It would be impossible to carry about a large staff of female nurses with the army in the field. But at Scutari, having now a fixed hospital, no military reason exists against their introduction, and I am confident they might be introduced with great benefit, for hospital orderlies must be very rough hands, and most of them, on such an occasion as this, very inexperienced ones.
I receive numbers of offers from ladies to go out, but they are ladies who have no conception of what an hospital is, nor of the nature of its duties; and they would, when the time came, either recoil from the work or be entirely useless, and consequently—what is worse—entirely in the way. Nor would these ladies probably ever understand the necessity, especially in a military hospital, of strict obedience to rule. Lady M. Forester (Lord Roden's daughter) has made some proposal to Dr. Smith, the head of the Army Medical Department, either to go with or to send out trained nurses. I apprehend she means from Fitzroy Square, John Street, or some such establishment. The Rev. Mr. Hume, once chaplain to the General Hospital at Birmingham (and better known as author of the scheme for transferring the city churches to the suburbs), has offered to go out himself as chaplain with two daughters and twelve nurses. He was in the army seven years, and has been used to hospitals, and I like the tone of his letters very much. I think from both of these offers practical effects may be drawn. But the difficulty of finding nurses who are at all versed in their business is probably not known to Mr. Hume, and Lady M. Forester probably has not[153] tested the willingness of the trained nurses to go, and is incapable of directing or ruling them.
There is but one person in England that I know of who would be capable of organizing and superintending such a scheme; and I have been several times on the point of asking you hypothetically if, supposing the attempt were made, you would undertake to direct it.
The selection of the rank and file of nurses will be very difficult: no one knows it better than yourself. The difficulty of finding women equal to a task, after all, full of horrors, and requiring, besides knowledge and goodwill, great energy and great courage, will be great. The task of ruling them and introducing system among them, great; and not the least will be the difficulty of making the whole work smoothly with the medical and military authorities out there. This it is which makes it so important that the experiment should be carried out by one with a capacity for administration and experience. A number of sentimental enthusiastic ladies turned loose into the Hospital at Scutari would probably, after a few days, be mises à la porte by those whose business they would interrupt, and whose authority they would dispute.
My question simply is, Would you listen to the request to go and superintend the whole thing? You would of course have plenary authority over all the nurses, and I think I could secure you the fullest assistance and co-operation from the medical staff, and you would also have an unlimited power of drawing on the Government for whatever you thought requisite for the success of your mission. On this part of the subject the details are too many for a letter, and I reserve it for our meeting; for whatever decision you take, I know you will give me every assistance and advice.
I do not say one word to press you. You are the only person who can judge for yourself which of conflicting or incompatible duties is the first, or the highest; but I must not conceal from you that I think upon your decision will depend the ultimate success or failure of the plan. Your own personal qualities, your knowledge and your power of administration, and among greater things your rank and position in Society give you advantages in such a work which no other person possesses.
If this succeeds, an enormous amount of good will be done now, and to persons deserving everything at our hands; and a prejudice will have been broken through, and a precedent established, which will multiply the good to all time.
I hardly like to be sanguine as to your answer. If it were “yes,” I am certain the Bracebridges would go with you and give you all the comfort you would require, and which their[154] society and sympathy only could give you. I have written very long, for the subject is very near my heart. Liz [Mrs. Herbert] is writing to Mrs. Bracebridge to tell her what I am doing. I go back to town to-morrow morning. Shall I come to you between 3 and 5? Will you let me have a line at the War Office to let me know?
There is one point which I have hardly a right to touch upon, but I know you will pardon me. If you were inclined to undertake this great work, would Mr. and Mrs. Nightingale give their consent? The work would be so national, and the request made to you proceeding from the Government who represent the nation comes at such a moment, that I do not despair of their consent. Deriving your authority from the Government, your position would secure the respect and consideration of every one, especially in a service where official rank carries so much weight. This would secure to you every attention and comfort on your way and there, together with a complete submission to your orders. I know these things are a matter of indifference to you except so far as they may further the great objects you have in view; but they are of importance in themselves, and of every importance to those who have a right to take an interest in your personal position and comfort.
I know you will come to a wise decision. God grant it may be in accordance with my hopes! Believe me, dear Miss Nightingale, ever yours, Sidney Herbert.[71]