In today’s society, nursing care and treatment represents a unique opportunity to develop effective outcomes in advancing the standard of care. Nursing has evolved from unstructured methods
of handling the sick into a scientific profession incorporating physical and social sciences, humanities
and clinical competencies. It also focuses on the clients response to illness incorporating critical thinking
skills with caring behaviours. This requires astute attention to detail, as well as different opportunities to
engage nurses in the field and its opportunities for growth. Therefore, the work of historical characters
is of critical importance in order to identify areas where the field has grown to incorporate some of the
ideas and concepts of its most notable professionals. In this manner, it is widely observed that Florence
Nightingale serves as one of the primary contributors to the nursing profession in many important ways,
and her ability to influence future nurses has been remarkable, leading to a new degree of confidence
and strength for generations of nurses. In the 21st Century, Nightingale’s contributions continue to shine
and to make the profession worthy and valuable. These contributions are important and necessary in
promoting the nursing field and its primary objectives, and this process supports a clearer understanding
of the challenges that are evident in advancing nursing-related outcomes. The following discussion will
address the contributions of Florence Nightingale in greater detail, emphasizing the value of her work
and its many characteristics in supporting the profession and many generations of nurses that continue
to study the field and work in facilities throughout the world. It will be demonstrated that Florence
Nightingale’s greatest strengths are her confidence and knowledge of the profession, as these have
made a significant difference in promoting advanced nursing outcomes over the past century. These
qualities, in turn, serve as a primary example of excellence for current and future nurses to follow as
they expand their knowledge of the field and its primary objectives. Florence Nightingale is best known
for her essential innovations in nursing care. She was a pioneer in nursing and a key reformer of hospital
sanitation methods and had a sincere concern with terrible circumstances of medical care for the
regions of the poor and indigent. The image of nurses in most instances has been a young woman
seeking for romance and adventure and is carrying out the unpleasant but essential duty of supporting
the magnificent work of physicians. By comparing the character of nurses in novels and that of the
physicians in terms of personality, it can be generalized that nurses are obedience and kind while the
physicians are more confident, stylish, ambitious, aggressive and rational. Both the nurses and the
physicians are equally altruistic, honest, warm, sympathetic and nurturing. The physicians have thus
sustained a stronghold on the traditionally masculine traits while also showing the nurturant and caring
attributes that typify the nursing function. One of the few personalities that have greatly influenced the
nursing function or image is Florence Nightingale . Florence Nightingale wrote a book in 1859 named
‘Notes on Nursing’: What it is and what it is not’ to help all women that stayed at home, effective nursing for family members. (Nursing History, Wendy Madsen, 2nd edn, p1, Fundamentals Of Nursing,
P5)
It is important to consider how existing literature plays an important role in analyzing the work and
Contributions to the nursing profession as a whole. To be specific, an article by Holliday and Parker
(1997, p.483) addresses that Florence Nightingale’s role is a feminist and a strong example of nursing in
its best form, demonstrating her ability to maintain confidence and exude professionalism in a career
that was just beginning its ascent into the world of healthcare as a valuable force. In this context,
Nightingale believed that nursing required training’she attempted to channel her energies and desires
more constructively’ (Fundamentals of Nursing, Vol 1 p 4, p5. In this manner, it is observed that
Nightingale sought refuge in a profession that would enable her to utilize her skills more effectively in
Order to produce the desire outcomes, and to reflect upon the nature of nursing as an opportunity to
help others in tremendous ways, which would provide Nightingale with a means of managing her own
issues more effectively (Holliday and Parker 1997, p. 485)
Sisters of Charity, founded by Mary Aikenhead in 1815 and the Sisters of Mercy founded by Catherine
McAuley in 1827 also had shared the same views and became involved in teaching and nursing methods. (Nursing History, p 4)
In the process of becoming a nurse, Nightingale quickly recognized the poor reputation of nurses
during her era, and sought to reverse these perceptions in important ways by channeling her talents and
strengths in significant ways. (Nursing History, Wendy Madsen, p 3)
Nightingale’s statistics clearly provided evidence that improving sanitary conditions in hospitals,
promoting ventilation, and preventing patient overcrowding, and adequate nurse training would
decrease hospital and civilian morbidity and mortality’ (Nursing History, Wendy Madsen, p 2, p 45). In
this context, it is observed that Nightingale provided a number of key contributions to the field of
nursing before it was even determined what those contributions should be, and this reflects her
understanding of the necessity for reform and for the trends to ultimately recognize the importance and
value of different strategies to improve outcomes for all patients. (Kudzma 2006, p 63) which would
demonstrate to the world that Nightingale was completely committed to developing and advancing her
own philosophy of nursing that was based upon specific principles and outcomes (Denehy 2001, p 1)
Without Nightingale’s vision and articulation, future generations of nurses might not have been
successful in their own efforts to mange nursing tasks and responsibilities in the appropriate manner
(Denehy 2001, p 1)
The nursing profession once were a large proportion of the U.S. and British nurses were considered as
untrained and alcoholic class of people. Little apprehension was accorded to the abysmal conditions in
nursing until Charles Dicken’s novel , Martin Chuzzlewit (1843) featured two nurses Sairy Gamp and
Betsy Prig. The two were sad representive of the general standards of nursing that was available at that
moment (Kalisch, B & Kalisch, PA, 2009)revolutionary in many different ways with Nightingale’s help, by
transforming it into a high quality level of service and guidance also worthy of further consideration.
(Joyce 2008, p 182)
Nightingale’s theories regarding nursing are also integral to her philosophy and contributions to the
profession, as these represent different choices in important and meaningful ways. As a result, it is
evident that Nightingale’s theoretical concepts are highly relevant in a modern context through an
emphasis on new outcomes and perspectives, rather than outdated ones. (Bunker 2008, p 211)
In this manner, Nightingale’s theoretical beliefs shed some light onto her perspectives, while also
Supporting her interest in expanding the nursing profession to support a wide variety of patients facing
many different conditions (Bunkers 2008, p 211)
It is also observed that that Nightingale represents the ability to improve the knowing factor in all areas
of the nursing profession, as noted in the following text: ‘In her many letters and memoirs, Nightingale
articulated some of the earliest examples of the interface of nursing research, theory and practice, and
her legacy included a conceptual frame of reference that continues to be used in contemporary nursing
practice and education. Her approach involved clinical observation and examination of anecdotal case
studies, as well as statistical analyses of pertinent numerical data and subsequent theory generation
linking the various elements. Without doubt, optimal patient care was at the core of her efforts’
(Nursing History, Wendy Madsen, 2nd Edn, p 53 Clements and Averill 2006, p269)
Florence Nightingale also represents a number of interesting perspectives that support a push for
Quality within the nursing profession, a concept that had not been deemed significant in the years prior
to her entrance into the field (Meyer and Bishop 2007, p 240)
In a modern context, ‘ America is in the midst of a health care crisis. The causes are multiple and
Complex. For years the major concern has focused on the containment of health care costs. More
Recently, a study by the Institute of Medicine reporting that between 44,000 and 98,000 people die in
the US hospitals annually as a result of medical errors ( Leape, 2000) called attention to the quality of
health care practices. The situation bears more than a fleeting resemblance to Florence Nightingale’s
world, 150 years ago. ( Meyer and Bishop 2007, p 252) These findings demonstrate that there are many
challenging outcomes to consider in nursing quality, and that Nightingale’s ideas continue to remain
significant in a modern context for a variety of reasons, as healthcare is not only complex, but also
difficult to manage overall (Meyer and Bishop 2007, p 252)
Based upon specific reviews of Nightingales contributions, it is evident that work continues to be highly
influential in the 21st century in many ways. Therefore it is important for nurse researchers and staff
nurses in hospitals and other healthcare facilities to examine Nightingales contributions for their ability
to perform a respectable perspective in the nursing profession and a new portrayal of the nurse began.
Breeding and collective class, rather than academics were accredited to the heroines success in nursing.
Most often, their tenure in the career was temporary as exhibited by the Marcella (1894) which
Associates the story of a well bred young lady with the unclear dreams of working for common justice.
Nursing in the novel was portrayed as a form of sack-cloth and ashes that assist the players to grow in
soul and prepare them for future good works. The media has thus assisted in the transformation of the
Nursing career in general and also the perspective in which people view the profession (Bostridge, 2008)
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