11 Ontario Canada Wilfrid Laurier University Press ISBN 978 0 88920 465 2 Archived from the original on 10 March 2021 Retrieved 6 July 2010 Privately printed by Nightingale in 1860 Collected Works of Florence Nightingale Wilfrid Laurier University Press Archived from the original on 27 September 2011 Retrieved 6 July 2010 a href Template Cite journal html title Template Cite journal cite journal a Cite journal requires journal help Gilbert Sandra M and Susan Gubar Florence Nightingale The Norton Anthology of Literature by Women The Traditions in English New York W W Norton 1996 836 837 Miss Nightingale Suffragist The Vote 27 August 1910 p 207 Retrieved 14 April 2021 Taylor Eleanor Ross 1972 Welcome Eumenides New York George Braziller ISBN 9780807606445 Rich Adrienne 1979 On Lies Secrets and Silence New York W W Norton p 87 ISBN 9780393012330 McDonald Lynn Florence Nightingale Extending nursing p 11 full citation needed 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 p 18 ISBN 978 0 88920 371 6 Archived from the original on 10 March 2021 Retrieved 6 July 2010 Miller Russell E 1979 The 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2016 Retrieved 14 May 2016 a b President gives Florence Nightingale Awards to 35 nurses Times of India 13 May 2016 Archived from the original on 2 May 2016 Retrieved 13 May 2016 Crathern Alice Tarbell 1953 For the Sick In Detroit Courage Was the Fashion The Contribution of Women to the Development of Detroit from 1701 to 1951 Wayne University Press pp 80 81 ISBN 9780598268259 Archived from the original on 10 March 2021 Retrieved 2 August 2018 Florence Nightingale Declaration Campaign Nightingaledeclaration net Archived from the original on 10 March 2010 Retrieved 13 March 2010 Nightingale Declaration for A Healthy World Nigh vision 13 May 2016 Archived from the original on 30 June 2016 Retrieved 13 May 2016 Country Joe McDonald s tribute to Florence Nightingale Countryjoe com Archived from the original on 31 August 2009 Retrieved 13 March 2010 Universita Cattolica del Sacro Cuore The Rome Campus unicatt it Archived from the original on 9 September 2010 Retrieved 13 March 2010 Cacace 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NewspaperArchive com Withdrawn banknotes reference guide Bank of England Archived from the original on 10 June 2011 Retrieved 17 October 2008 Rare Nightingale photo sold off BBC News 19 November 2008 Archived from the original on 27 May 2009 Retrieved 19 November 2008 Florence Nightingale Monica E Baly and H C G Matthew Oxford Dictionary of National Biography 2015 The Top 100 Historical Persons in Japan Ejje weblio jp Archived from the original on 23 December 2016 Retrieved 28 March 2017 Evangelical Lutheran Church in America Evangelical Lutheran Worship Final Draft Augsburg Fortress Press 2006 O Brien Mary Elizabeth 25 October 2010 Servant Leadership in Nursing Spirituality and Practice in Contemporary Health Care Jones amp Bartlett Publishers p 333 Air Mobility Command Museum C 9 Nightingale Archived 16 May 2015 at the Wayback Machine Historic C 9 heads to Andrews for retirement Schmadel Lutz D 2007 3122 Florence Dictionary of Minor Planet Names 3122 Florence Springer Berlin Heidelberg p 258 doi 10 1007 978 3 540 29925 7 3123 ISBN 978 3 540 00238 3 Photos McDonnell Douglas MD 11 Aircraft Pictures Airliners net 14 August 2010 Archived from the original on 29 October 2013 Retrieved 17 May 2012 PH KCD KLM Royal Dutch Airlines McDonnell Douglas MD 11 planespotters net Retrieved 5 December 2022 Florence Nightingale 1820 1910 Royal college of nursing 13 May 2016 Archived from the original on 28 March 2017 Retrieved 3 December 2018 The Calendar The Church of England Retrieved 8 April 2021 General and cited referencesPrimary sources Goldie Sue A Calendar of the Letters of Florence Nightingale Oxford Wellcome Institute for the History of Medicine 1983 McDonald Lynn ed Collected Works of Florence Nightingale Wilfrid Laurier University Press 16 volumes Secondary sources Baly Monica E and Matthew H C G Nightingale Florence 1820 1910 Oxford Dictionary of National Biography Oxford University Press 2004 online ed January 2011 Bostridge Mark 2008 Florence Nightingale The Woman and Her Legend Viking 2008 Penguin 2009 US title Florence Nightingale The Making of an Icon New York Farrar Straus and Giroux 2008 Bullough Vern L Bullough Bonnie and Stanton Marieta P Florence Nightingale and Her Era A Collection of New Scholarship New York Garland 1990 Chaney Edward 2006 Egypt in England and America The Cultural Memorials of Religion Royalty and Revolution in Sites of Exchange European Crossroads and Faultlines eds Ascari Maurizio and Corrado Adriana Rodopi BV Amsterdam and New York 39 74 Cope Zachary Florence Nightingale and the Doctors London Museum Press 1958 Philadelphia J B Lippincott amp Co 1958 Davey Cyril J 1958 Lady with a Lamp Lutterworth Press ISBN 978 0 7188 2641 3 Gill Gillian 2004 Nightingales The Extraordinary Upbringing and Curious Life of Miss Florence Nightingale Ballantine Books ISBN 978 0 345 45187 3 Magnello M Eileen Victorian statistical graphics and the iconography of Florence Nightingale s polar area graph BSHM Bulletin Journal of the British Society for the History of Mathematics 2012 27 1 pp 13 37 Nelson Sioban and Rafferty Anne Marie eds Notes on Nightingale The Influence and Legacy of a Nursing Icon Cornell University Press 2010 184 pages Essays on Nightingale s work in the Crimea and Britain s colonies her links to the evolving science of statistics and debates over her legacy and historical reputation and persona Parton James 1868 Florence Nightingale in Eminent Women of the Age Being Narratives of the Lives and Deeds of the Most Prominent Women of the Present Generation Hartford Conn S M Betts amp Company Pugh Martin The March of the Women A Revisionist Analysis of the Campaign for Women s Suffrage 1866 1914 Oxford 2000 at 55 Rees Joan Women on the Nile Writings of Harriet Martineau Florence Nightingale and Amelia Edwards London Rubicon Press 1995 2008 Rehmeyer Julia 26 November 2008 Florence Nightingale The Passionate Statistician Science News Archived from the original on 2 February 2009 Retrieved 4 December 2008 Richards Linda 2006 America s First Trained Nurse My Life as a Nurse in America Great Britain and Japan 1872 1911 Diggory Press ISBN 978 1 84685 068 4 Sokoloff Nancy Boyd Three Victorian Women Who Changed their World Josephine Butler Octavia Hill Florence Nightingale London MacMillan 1982 Strachey Lytton 1918 Eminent Victorians Garden City N Y Garden City Pub Co ISBN 978 0 8486 4604 2 Available online at Florence Nightingale Part I Strachey Lytton 1918 Eminent Victorians Archived 30 January 2009 at the Wayback Machine Webb Val The Making of a Radical Theologician Chalice Press 2002 Woodham Smith Cecil Florence Nightingale Penguin 1951 rev 1955 Further readingAndrews R J ed 2022 Florence Nightingale Mortality and Health Diagrams San Francisco Visionary Press ISBN 9798986194516 OCLC 1353186725 External linksFlorence Nightingale at Wikipedia s sister projects Media from Commons Quotations from Wikiquote Texts from Wikisource Works by Florence Nightingale at Project Gutenberg Works by or about Florence Nightingale at Internet Archive UCLA Elmer Belt Florence Nightingale Collection hosted at Internet Archive Works by Florence Nightingale at LibriVox public domain audiobooks 1890 audio recording of Florence Nightingale speaking Victorians co uk Florence Nightingale Eminent Victorians Florence Nightingale by Lytton Strachey New photo of Lady of the Lamp BBC News 6 August 2006 Retrieved 7 August 2008 University of Guelph Collected Works of Florence Nightingale project Archival material relating to Florence Nightingale UK National Archives Florence Nightingale Foundation Florence Nightingale Correspondence from the Historic Psychiatry Collection Menninger Archives Kansas Historical Society Florence Nightingale Letters Collection A collection of letters written by and to Florence Nightingale from the UBC Library Digital Collections Florence Nightingale Letters Collection correspondence in the University of Illinois at Chicago digital collections Florence Nightingale Collection at Wayne State University Library consists primarily of letters written by Florence Nightingale throughout her life Major topics of the letters include medical care for the soldiers and the poor the role of nursing and sanitation and public works in colonized India Florence Nightingale Declaration Campaign for Global Health established by the Nightingale Initiative for Global Health NIGH O Connor John J Robertson Edmund F Florence Nightingale MacTutor History of Mathematics archive University of St Andrews Florence Nightingale Window at St Peter s Derby Papers of Florence Nightingale 1820 1910 Southern Star article Archived 18 November 2018 at the Wayback Machine Episode 6 Florence Nightingale from Babes of Science podcasts Texas Woman s University Special Collections has a large collection of Florence Nightingale artefacts letters and primary sources Retrieved from https en wikipedia org w index php title Florence Nightingale amp oldid 1153822529, wikipedia, 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