Florence Nightingale Research Articles

Historical evolution of ethical and legal aspects in aromatherapy in Brazilian Nursing

Introduction: Aromatherapy is an ancient practice performed by nurses, initially practiced by Florence Nightingale to calm wounded soldiers in the war and later consolidated by Marguerite Maury, considered an icon of modern Aromatherapy. This practice has sparked interest today due to its inclusion in Integrative and Complementary Health Practices and its congruence with the holistic vision present in nursing education and practice, which aims for care that reaches biopsychosocial and spiritual aspects. Objective: To describe the historical trajectory of ethical and legal aspects of nurse practice in Aromatherapy in Brazil. Material and Methods: This is a narrative review, in which publications from the Ministry of Health, the Federal Nursing Council, and Regional Nursing Councils were fully read, tracing a historical line of the legal developments of nurse practice in Aromatherapy. Searches used the keywords: aromatherapy, integrative practices in health, nursing, combined by the boolean indicator "and". These were organized in a chart that allows analyzing the evolution of these legislations over time. Results: Nursing, through its ethical and legal aspects, is a profession supported for the use of Aromatherapy in the nursing process in various health/disease situations. Nurses are allowed to prescribe essential oils, provided they have the training to do so that considers patient safety, and the development of institutional protocols is recommended. Nursing work in Aromatherapy has been recently regulated, with a minimum course load of 120 hours/lesson, in the form of free courses. Discussion and Conclusion: The ethical and legal aspects of Nursing in Aromatherapy have advanced, with solid ethical and legal bases. However, the lack of mandatory specialized education in the standards of the Ministry of Education, with courses subjected to evaluation and with a course load of over 360 hours/lesson, could mean a step back in the pursuit of in-depth knowledge, scientific research, and innovation. It is concluded that the regulation of Nursing in Aromatherapy is an important pathway opener for entrepreneurship, as well as consolidates its action as an integral member of the Integrative and Complementary Practices in Health.

A Journey of Joy: Dr. Barbara M. Dossey's Evolution in Nursing.

Dr. Barbara M. Dossey is an internationally recognized pioneer in the holistic nursing and nurse coaching movements. She is a Florence Nightingale scholar, nurse theorist, and national and international speaker and teacher on the role of holistic, integral, and integrative nursing and nurse coaching in the integrative healthcare paradigm. Her theory of integral nursing presents the science and art of nursing. Her coauthored theory of integrative nurse coaching, a middle-range theory, is a framework to guide integrative nurse coaches in nurse coaching practice, education, research, and healthcare policy. In this column, Dr. Dossey shares her scholarly journey of joy.

Dear Diary — Shining a light on the work of 200 nurses

BackgroundTo celebrate the 200th anniversary of the birth of Florence Nightingale, the World Health Assembly designated 2020 as the International Year of the Nurse and Midwife. AimTo celebrate this event, we aimed to collect and analyse 200 nurses’ personal accounts of a time when they made a meaningful difference to patient care and to compare the contemporary perspectives that emerged with those evident in Nightingale’s historical writings. MethodsThis project employed a narrative inquiry design with diary entries collected from nurses employed at one metropolitan hospital in Australia thematically analysed. FindingsIn total, 209 nurses from 46 clinical units representing a diverse range of roles and clinical specialties contributed to the project. Five overarching themes emerged from analysis: (1) compassionate practice; (2) person-centred care; (3) human connection; (4) patient safety; and (5) teamwork and collaborative practice. Discussion and conclusionThis project provided nurses with an opportunity to meaningfully reflect on their practice and to consider what matters most to them as they deliver care to patients and families. By mapping contemporary nursing practice to Nightingale’s writings, the findings highlight the historical legacy of nursing practice, provide a rich commentary on modern-day nursing, and illuminate nurses’ experiences of providing safe, high-quality, and compassionate patient care.

An Evolving Structure of Nature Immersion: Roots in Nightingale's Vital Power.

Background: In Florence Nightingale's view, vital power resides in both earthy materials and human nature and is an essential element of health. Vital power is defined as a health force that manifests in states of being while doing in nature to generate well-being, but little is known about the generative process of vital force. Purpose: This secondary study explored the vital power of children who experienced well-being while doing in nature. Methods: Using a framework of the Nature Immersion Model, directed content analysis of parental reflections on their children's vital power experiences sought to explore patterns of being while doing in nature observed in association with parental reports of: (a) change in their children's well-being and (b) qualities of vital power evident in parental descriptions of those changes in well-being. Conclusions: The essence of vital power encompassed feelings of a life-spark, natural energy that prompted a healing shift. Implications for Practice: Linkage between a middle-range Theory of Nature Immersion and Nightingale's perspective adds a new avenue for integrating the spiritual-physical-mental dimension of self during creative nursing praxis.

Spiritual Care in Hong Kong Home Care Nursing

Florence Nightingale Home Health & Nursing (FNHHN) was founded by a group of experienced nurses in Hong Kong in the year of 2020 with a strong intention to provide holistic nursing care to the elderly at home apart from assisted care required with the following identified values.

The people DataViz’s history ignores: a step forward to an intersectional history of Data Visualization

The history of Data Visualization, like history itself, has been told through the works of a narrow demographic group: white, cisgender men from high-income countries. While Florence Nightingale often features in such historical accounts and some recent literature has branched out to explore contributions from people with diverse gender and ethnical identities, a true feminist, intersectional, and decolonized History of Information Visualization is still missing. This paper attempts to jumpstart the effort of looking at women and people of color in Visualization’s past and examine the oppressive structures that hampered the deserved dissemination of their contributions.

Decolonisation of the nursing education curriculum in Gauteng province, South Africa: A concept analysis.

Decolonisation of the nursing education curriculum has become more important than ever. The nursing profession has been colonised since its founding era by Florence Nightingale. Victorian curriculum has been taught over decades in nursing. There is a knowledge gap of what decolonisation means in the profession. The purpose of this article is to describe the concept analysis process that was followed to clarify the concept of 'decolonisation' of the curriculum, provide conceptual meaning in nursing education, and formulate a theoretical definition. Nursing education practice in Gauteng. Definitions, nature, characteristics, and uses of decolonisation were sought and the researchers explored 52 publications, which included dictionaries, encyclopaedias, thesauri, conference articles, research reports, journal articles and subject-related literature across multiple disciplines, to critically analyse the concept 'decolonisation'. A 10-year period from 2012 to 2022 was used to search several databases. Defining attributes that included antecedents, process and consequences of decolonisation emerged. The antecedents were awareness, identification of colonial knowledge and thought, colonial attitudes, colonialism, racism, exclusion, denial of colonial systems and curriculum and colonial legacies in nursing education. Events after decolonisation are called consequences. The formulated theoretical definition of 'decolonisation' will be operationalised as further research takes place to come up with a conceptual framework for a decolonised socially just nursing curriculum. This study aimed to contribute towards the understanding of what decolonisation means within nursing education and lead to development of models, theories, and strategies on how decolonisation of the nursing curriculum can be undertaken.

The place of philosophy in nursing.

Philosophy adds humanness to nursing and facilitates holistic care. Philosophies like Ubuntu which purports that a person is only a person through other people and emphasises community cohesion and caring for each other can add humanness to nursing. Because Ubuntu validates subjective experience and its meaning in the lifeworld, it exemplifies the basis of holistic and individualised caring in nursing. Although nurses can make their own philosophy through critical reflexivity, the convergent point is the goal of meaningful caring that is, sustaining health and the well-being of patients and significant others. Philosophy transcends job description, it encompasses visceral experience, personal beliefsand goals, resulting in purpose and deeper meaning to the nursing profession of caring as emulated by Florence Nightingale. While contemporary philosophy has been met with criticism as being detached from human concern, narrowly focussed and technical, it evokes critical thinking and promotes sociality in nursing practice. The Covid-19 pandemic vividly brought philosophy to the fore as nurses sacrificially and vulnerably rose to the challenge of caring not only for the sick, but also for families who through infection control measures were deprived of sociality. This paper argues that philosophy adds humanness and substance to nursing in the context of COVID-19.

A74The use of simulation to support the upskilling of interprofessional teams providing an Urgent Community Response service (UCR)

An NHS provider had no established simulation education opportunities for community based allied health professionals (AHP). Urgent Community Response (UCR) teams are interdisciplinary teams, comprised of nurses, paramedics, physiotherapists and occupational therapists, who provide care to adults in their home to avoid hospital admission [1]. Older people experience effective high-quality care when a multi-skilled clinician, working across the usual professional boundaries, can effectively address their needs rather than requiring numerous other professionals to visit them at home. In this NHS Trust, intermediate care teams were required to include UCR referrals as part of their usual work. The physiotherapists and occupational therapists from these teams required upskilling to be able to safely support patients requiring this more acute and urgent level of care. Clinicians working in the community have limited opportunity to observe and learn from each other. Simulation is an evidenced based educational activity to support the development of new knowledge and skills required in interdisciplinary teams working in clinical settings [2]. It was hypothesized that interprofessional simulation would be an effective educational intervention to support this upskilling. A faculty was established which included a simulation educator; simulation technician; a practice development AHP; and a physiotherapist with clinical experience of working within this setting. Simulation scenarios were developed to reflect common referral presentations; the Skills for Health UCR Capability Framework [3]; and learning outcomes identified as priorities by the clinicians and service managers. The learning outcomes included applying an A to E assessment; the use of NEWS2 and the SBAR escalation tool when assessing an adult patient in their own home. A modified Kirkpatrick evaluation form was used to evaluate the training. Three simulation training events were offered. There were 26 participants overall with representation from physiotherapy, occupational therapy, nursing and healthcare support workers. There were fourteen evaluation responses to a modified Kirkpatrick evaluation form. The evaluation identified that simulation provided an opportunity to learn from other professions; supported the practical application of learning; debriefing provided a safe learning environment; and that the learning would lead to changes in their current practice (see Evaluation themes with supporting examples Simulation training events were evaluated by participants from an interprofessional community team as a safe, practical and effective way to support their upskilling to provide an UCR service. Simulation should be considered as part of an education package to support interprofessional teams upskilling to provide new services in a community setting. Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable. This work forms part of a fellowship project funded by NHS England (South East) Workforce, Training and Education; with the Florence Nightingale Foundation and Canterbury Christ Church University.

FLORENCE NIGHTINGALE – THE MONUMENT OF HUMANITY IN THE CRIMEAN WAR 1853.-1856.

Background: Ms. Florence Nightingale (F.N.) has been recognized as the founder of modern nursing. She had a prominent role in organizing the medical service for the British army in the Crimean War. Aim: The goal of the research was to determine the role and contribution of F.N. to the medical service during the Crimean War, her original organizing arrangements, and novel treatment modalities in the setting of a mass casualty situation. The impact of her war experience on her psychological condition has been assessed. Methodology: The research was done through a review of the historical documents, considering the work and the role of F.N. in the British Army medical service during the Crimean War. Result: The passionate work of F.N. in the field hospital earned her the nickname Angel of Crimea. She introduced novel methods of nursing and sanitation that reduced the mortality rate in the British Army by 70%. However, after the war, on her return home to England, she showed mood changes consistent with what is nowadays known as posttraumatic stress disorder. Conclusion: Engagement in the medical service during the war carries the inevitable risk of the development of posttraumatic stress disorder. This should be considered a real and obvious threat for medical personnel involved with the treatment of the injured during the war, i.e., the mass casualty situation. The contribution of F.N. to the organization and efficacy of the military medical service of the British Army has been discussed.

HISTORY OF NURSING IN SERBIA

The first secondary medical school in Serbia was founded in 1921. Its name was "School for Nurses", with the involvement of the Red Cross Society from Geneva and the Red Cross Society from Belgrade, and at the suggestion of Dr. Reeder, head of the American mission. The first headmistress of the school was the English Miss Edith Newton, a student of Florence Nightingale. In 1924, the first generation of 18 sisters graduated. Most of them were assigned to medical facilities in southern Serbia; two were sent to America at the expense of the Rockefeller Foundation, and one to England for training at the expense of the League. In 1952, the Higher School for Nurses of the Red Cross of Yugoslavia was opened. Today, there are a large number of secondary medical schools, both private and state. School today lasts for four years.

Increasing Importance of Florence Nightingale's Theory During the 21st-Century Pandemic Period.

Increasing Importance of Florence Nightingale's Theory During the 21st-Century Pandemic Period.

Nursing Competencies in the Nursing Curriculum

Florence Nightingale is the modern founder of nursing and professionalized nursing by creating training programs for aspiring nurses. Nursing standards for education started in the early days of nursing education, beginning in the late 1800s. National accreditation standards shape nursing educational programs and clinical practices; however, state-level boards of nursing establish and monitor practice standards. Nursing education accreditation agencies recently shifted their focus to competency-based education, including core abilities required to function as a nurse, provide comprehensive care, and meet patients' complex and diverse needs in every setting. This manuscript reviews the state of current competencies that educational institutions are adopting. A relationship between competencies, standards of practice, and emerging opportunities is needed to develop further education programs that address current clinical practice needs in today's technical and post-pandemic work and clinical environments.

Florence Nightingale and the Provincial Response to the Crimean War

Abstract Florence Nightingale rose to fame early in 1855 at a time when provincialism was assuming unprecedented importance in Victorian culture. The London papers The Times and the Illustrated London News linked Nightingale to the typically provincial domain of the parish and the home: her public image reflecting the wish to extend domestic comfort to soldiers, adrift on foreign land and neglected by uncaring military authorities. Nightingale’s campaigns to improve soldiers’ conditions then galvanized the charitable enthusiasms of households across Britain and its colonies, as the public sent contributions ranging from knitted slippers to bedsheets repurposed as wound dressings on ships to the Crimea. Nightingale subsequently introduced army reading rooms stocked with works of regional and provincial fiction, either as actual volumes or as instalments in periodicals such as Household Words, to bring the imaginative connections between the parish and the Scutari hospitals closer still. While recent work by Stefanie Markovits and Holly Furneaux has shown how the cultural lives of ‘home’ and ‘the East’ were closer than previously thought, I contend that two distinctively provincial features of Nightingale’s place within the conflict have not been sufficiently recognized. First, Nightingale drew on gendered notions of the home and domesticity that were crucial to the provincial as it gained appeal and meaning during the middle of the century. Second, in facilitating imaginative connections between soldiers and the reading public many thousands of miles away, Nightingale showed that the provincial operated most effectively at distance, where its effects were felt most strongly among an increasingly dispersed and fragmented nation.

Electronic Health Records From The Perspective Of Nurses

Since the time of Florence Nightingale, the founder of modern nursing, data obtained by nurses in relation to patient diagnosis have become the most important source in planning care. These data have now been transferred to electronic media. Electronic health records have increased the quality and safety of care, as well as helping establish accessible and holistic health records. In this process, while nurses try to rapidly adapt to the electronic health record system, they also experience work stress due to the difficult workflow and time pressure. However, in the current period of rapid digitalization, nurse informaticsts, with their increased skills and observation of user experiences, can be the key health personnel for every institution to develop and improve electronic health records.

Evaluation of the impact of leadership development on nurses and midwives underpinned by transformational learning theory: a corpus-informed analysis

PurposeThe purpose of this paper is to evaluate the impact of leadership development programmes, underpinned by Transformational Learning Theory (TLT).Design/methodology/approachA corpus-informed analysis was conducted using survey data from 690 participants. Data were collected from participants’ responses to the question “please tell us about the impact of your overall experience”, which culminated in a combined corpus of 75,053 words.FindingsFindings identified patterns of language clustered around the following frequently used word types, namely, confidence; influence; self-awareness; insight; and impact.Research limitations/implicationsThis in-depth qualitative evaluation of participants’ feedback has provided insight into how TLT can be applied to develop future health-care leaders. The extent to which learning has had a transformational impact at the individual level, in relation to their perceived ability to influence, holds promise for the wider impact of this group in relation to policy, practice and the promotion of clinical excellence in the future. However, the latter can only be ascertained by undertaking further realist evaluation and longitudinal study to understand the mechanisms by which transformational learning occurs and is successfully translated to influence in practice.Originality/valuePrevious research has expounded traditional leadership theories to guide the practice of health-care leadership development. The paper goes some way to demonstrate the impact of using the principles of TLT within health-care leadership development programmes. The approach taken by The Florence Nightingale Foundation has the potential to generate confident leaders who may be instrumental in creating positive changes across various clinical environments.

The Russo-Turkish War in Crimea and Nightingale's Role in It (1854-1855)

In October 1853, the Ottoman Empire declared war on Russia, after a series of disputes over the holy places in Jerusalem and Russian claims to protect the Orthodox subjects of the Ottoman Empire. The British and French, allies of the Ottoman Empire, sought to check Russian expansion. The majority of the Crimean War took place in Crimea, Russia. However, the British troop base and hospitals for the care of sick and wounded soldiers were established primarily at Scutari (Uskudar), across the Bosphorus from Constantinople (Istanbul). As the war broke out, reports returned to Britain about the terrible conditions for the sick and wounded British soldiers. Popular on the mistreatment of wounded British soldiers, a friend of Florence Nightingale, the Secretary of War, Sidney Herbert, wrote to Florence and asked her to lead a group of nurses to attend the headquarters of the British forces. So Florence Nightingale volunteered to go to Turkey then known as Scutari, accompanied by thirty-eight women, including eighteen Catholic, Anglican and Roman sisters, to war.

The Challenge of Diversity in Nursing Leadership: The Need to Avoid Misinformation and False Facts

This article probes two recent (2022-2023) instances of false narratives in nursing, both with the laudable goal of promoting diversity in nursing leadership, but which presentations are flawed by false facts. The first example is the installation of portraits of Florence Nightingale, the founder of nursing, and Mary Seacole, the Crimean War businesswoman and volunteer, at Toronto’s University Health Network and Princess Margaret Cancer Centre. The second is a 2023 article by a nursing academic, Jennifer Woo, urging decolonization of “the history of nursing by magnifying the contributions of nurses of colour”. It includes mention of a number of leading nurses of colour, however with an enormous number of false claims for Mary Seacole. Brief mention is also made of Rappaport’s 2022 revised book on Seacole calling her “a Black Cultural Icon and Humanitarian”. This article goes on to present two leading diversity nurses well worthy of celebration: The Nigerian Kofoworola Abeni Pratt, the first Black nurse in Britain’s National Health Service, who led in Nigerian nurses assuming leadership roles from white, British, expatriate nurses. The other is the redoubtable Mary Elizabeth Carnegie (1916-2008), the African-American nurse who led in the racial integration of nursing in the United States. Consideration is given as well to how such major mistakes are made in the nursing literature, with a recommendation for much more critical reading of sources.

Telling a different story: Historiography, ethics, and possibility for nursing.

With this paper, I will interrogate some of the implications of nursing's dominant historiography, the history written by and about nursing, and its implications for nursing ethics as a praxis, invoking feminist philosopher Donna Haraway's mantra that 'it matters what stories make worlds, what worlds make stories.' First, I will describe what I have come to understand as the nursing imaginary, a shared consciousness constructed both by nurses from within and by those outside the discipline from without. This imaginary is fashioned in part by the histories nursing produces about the discipline, our historical ontology, which is demonstrative of our disciplinary values and the ethics we practice today. I assert that how we choose to constitute ourselves as a discipline is itself an ethical endeavour, bound up with how we choose to be and what we allow as knowledge in nursing. To animate this discussion, I will outline the received historiography of nursing and dwell in the possibilities of thinking about Kaiserswerth, the training school that prepared Nightingale for her exploits in Crimea and beyond. I will briefly consider the normative values that arise from this received history and consider the possibilities that these normative values foreclose upon. I then shift the frame and ask what might be possible if we centred Kaiserswerth's contested legacy as a training school for formerly incarcerated women, letting go of the sanitary and sanitised visions of nursing as Victorian angels in the hospital. Much energy over the past 250 years has been invested in the professionalisation and legitimation of nursing, predicated (at least in our shared imaginary) on the interventions of Florence Nightingale, but this is one possibility of many. I conclude with a speculative dream of the terrain opens up for nursing if we shed this politics and ethos of respectability and professionalism and instead embrace community, abolition and mutual aid as organising values for the discipline.

Resilient Hospital Design: From Crimea War to COVID-19.

Serious COVID-19 nosocomial infection has demonstrated a need to design our health services in a different manner. Triggered by the current crisis and the interest in rapid deployable hospital, this article discusses how hospital building layouts can be improved to streamline the patient pathways and thus to reduce the risk of hospital-related infections. Another objective of this work is to explore the possibility to develop flexible and scalable hospital building layouts through modular construction. This enables hospitals to better cope with different future demands and thereby enhance the resilience of the healthcare facilities. During the first wave of COVID-19, approximate one-seventh to one-fifth COVID-19 patients and majority of infected healthcare workers acquired the disease in NHS hospitals. Similar issues emerged during the Crimean War (1853-1856) when more soldiers died from infectious diseases rather than of battlefield casualties in Scutari Hospital. This led to an important collaborative work between Florence Nightingale, who looked into this problem statistically, and Isambard Kingdom Brunel, who designed the rapid deployment Renkioi Hospital which yielded a death rate 90% lower than that in Scutari Hospital. While contemporary medical research and practice have moved beyond Nightingale's concept of contagion, challenges of optimizing hospital building layouts to support healing and effectively combat nosocomial infections still pose elusive problems that require further investigation. Through case study investigations, this article evaluates the risk of nosocomial infections of airborne transmissions under different building layouts, and this provides essential data for infection control in the new-build or refurbished healthcare projects. Improved hospital layout can be achieved through reconfiguration of rooms and concourse. Design interventions through evidence-based infection risk analysis can reduce congestion and provide extra separation and compartmentalization which will contribute the reduced nosocomial infection rate. A resilient hospital shall be able to cope with unexpected circumstances and be flexible to change when new challenges arise, without compromising the safety and well-being of frontline medical staff and other patients. Such an organizational resilience depends on not only flexible clinical protocols but also flexible hospital building layouts. The latter allows hospitals to get better prepared for rapidly changing patient expectations, medical advances, and extreme weather events. The reconfigurability of an existing healthcare facility can be further enhanced through modular construction, standardization of building components, and additional space considered.