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Sickness in the Workhouse illuminates the role of workhouse medicine in caring for England's poor, bringing sick paupers from the margins of society and placing them centre stage.
The following pages contain a brief account of the experiment successfully tried by the Select Vestry of Liverpool (the guardians of the poor)—the introduction of trained Nurses into the male wards of the Workhouse Infirmary. That experiment having resulted so successfully as to induce the Vestry to extend the system to the remainder of the infirmary, it may be interesting to those who are concerned in the management of workhouses elsewhere to learn something of its history and progress. It is the writer’s object to explain— 1. The grounds on which the Vestry were led to undertake the experiment, as stated in the preliminary report of Mr. Carr, the governor, and that of the sub-committee of the Vestry appointed to consider the proposed scheme; and the replies received to inquiries addressed by them to institutions and persons connected with the training and employment of skilled nurses in London and Liverpool, with letters on the subject from Miss Nightingale and Sir John McNeill. 2. The results of the experiment, so far as hitherto ascertained. The Liverpool Vestry had previously made considerable efforts to improve the workhouse infirmaries. The medical men had been encouraged to make requisition for every material appliance that could facilitate the cure of the sick; and paid female officers were appointed at the rate of one to each 150 or 200 beds, to superintend the giving of medicines and stimulants, and so forth: but of course so small a number, even had they been trained nurses, could do no real nursing, and could exercise little supervision over the twenty drunken or unreliabl pauper nurses who were under the nominal direction of each paid officer. An appeal was made to the Vestry to consummate the good work they had thus partially commenced, and it was urged that Liverpool should assume the lead in the task of workhouse reform.
Although Florence Nightingale is famous as a nurse, her lifetime’s writing on nursing and to nurses is scarcely known in the profession. Nursing professors tend to “look to the future, not to the past,” and often ignore her or rely on faulty secondary sources. Volume 12 related the founding of her school at St Thomas’ Hospital and her guidance of its teaching for the rest of her life. Volume 13, Extending Nursing, relates the introduction of professional training and standards outside St Thomas’, beginning with London hospitals and others in Britain, followed by hospitals in Europe, America, Australia and Canada. Also presented is material on work in India, Japan and China. The challenge of raising standards in the tough workhouse infirmaries is reported, as is Nightingale’s fostering of district nursing. A chronology in this volume provides a convenient overview of Nightingales work on nursing from 1860 to 1900. Both volumes give biographical sketches of key nursing leaders.
Florence Nightingale is known as a hospital reformer, a social reformer, and the founder of professional nursing; few realize that she worked closely with doctors on these issues. As Nightingale’s first supporters and colleagues, doctors contributed to reducing the high death rates in Crimean War hospitals and learned from the consequential reforms. Beginning with an overview of Nightingale’s life and continuing with an exploration of her Crimean War work with army doctors, her post-Crimea work with civilian doctors, and her collaborations with the peacetime army and with army doctors in later wars, Lynn McDonald details the involvement of doctors in Nightingale’s legacy. At a time when hospitals’ death rates were universally high (including at top teaching hospitals), Nightingale formed connections with leading public health doctors and produced heavily cited work on safer hospital design. Her later writings cover her relations with early women doctors and the controversy over state regulation of nurses, bacteriology, and germ theory; here, McDonald argues against flawed secondary literature and the myth of Nightingale’s lifelong opposition to germ theory. The final chapter discusses the legendary nurse’s enduring legacy. Florence Nightingale and the Medical Men provides timely insight into Nightingale’s principles of disease prevention, data visualization, and the impacts of high disease and death rates – issues that persist in the global health crises of the twenty-first century.
Infant Mortality and Working-Class Child Care, 1850-1899 unlocks the hidden history of working-class child care during the second half of the nineteenth century, seeking to challenge those historians who have cast working-class women as feckless and maternally ignorant. By plotting the lives of northern women whilst they grappled with industrial waged work in the factory, in agriculture, in nail making, and in brick and salt works, this book reveals a different picture of northern childcare, one which points to innovative and enterprising child care models. Attention is also given to day-carers as they acted in loco parentis and the workhouse nurse who worked in conjunction with medical paediatrics to provide nineteenth-century welfare to pauper infants. Through the use of a new and wide range of source material, which includes medical and poor law history, Melanie Reynolds allows a fresh and new perspective of working-class child care to arise.