Challenge to Extract the Positive Findings for Nurses in Modern Day from F. Nightingale's Work about Social Reform

Thursday, July 14, 2011

Yoshiko Wazumi, PhD, RN, PHN1
Shinobu Saito, PhD, RN, PHN1
Toshie Yamamoto, PhD, RN, PHN1
Michiko Marumo, MN, RN, PHN2
Akiko Nagata, MN, RN, PHN1
Yoko Mizuguchi, MN, RN, PHN3
Fusako Kawabe, MN, RN, PHN1
(1)Graduate School of Nursing, Chiba University, Chiba, Japan
(2)Department of Nursing, Chiba Social Insurance Hospital, Chiba, Japan
(3)School of Nursing, Niigata College of Nursing, Niigata, Japan

Learning Objective 1: The learner will be able to reassess F. Nightingale’s work in relation to social reform.

Learning Objective 2: The learner will be able to find a solution to modern day complex problems related to patients’ health.

  The challenge for modern day nurses in finding solutions to modern day complex problems could be minimized by learning from F. Nightingale.  The purpose of this study was to extract the positive findings realized by F. Nightingale’s work.

  Her 12 important accomplishments, related to social reform, were chosen and her writings and biography which mentioned these accomplishments were collected as the subjects of this study. 

  Researchers analyzed her writings and biography by using the following framework:

  1. F. Nightingale’s way of grasping the structure of problems by means of skillful fact finding, deciphering and keen ability in recognizing the correlation between the facts involved in a situation
  2. F. Nightingale’s actual means of addressing the problems she had grasped
  3. Points of differences or in common between the contributing background factors of that time and today that provide the background for the achievements

  From that, the following findings were extracted.  F. Nightingale’s way of grasping the structure of problems was characterized by her consistent vision and attention to the needs and wellbeing of her patients over anything else.  Despite the myriad of administrative, financial and executive decisions that needed to be made under a situation of scarce financial resources, she managed never to lose sight of her patients’ wellbeing.  Although she was keenly aware of the dire financial situation facing the economy and hospitals, she only took pride and felt a sense of accomplishment when she was able to maintain or improve patient satisfaction in the face of needed cutbacks and budget limitations.

  It was suggested that these findings would be helpful in finding a way to solve similar problems including poverty, joblessness and the systemic financial trouble facing the community medical services which is still an issue to this day.