Notes on Nursing: What it Is, and what it is Not

Born in Florence, Italy, of wealthy parents, Florence Nightingale was a British nurse who is regarded as the founder of modern nursing practice. She was a strong proponent of hospital reform. She was trained in Germany at the Institute of Protestant Deaconesses in Kaiserswerth, which had a program for patient care training and for hospital administration. Nightingale excelled at both. As a nurse and then administrator of a barracks hospital during the Crimean War, she introduced sweeping changes in sanitary methods and discipline that dramatically reduced mortality rates. Her efforts changed British military nursing during the late 19th century. Following her military career, she was asked to form a training program for nurses at King's College and St. Thomas Hospital in London. The remainder of her career was devoted to nurse education and to the documentation of the first code for nursing. Her 1859 book, Notes on Nursing: What It Is and What It Is Not has been described as "one of the seminal works of the modern world." The work went through many editions and remains in print today. Using a commonsense approach and a clear basic writing style, she proposed a thorough regimen for nursing care in hospitals and homes. She also provided advice on foods for various illnesses, cleanliness, personal grooming, ventilation, and special notes about the care of children and pregnant women. On 13 August 1910, at the age of 90, she died peacefully in her sleep at home. Although her family was offered the right to bury her at Westminster Abbey, this was declined by her relatives, and she is buried in the graveyard at St. Margaret Church in East Wellow, Hampshire.