Читать книгу The Life of Florence Nightingale - Edward Tyas Cook - Страница 69

In December 1854 Miss Nightingale was astonished to receive an announcement that a party of forty-seven more nurses, under the care of her friend, Miss Mary Stanley, were on their way to join her. She remonstrated, and threatened to resign:—

“You have sacrificed the cause so near my heart,” she wrote to Mr. Sidney Herbert (Dec. 15); “you have sacrificed me, a matter of small importance now; you have sacrificed your own written word to a popular cry. You must feel that I ought to resign, where conditions are imposed upon me which render the object for which I am employed unattainable, and I only remain at my post till I have provided in some measure for these poor wanderers.”

Mr. Herbert replied, as his biographer states, in terms of courtesy and kindliness, and without any trace of the bitterness which Miss Nightingale's vehemence might have evoked in a smaller-minded man. There is a letter to Mrs. Bracebridge (Dec. 27) in which Mrs. Herbert says: “I am heart-broken about the nurses, but I do assure you, if you send them all home without a trial, you will lose some really valuable women.” The Minister had authorized Miss Nightingale, if on full consideration she thought fit, to return Miss Stanley's party to England at his own private expense. Her good sense soon showed her that such a course would be, as she wrote, “a moral impossibility”; and in the end she made the best she could of what she considered a bad job—to the great advantage, as it was to turn out, of the wounded soldiers, though at a great increase to her own responsibilities and difficulties.

Much has been made in some quarters104 of this episode, and it may be well here to explain Miss Nightingale's position clearly; for the affair throws strong light upon the difficulties of her task. It is essential to know, in the first place, that Mr. Herbert had distinctly stated that the selection of nurses was to be exclusively in Miss Nightingale's hands. This is implied in his official instructions (p. 156), and was stated with the utmost emphasis in a letter “to a correspondent,” which he had caused to be inserted in the newspapers of October 24. Already the cry had been raised that more nurses should be sent, and volunteers were clamouring for enlistment. Mr. Herbert thereupon wrote:—

War Office, October 21 [1854]. … The duties of a hospital nurse, if they are properly performed, require great skill as well as strength and courage, especially where the cases are surgical cases and the majority of them are from gunshot wounds. Persons who have no experience or skill in such matters would be of no use whatever; and in moments of great pressure, such as must of necessity at intervals occur in a military hospital, any person who is not of use is an impediment. Many ladies, whose generous enthusiasm prompts them to offer their services as nurses, are little aware of the hardships they would have to encounter, and the horrors they would have to witness, which would try the firmest nerves. Were all accepted who offer, I fear we should have not only many inefficient nurses, but many hysterical patients themselves requiring treatment instead of assisting others. …

No additional nurses will be sent out to Miss Nightingale until she shall have written home from Scutari and reported how far her labours have been successful, and what number and description of persons, if any, she requires in addition. … No one can be sent out until we hear from Miss Nightingale that they are required.

Miss Nightingale had not written home in that sense at all, but Mr. Herbert had sent the nurses. That was what she meant when she said that he had “sacrificed his own written word.” “Had I had the enormous folly,” she wrote to Mr. Herbert (Dec. 15), “at the end of eleven days' experience, to require more women, would it not seem that you, as a statesman, should have said, ‘Wait till you can see your way better.’ But I made no such request.” She was an expert, and did not wish to be inundated with amateurs. Moreover, everybody at Scutari knew, as she wrote, the terms of Mr. Herbert's letter to the newspapers, and the medical men knew that she had not asked for any more nurses. Yet here was a new party sent out; and, to make the encroachment on her domain the more marked, Miss Stanley had received instructions to, and reported herself to, not the Superintendent of the Nurses, but other officials. Miss Nightingale felt that her authority had been flouted, her position undermined. But personal considerations were not the cause of her vexation. It was not a case of “pique,” as some people in England imagined. Mr. Herbert and she were engaged in making a new experiment. It was full of difficulties, and the only chance of success lay in the maintenance of undivided responsibility and clearly established authority. Miss Nightingale could not quietly have accepted the new situation without sacrificing the key of the position. Had she acquiesced, she would have admitted that Mr. Herbert might henceforth send out nurses without consulting her, and without placing them expressly under her orders. She would have left herself at the mercy of any well-meaning person in England who thought that this or that might be helpful to her. Her judgment would no longer have been the governing factor; while yet for any confusion or failure that might follow, she would be held responsible. Mr. Herbert thought, no doubt, that already the experiment had been a great success, as indeed it was, and he was eager to increase the scale of it. He might not unreasonably think that, as the number of the wounded increased, so should the number of female nurses be increased also. Mr. Osborne's remark, cited above (p. 183), must have confirmed him in such an opinion. But to Miss Nightingale on the spot the case wore a very different aspect. We must remember the severe mental strain of her position; the high pressure of work and emotion at which she was living, all the higher to one of her intensely sensitive conscientiousness; the continual failure (to her critical mind) of attempts to reform cruel abuses; the danger of real, acknowledged failure always present. In such a position, the arrival of a fresh batch of nurses, unexpected and unsolicited, must have seemed to her the break-up of all her plans, the destruction of the standard of nursing which she was painfully creating, the gravest peril to an experiment, still on its trial, and ever subject to hostile criticism.

Immediate and practical difficulties were also great. There was no accommodation in the hospitals at Scutari available for additional female nurses. “The 46,” wrote Mr. Bracebridge to Mr. Smith (Dec. 18), “have fallen on us like a cloud of locusts. Where to house them, feed them, place them, is difficult; how to care for them, not to be imagined.” The Principal Medical Officer flatly refused to have any more, and Miss Nightingale herself felt that she could not manage any more:—

“I have toiled my way,” she wrote (Dec. 15), “into the confidence of the Medical Men. I have, by incessant vigilance, day and night, introduced something like system into the disorderly operations of these women. And the plan may be said to have succeeded in some measure, as it stands. … But to have women scampering about the wards of a Military Hospital all day long, which they would do, did an increased number relax the discipline and increase their leisure, would be as improper as absurd.”

And there was a further objection. A considerable number of the second party were Roman Catholics, and Miss Stanley herself (as Miss Nightingale well knew) was on the verge of joining the Roman Communion. How much this factor in the case added to the force of Miss Nightingale's objections, we shall learn in a later chapter. Mr. Herbert thought, I suppose, that the additional nurses would be welcome to her because they came under the escort of a friend. But so strongly did Miss Nightingale feel on the subject, that Miss Stanley's part in the affair rankled the more. It was in the house of her friends, she felt, that she had been wounded. Their personal relations were further embittered by the case of a nurse whom Miss Nightingale (with the concurrence of the other authorities) felt obliged to dismiss, but whom Miss Stanley believed to be ill-used. Miss Nightingale's friendship with Mr. and Mrs. Herbert was in no way impaired. They had confessed themselves in the wrong; and so she was deeply touched, as she wrote, by their kindness and generosity. But between her and Miss Stanley the breach was never healed. Their later lives took different directions, and they did not meet again.

Miss Nightingale's resentment was perfectly justified. Her remonstrances to Mr. Herbert were necessary. His well-intentioned action was calculated to undermine her authority, and to aggravate her difficulties; and, in both of these ways, to imperil the success of their joint experiment. Her handling of the crisis which had burst upon her was, perhaps, in relation to the subordinates unfortunate. Miss Stanley was accompanied by Dr. Meyer, a medical man, and Mr. Jocelyne Percy, who had gone out (as Mrs. Herbert wrote to Mrs. Bracebridge) devoted to Miss Nightingale, “saying he would be her footman, etc.”105 “We picked out,” added Mrs. Herbert plaintively, “the two men in England who, we thought, would help Flo most,” and they returned sad and sore at their cold reception. Miss Nightingale, acting on advice she received on the spot, asked them to sign notes of their conversation with her;106 this rankled with them, and Mr. Percy made a grievance of it in England. Mrs. Herbert, in reporting all this to Mrs. Bracebridge (Jan. 7, 1855), made the final reflection: “Perhaps it is wholesome for us to be reminded that Flo is still a mortal, which we were beginning to doubt.” Mortals have to deal with entanglements as best they may on the spur of the moment; and those at a distance hardly made enough allowance for the difficulties with which Miss Nightingale was suddenly confronted, for the danger which Mr. Herbert's dispatch of unsolicited reinforcements involved, and, therefore, for the importance which she attached to having all the conditions defined in black and white.

Her practical genius and good sense speedily triumphed, however, over the difficulties of the case. In agreement with the medical authorities, the number of female nurses at Scutari was raised to 50, and Miss Nightingale weeded out some of her original staff in favour of new-comers. Others of them were sent to the hospitals at Balaclava (p. 254); and others to those at Koulali (p. 174). Miss Stanley, whose intention it had been to return to England as soon as she had deposited her party, remained for several months in charge at the latter place, not administering the nursing service altogether according to Miss Nightingale's ideas,107 but rendering aid to the afflicted of which her brother, the Dean, has left us so charming and sympathetic a memorial.108

In the end, then, the scope of Miss Nightingale's experiment was considerably enlarged; and the deeper significance of the episode is to be found in the emphasis which it throws upon the novelty and difficulties of Miss Nightingale's enterprise. In these days, nurses, trained and distinctively attired, are so much part of everyday life, women-nurses serving under the Red Cross are so normal a feature of war, and Territorial nurses, smartly uniformed, are so familiar a unit of auxiliary forces, that some effort of imagination is required to realize the conditions which existed sixty years ago. We remember that a staff of nearly 800 female nurses was maintained for service in the South African War, and may be tempted to smile at the question between 20 and 40, or 40 and 90 for the Crimea. But it was Miss Nightingale who showed the way, and the way of the pioneer is rough. No one who reads this volume will suspect her of timidity, or think her wanting in self-confidence; yet so conscious was she of the difficulties that in this instance she under-rated her power, and was anxious to keep the experiment within much narrower limits than it assumed. Her original idea had been to limit the number of female nurses to 20, but at various dates after Miss Stanley's arrival she sent home for more nurses, and, before the war was over, she had had control of 125.