The Lady With the Lamp
Autumn Davis
Elizabeth Godin
Stephanie Mansfield
Tara Scholtz
John Woodcox
Kristen Ziolkowski
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Environment was the main focus
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5 main interests
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Pure air
Pure water
Efficient drainage
Cleanliness
Light
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Florence was gifted with math and
introduced graphs and documents to
show statics and trends
Florence Nightingale worked diligently to provide a safe and
clean environment for her patients. After taking into account the
alarmingly high mortality rates she began implementing the use
of clean practices and adequate dietary intake.
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Diet for chronically ill patients should be
monitored
Intake should be monitored
Meal scheduling
Meals should be edible
Meals should be prepared with clean water
THEN – 1800’S
NOW - 2010
Unclean environment
No formal education for
nurses
No evidence based practice
No rounding
No respect for nursing
Formal education
Sterile/clean environment
Use of empirical evidence
Recognition of nursing as a
profession
PERSON
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Florence believed a person was an
individual and treated them as such.
They had four components.
Biological
Psychological
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Social
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Spiritual
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HEALTH
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Being well
Use all resources
Control health through environment
Disease is repetitive
Nutrition is vital
Six D’s of diseases
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Dirt- Provide a clean environment
Drink- Fresh Water
Diet- Proper diet
Damp- Clean dry environment
Drafts- Fresh air was required with minimal noise
Drain- proper drainage and sewage removal
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ENVIRONMENT
Keep it
Dry
 Influenced health
 Vital to recovery
External and internal environment
NURSING
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Nursing is a profession
Responsible for environment
Needs formal education
Is an art and a science
Distinct and separate from medicine
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Started the thought process on holism
 Developed the use of empirical
evidence
 Cleanliness
 Nutrition
 Rounding
Health is “not only to be well, but to be able to
use well every power that we have” – Florence
Nightingale
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We now have evidence based practice
Standards of care
Holistic medicine
Hand washing
Clean/sterile technique
Rounding
Emotional support
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Subjective and objective information
Holistic medicine
Hourly rounding
The interview process
Documentation
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Who is Flo? You know!
Base our teaching on her knowledge
 ADLs
 Diet
 Rounding
 Environment
 Clean technique
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Nightingale’s ideas currently still practiced
Research continues to expand and evolve through
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Evidence Based Practices- continually evolving, new
ideas being introduced
Holistic Medicine – gaining popularity, more widely
used, seen as being effective
Nurses are able to incorporate holistic nursing into their
practice by understanding the principles of nursing and
psychophysiological modalities
Methodologies are advancing, originating from Florence
particularly in research
How research is done, why it is done, the development,
conduction and implementation
Date collection and statistical analysis continues to
expand
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Society
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Takes responsibility for the
implementation of clean and safe
practices
 Searches for clean water and
provides sanitation
 Encourages staff to keep a clean
environment
 Contributed to a decrease in
mortality and morbidity
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Education
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Continually advancing
 Greater public awareness
 Studies, research and educational tools are available
and being used today
 Organizations began getting involved- facilitating
further research and improving practices
 CURN Conduct and Utilization Research in Nursing
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Driven & Heroic- throughout the era of the Crimean War
Hard working- during a time of mans work
Bravery- traveled to countries riddled with illness,
warranted for cleaner environments, encouraged staff to
clean barracks, provide edible food and gather supplies
Advocate- Wrote hundreds of letters to government officials
informing them of the current conditions and advocating for
better practices
Practiced holistic nursing- finding patients money, housing
and food
Hospital administration- Maintained accurate records and
relied on statistical information to help make the best
decisions.
Teaching – setting up nursing schools and teaching students
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Although Florence Nightingale had many good
ideas, women were often rejected when they
attempted to become involved in medicine.
Privacy was not an issue and soldiers were
kept in small areas without blankets.
Soldiers may have been unwashed and still in
the same clothing they came to the hospital in
as sanitation was not of large concern.
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Lack of knowledge may have helped spread
cholera and malaria.
A women attempting to change the way a
professional man practices was seen as a
personal attack.
Restrictions prevented women from having
careers even though their services were much
needed.
Few schools existed that could train and produce an
educated nurse. Nursing was for working class women and
not considered respectable.
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KING’S COLLEGE IN LONDON
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The price of receiving adequate medical care
has become almost unaffordable for the
average working class family.
The opportunity to profit from provided
medical care and much needed prescription
drugs has increased.
The endless resources (internet) has provided
many with inaccurate information they now
base medical decisions on.
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Florence Nightingale suspected there may be
germs present that could be passed from one
patient to another. Today we know this to be
true and use hand washing, germicides, and
gloves to help prevent the spread of disease
and infection (germs).
Florence Nightingale used measurement to
track improvement, the same concept many of
us see on a skin and wound assessment sheet.
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Florence Nightingale wrote the first textbook
on nursing, today nurses teach fellow nurses
through the use of classrooms and nursing
textbooks.
Her heart it means good for no bounty she'll take,
She'd lay down her life for the poor soldiers sake.
She prays for the dying, she gives peace to the brave,
She feels that the soldier has a soul to be saved.
The wounded they love her as it has been seen,
She's the soldier's preserver, they call her their Queen.
May God give her strength, and her heart never fail,
One of heaven's best gifts is Miss Nightingale.
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Attewell, A. (2010). Florence Nightingale's relevance to nurses. Journal of Holistic
Nursing, 28(1), 101-106. doi: 10.1177/0898010109357245
Audain, C. (2010, July 2). Florence nightingale [Biographies of woman
mathematicians]. Retrieved October 14, 2010, from Agnes Scott College
website: http://www.agnesscott.edu/lriddle/women/nitegale.htm
Hacking, S. (2010). Florence Nightingale-a case study in excellence. Retrieved
September/October, 2010, from http://ezinearticles.com/?Florence-Nightingale--A-Case-Study-in-Excellence&id=5141589
Kearney-Nunnery, R. (2008). Advancing your career: Concepts of profession nursing
(4th ed.).
Philadelphia, PA: F.A. Davis Company. (Original work published 1997)
Men in nursing. (2010). Retrieved October 9, 2010, from All nursing schools
database.
Selanders, L. (2010). The power of environmental adaptation: Florence
Nightingale's original theory for nursing practice. Journal of Holistic Nursing, 28(1),
81-88. doi: 10.1177/0898010109360257
Stanley, D. & Sherratt, A. (2010). Lamp light on leadership: Clinical leadership and
Florence Nightingale. Journal of Nursing Management, 18(1), 115-121. doi:
10.1111/j.1365-2834.2010.01051.x
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1.) What do you think are some practices that
may seem insignificant today but could have a
profound impact on the future of patient care.
2.) Compare and contrast the use of fresh air in
hospitals.
3.) Florence wrote letter to congressman often
explaining to them the current situations.
Explain how you could take more of an active
role improving hospitals, payor sources or
overall patient care.