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Nightingale, Florence, 1820-1920

"Notes on Nursing What It Is, and What It Is Not"

But of
whom else, if you wish for a real answer to your question, would you ask
it? Certainly not of the casual visitor; certainly not of the nurse,
while the nurse's observation is so little exercised as it is now. What
you want are facts, not opinions--for who can have any opinion of any
value as to whether the patient is better or worse, excepting the
constant medical attendant, or the really observing nurse?
The most important practical lesson that can be given to nurses is to
teach them what to observe--how to observe--what symptoms indicate
improvement--what the reverse--which are of importance--which are of
none--which are the evidence of neglect--and of what kind of neglect.
All this is what ought to make part, and an essential part, of the
training of every nurse. At present how few there are, either
professional or unprofessional, who really know at all whether any sick
person they may be with is better or worse.
The vagueness and looseness of the information one receives in answer to
that much abused question, "Is he better?" would be ludicrous, if it
were not painful.


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