May 23, 1873. My dear Friends,—Another year has passed over us. Nearly though not quite all of us who were here at this time last year have gone their several ways, to their several posts; some at St. Thomas’, some to Edinburgh, some to Highgate. Nearly all are, I am thankful to say, well, and I hope we may say happy. Some are gone altogether. May this year have set us all one step farther, one year on our way to becoming “perfect as our Father in Heaven is perfect,” as it ought to have done. Some differences have been made in the School by our good Matron, who toils for us early and late—to bring us on the way, we hope, towards becoming “perfect.” These differences—I leave it to you to say, improvements—are as you see: our new Medical Instructor having vigorously taken us in hand and Next, in order to give more time and leisure to less tired bodies, the Special Probationers have two afternoons in the week off duty for the course of reading which our able Medical Instructor has laid down. And the Nurse-Probationers have all one morning and one afternoon in the week to improve themselves, in which our kind Home Sister assists them by classes. And, again, I need not say how important it is to take the utmost advantage of this. Do not let the world move on and leave us in the wrong. Now that, by the law of the land, every child between five and thirteen must be at school, it will be a poor tale, indeed, in their after life for Nurses who cannot read, write, spell, and cypher well and correctly, and read aloud easily, and take notes of the temperature of cases, and the like. Only this last week, I was told by one of our own Matrons of an excellent Nurse of her own to whom she would have given a good place, only that she could neither read nor write well enough for it. And may I tell you, not for envy, but for a generous rivalry, that you will have to work hard Let us be on our guard against the danger, not exactly of thinking too well of ourselves (for no one consciously does this), but of isolating ourselves, of falling into party spirit—always remembering that, if we can do any good to others, we must draw others to us by the influence of our characters, and not by any profession of what we are—least of all, by a profession of Religion. And this, by the way, applies peculiarly to what we are with our patients. Least of all should a woman try to exercise religious influence with her patients, as it were, by a ministry, a chaplaincy. We are not chaplains. It is what she is in herself, and what comes out of herself, out of what she is—that exercise a moral or religious influence over her patients. No set form of words is of any use. And patients are so quick to see whether a Nurse is consistent always in herself—whether she is what she says to them. And if she is not, it is no use. If she is, of how much use, unawares to herself, may the simplest word of soothing, of comfort, or even of reproof—especially in the quiet night—be to the roughest patient, who is there from drink, or to Quiet in our own rooms (and a room of your own is specially provided for each one here); a few minutes of calm thought to offer up the day to God: how indispensable it is, in this ever increasing hurry of life! When we live “so fast,” do we not require a breathing time, a moment or two daily, to think where we are going? At this time, especially, when we are laying the foundation of our after life, in reality the most important time of all. And I am not at all saying that our patients have everything to learn from us. On the contrary, we can, many a time, learn from them, in patience, in true religious feeling and hope. One of our Sisters told me that she had often learnt more from her patients than from any one else. And I am sure I can say the same for myself. The poorest, the meanest, the humblest patient may enter into the kingdom of Heaven before the cleverest of us, or the most conceited. For, in another world, We have been, almost all of us, taught to pray in the days of our childhood. Is there not something sad and strange in our throwing this aside when most required by us, on the threshold of our active lives? Life is a shallow thing, and more especially Hospital life, without any depth of religion. For it is a matter of simple experience that the best things, the things which seem as if they most would make us feel, become the most hardening if not rightly used. And may I say a thing from my own experience? No training is of any use, unless one can learn (1) to feel, and (2) to think out things for oneself. And if we have not true religious feeling and purpose, Hospital life—the highest of all things with these—without them becomes a mere routine and bustle, and a very hardening routine and bustle. One of our past Probationers said: “Our work must be the first thing, but God must be in it.” “And He is not in it,” she added. But let us hope that this is not so. I am sure it was not so with her. Let us try to make it not so with any of us. There are three things which one must have to One is the real, deep, religious feeling and strong, personal, motherly interest for each one of our patients. And you can see this motherly interest in girls of twenty-one—we have had Sisters of not more than that age who had it—and not see it in women of forty. The second is a strong practical (intellectual, if you will) interest in the case, how it is going on. This is what makes the true Nurse. Otherwise the patients might as well be pieces of furniture, and we the housemaids, unless we see how interesting a thing Nursing is. This is what makes us urge you to begin to observe the very first case you see. The third is the pleasures of administration, which, though a fine word, means only learning to manage a Ward well: to keep it fresh, clean, tidy; to keep up its good order, punctuality; to report your cases with absolute accuracy to the Surgeon or Physician, and first to report them to the Sister; and to do all that is contained in the one word, Ward-management: to keep wine-lists, diet-lists, But it would take a whole book for me to count up these; and I am going back to the first thing that we were saying: without deep religious purpose how shallow a thing is Hospital life, which is, or ought to be, the most inspiring! For, as years go on, we shall have others to train; and find that the springs of religion are dried up within ourselves. The patients we shall always have with us while we are Nurses. And we shall find that we have no religious gift or influence with them, no word in season, whether for those who are to live, or for those who are to die, no, not even when they are in their last hours, and perhaps no one by but us to speak a word to point them to the Eternal Father and Saviour; not even for a poor little dying child who cries: “Nursey, tell me, oh, why is it so dark?” Then we may feel painfully about them what we do not at present feel about ourselves. We may wish, both for our patients and Probationers, that they had the restraints of the “fear” of the most Holy God, to enable them to resist the temptation. We may regret that our own Probationers seem so worldly and external. And we may perceive too For, to all good women, life is a prayer; and though we pray in our own rooms, in the Wards and at Church, the end must not be confounded with the means. We are the more bound to watch strictly over ourselves; we have not less but more need of a high standard of duty and of life in our Nursing; we must teach ourselves humility and modesty by becoming more aware of our own weakness and narrowness, and liability to mistake as Nurses and as Christians. Mere worldly success to any nobler, higher mind is not worth having. Do you think Agnes Jones, or some who are now living amongst us, cared much about worldly success? They cared about efficiency, thoroughness. But that is a different thing. We must condemn many of our own tempers when we calmly review them. We must lament over training opportunities which we have lost, must desire to become better women, better Nurses. That we all of us must feel. And then, and not till then, will life and work among the sick become a prayer. For prayer is communion or co-operation with God: the expression of a life among his poor and sick Does the thought ever occur to us in the course of the day, that we will correct that particular fault of mind, or heart, or temper, whether slowness, or bustle, or want of accuracy or method, or harsh judgments, or want of loyalty to those under whom or among whom we are placed, or sharp talking, or tale-bearing or gossiping—oh, how common, and how old a fault, as old as Solomon! “He that repeateth a matter, separateth friends;” and how can people trust us unless they know that we are This is the spirit of prayer, the spirit of conversation or communion with God, which leads us in all our Nursing silently to think of Him, and refer it to Him. When we hear in the voice of conscience His voice speaking to us; when we are aware that He is the witness of everything we do, and say, and think, and also the source of every good thing in us; and when we feel in our hearts the struggle against some evil temper, then God is fighting with us against envy and jealousy, against selfishness and self-indulgence, against lightness, and frivolity, and vanity, for “our better self against our worse self.” And thus, too, the friendships which have begun at this School may last through life, and be a help and strength to us. For may we not regard the opportunity given for acquiring friends as one of the uses of this place? and Christian friendship, But we all know that there are dangers and disappointments in friendships, especially in women’s friendships, as well as joys and sorrows. A woman may have an honourable desire to know those who are her superiors in education, in the School, or in Nursing. Or she may allow herself to drop into the society of those beneath her, perhaps because she is more at home with them, and is proud or shy with her superiors. We do not want to be judges of our fellow-women (for who made thee to differ from another?), but neither can we leave entirely to chance one of the greatest interests of human life. True friendship is simple, womanly, unreserved: not weak, or silly, or fond, or noisy, or romping, or extravagant, nor yet jealous and selfish, and exacting more than woman’s nature can fairly give, for there are other ties which bind women to one another besides friendship; nor, again, intrusive into the secrets of another woman, or curious Two Probationers or Nurses going together have not only a twofold, but a fourfold strength, if they learn knowledge or good from one another; if they form the characters of one another; if they support one another in fulfilling the duties and bearing the troubles of a Nursing life, if their friendship thus becomes fellow-service to God in their daily work. They may sometimes rejoice together over the portion of their training which has been accomplished, and take counsel about what remains to be done. They will desire to keep one another up to the mark; not to allow idleness or eccentricity to spoil their time of training. But some of our youthful friendships are too violent to last: they have in them something of weakness or sentimentalism; the feeling passes away, and we become ashamed of them. Or at some critical time a friend has failed to stand by us, and then it is useless to talk of “auld lang syne.” Only still let us remember that there are duties which we owe to the “extinct” friend (who perhaps on some fanciful ground has parted company from us), that we should never speak And then there is the “Christian or ideal friendship.” What others regard as the service of the sick she may recognise as also the service of God; what others do out of compassion for their maimed fellow-creatures she may do also for the love of Christ. Feeling that God has made her what she is, she may seek to carry on her work in the Hospital as a fellow-worker with God. Remembering that Christ died for her, she may be ready to lay down her life for her patients. “They walked together in the house of God as friends”—that is, they served God together in doing good to His sick. For if ever a place may be called the “house of God,” it is a Hospital, if it be what it should be. And in old times it was called the “house” or the “hotel” of God. The greatest and oldest Central Hospital of Paris, where is the Mother-house of the principal Order of Nursing Sisters, is to this day called the HÔtel Dieu, the “House of God.” There may be some amongst us who, like St. Paul, are capable of feeling a natural interest in “To live in isolation is to be weak and unhappy—perhaps to be idle and selfish.” There is something not quite right in a woman who shuts up her heart from other women. This may seem to be telling you what you already know, and bidding you do what you are already doing. Well, then, shall we put the The friends thou hast, and their adoption tried, Grapple them to thy soul with hooks of steel; But do not dull thy palm with entertainment Of each new-hatched, unfledged comrade. And do not expect more of them than friends can give, or weary them with demands for sympathy; and do not let the womanliness of friendship be impaired by any silliness or sentimentalism; or allow hearty and genial good-will to degenerate into vulgarity and noise. And as was once truly said, friendship perhaps appears best, as it did in St. Paul, in his manner of rebuking those who had erred, “transferring their faults in a figure to Apollos and to himself.” “No one knew how to speak the truth in love like him.” It has been said of Romans xii.: “What rule of manners can be better than this chapter?” “She that giveth, let her do it with simplicity”; that is, let us do our acts of Nursing and kindness as if we did not make much of them, as unto the Lord and not to men. “Like-minded one And have we St. Paul’s extraordinary regard for the feelings of others? He was never too busy to think of these. “If meat make my brother to offend, I will eat no more meat while the world standeth,” he says, though he well knew such scruples were really superstitions. If the spirit of these words could find a way to our women’s hearts, we might be able to say, “See how these Christians (Nurses) love one another!” Then the courtesy we owe, one woman to another: “for the happiness and the good” of our work and our School is not simply “made up of great duties and virtues, nor the evil of the opposite.” But both seem to consist also in a number of small particulars, which, small as they are, have a great effect on the tone and character of our School, introducing light or darkness into the “Home,” sweetness or bitterness into our intercourse with one another. And, as to our Wards: Christ, we may be sure, did not lose authority, or dignity and IIAnd let me say a word about self-denial: because, as we all know, there can be no real Nursing without self-denial. We know the story of the Roman soldier, above fourteen hundred years ago, who, entering a town in France with his regiment, saw a sick man perishing with cold by the wayside—there were no Hospitals then— It is said that a dream visited him, in which he found himself admitted into heaven, and Christ saying, “Martin hath clothed me with this garment”: the dream, of course, being a remembrance of the verse, “When saw we thee sick or in prison, and came unto thee?” and of the answer, “Inasmuch as ye have done it unto one of the least of these my brethren, ye have done it unto me.” But whether the story of the dream be true or not, this Roman soldier, converted to Christianity, became afterwards one of the greatest bishops of the early ages, Martin of Tours. We are not called upon to feed our patients with our own dinners, or to dress them with our own clothes. We are comfortable, and cannot make ourselves uncomfortable on purpose. But we can learn Sick Cookery for our Patients, we can give up spending our money in foolish dressy ways, and thus squandering what we ought to lay by for ourselves or our families. On one of the severest winter days in the late war between France and Germany, an immense detachment, many thousands, of wretched French And at a large German station, which almost all the prisoners’ trains passed through, a lady She is my friend. We have not to give of our own to our sick. But shall we the less give them our all—that is, all our hearts and minds? and reasonable service? Suppose we dedicated this “School” to Him, to the Divine Charity and Love which said, “Inasmuch as ye do it unto one of the least of these my brethren” (and He calls all our patients—all of us, His brothers and sisters) “ye do it unto me”—oh, what a “Kingdom of Heaven” this might be! Then, indeed, the dream of Martin of Tours, the soldier and Missionary-Bishop, would have come true! IIIMay I take this opportunity of saying what I think really very much concerns us? First of all, that you have, or might have, directly and It is in your power to assist the School most materially in obtaining fresh and worthy recruits. There is hardly one of you who has not friends or acquaintances of her own. You ought to advertise us. We ought not to have to put one advertisement in the newspapers. If you think this is a worthy life, why do you not bring others to it? I tried to do my part. When Agnes Jones died, though my heart was breaking, I put an article in Good Words, such as I knew she would have wished, in all but the mention of herself; and for years her dear memory brought aspirants to the work in our Schools, or others’ Schools. To reform the Nursing of all the Hospitals and Workhouse Infirmaries in the world, and to In the last ten years, thank God, numerous Training Schools for Nurses have grown up, resolved to unite in putting a stop to such a thing as drunken, immoral, and inefficient Nursing. But all make the same complaint; while the outcry of “employment for women” continues, why does not this most womanly employment for all good women become more sought after? I hope to hear that my old friends in St. Thomas’ have each done their part; and I feel quite sure that if it is once placed before them, as a thing they ought to do, they will be found in the front. You who are assembled in this room, and who are each connected with some circle, directly or indirectly, may do a good work for the civilisation of the Workhouses and Hospitals of the world. If you inform yourselves on the subject, and if you set yourselves to work, to deal with it, as we do with any other great evil that tortures helpless people, you will be able to act directly upon your friends outside, and ultimately get up an amount of public opinion among women capable of becoming Those who have made the right use of all the training that came in their way in this School, if they would write to their own homes for the information of their friends outside, an immense help on its way could be given to the work we have all so much at heart. And I look upon it as a certainty that you will each be able, in one way or another, whether purposely or almost unconsciously, to take a great part in reforming the Hospital and Workhouse Nursing systems of our country, perhaps of our colonies and dependencies, and perhaps of the world. IVMay I pay ourselves even the least little compliment, as to our being a little less conceited than last year? Were we not as conceited in 1872 as it was possible to be? You shall tell. Are we, in 1873, rather less so? And, without having any one particularly in my head—for what I am going to ask is in fact a truism—is not our conceit always in exact proportion to our ignorance? For those who really know something know how little it is. Would that this could be a “secret” among us! But, unfortunately, is not our name “up” and “abroad” for conceit? And has it not even been said (“tell it not in Gath”): “And these conceited ‘Nightingale’ women scarcely know how to read and write?” Now let no one look to see our blushes. But shall we not get rid of this which makes us ridiculous as fast as we can? But enough of this joke; let us be serious, remembering that the greatest trust which is committed to any woman of us all is, herself; and that she is living in the presence of God as well as of her fellow-women. To know whether we know our Nursing The world, more especially the Hospital world, is in such a hurry, is moving so fast, that it is too easy to slide into bad habits before we are aware. And it is easier still to let our year’s training slip away without forming any real plan of training ourselves. For, after all, all that any training is to do for us is: to teach us how to train ourselves, how to observe for ourselves, how to think out things for ourselves. Don’t let us allow the first week, the second week, the third week to pass by—I will not say in idleness, but in bustle. Begin, for instance, at once making notes of your cases. From the first moment you see a case, you can observe it. Nay, it is one of the first things a Nurse is strictly called upon to do: to observe her sick. Mr. Croft has taught you how to take notes; and you have now, every one of you, two leisure times a week to work up your notes. But give but one-quarter of an hour a day to jot down, even in words which no one can understand but yourself, the progress or change of two or three individual cases, not to forget or confuse We are all of us, as we believe, passing into an unknown world, of which this is only a part. We have been here a year, or part of a year. What are we making of our own lives? Are we where we were a year ago? Or are we fitter for that work of after-life which we have undertaken? Do our faults, and weaknesses, and vanities, tend to diminish? Or are we still listless, inefficient, slow, bustling, conceited, unkind, hard judges of others, instead of helping them where we can? There is no greater softener of hard judgments than is the trying to help the person whom we so judge, as I can tell from my own experience; and in this you will tell me whether we have been deficient to each other. There is a true story told of Captain Marryat when a boy; that he jumped overboard to save an older midshipman who had made the boy’s life a misery to him by his filthy cruelties. And the boy Marryat wrote home to his mother “that he loved this midshipman now—and wasn’t it lucky that his life was saved—even better than his own darling mother.” Do we keep before our minds constantly the If we thought of this more, we might hope to attain that quiet mind and self-control, which is the “liberty” spoken of by St. Paul. We might learn how truly to use and enjoy both our fellow Probationers, and this Home and our School, if we were more anxious about following the example of Christ than about the opinion of our “world.” “We are the ‘world,’ which we often seem to think includes every one but us.” But few comparatively have the power of disengaging themselves, even in thought, from those about them. They take the view of their own set. If it is the fashion to conceal, they conceal; if to carry tales, they carry tales. There are a few who never allow themselves to speak against others, and exercise such a kind of authority as to prevent others being spoken against in their hearing. These are the “peacemakers” of whom Christ speaks. These are they who keep a Home or Institution together, and seem more than any others in this our little world to bear the image of Christ until His coming again. Do we ever do things because they are right, without regard to our own credit? When we ask ourselves only “What is right?” or (which is the same question), “What is the will of God?” then we are truly entering His “kingdom.” We are no longer grovelling among the opinions of men and women. We can see God in all things, and all things in God, the Eternal Father shining through the accidents of our lives—which sometimes shake us more, though less conspicuous, than the accidents we see brought into our Surgical Wards—the accidents of the characters of those under whom we are placed, and of our own inner life. One of the greatest missionaries that ever was, wrote more than 300 years ago to his pupils and fellow-missionaries: “Self-knowledge”—(the knowledge by which we see ourselves in God)—“self-knowledge is the nurse of confidence in God. It is from distrust of ourselves that confidence in God is born. This will be the way for us to gain that true interior lowliness of mind which, in all places, and especially here, is far more necessary than you think. I warn you also not to let the good opinion which men have of you be too much of a pleasure to you, unless perhaps in order that you may be the more “Come unto me, all ye that labour and are heavy laden,” says our Lord, “and I will give you rest.” But He adds immediately who those are to whom He will give this “rest” or quietness of mind—namely those, who, like Himself, are “meek and lowly of heart.” These words may seem in a Hospital life “like dreams.” But they are not dreams if we take them for the spirit of our School and the rule of our Nursing. “To practise them, to feel them, to make them our own,” this is not far from the “kingdom of Heaven” in a Hospital. Pray for me, as I do for you, that “piety” and a “quiet mind”—but these always and only in the strenuous effort to press forwards—may be ours. Florence Nightingale. |