As for the medical department, there is now a training provided for such soldiers as wish to qualify themselves for hospital duty. Formerly, the hospital was served by such men as the military officers thought fit to spare for the purpose; and they naturally did not send the best. These men knew nothing of either cleaning wards or nursing patients. Their awkwardness in sweeping and scouring and making beds was extreme; and they were helpless in case of anything being wanted to a blister or a sore. One was found, one day, earnestly endeavoring to persuade his patient to eat his poultice. It is otherwise now. The women, where there are any, ought to have the entire charge of the sweeping and cleaning,—the housemaid's work of the wards; and as to the rest, the men of the medical-staff corps have the means of learning how to dress a blister, and poultice a sore, and apply plasters, lint, and bandages, and administer medicine, and how to aid the sick in their ablutions, in getting their meals with the least fatigue, and so on.
Of female nurses it is not necessary to say much in America, any more than in England or France. They are not admissible into Regimental Hospitals, in a general way; but in great military and civil hospitals they are a priceless treasure.
The questions in regard to them are two. Shall their office be confined to the care of the linen and stores, and the supplying of extra diets and comforts? If admitted to officiate in the wards, how far shall that function extend?
In England, there seems to be a strong persuasion that some time must elapse, and perhaps a generation of doctors must pass away, before the ministration of female nurses in military hospitals can become a custom, or even an unquestioned good. No rational person can doubt what a blessing it would be to the patients to have such nurses administer nourishment, when the rough orderlies would not have discernment or patience to give the frequent spoonful when the very life may hang upon it. Nobody doubts that wounds would be cleansed which otherwise go uncleansed,—that much irritation and suffering would be relieved which there are otherwise no hands to undertake. Nobody doubts that many lives would be saved in every great hospital from the time that fevered frames and the flickerings of struggling vitality were put under the charge of the nurses whom Nature made. But the difficulties and risks are great. On the whole, it seems to be concluded by those who know best, that only a few female nurses should be admitted into military and naval hospitals: that they should be women of mature age and ascertained good sense, thoroughly trained to their business: that they should be the women who have been, or who would be, the head nurses in other hospitals, and that they should be paid on that scale: that they should have no responsibility,—being wholly subject to the surgeons in ward affairs, and to their own superintendent in all others: that no enthusiasts or religious devotees should be admitted,—because that very qualification shows that they do not understand the business of nursing: that everything that can be as well done by men should be done by trained orderlies: that convalescents should, generally speaking, be attended on by men,—and if not, that each female nurse of convalescents should have a hundred or so in her charge, whereas of the graver cases forty or fifty are as many as one nurse can manage, with any amount of help from orderlies. These proposals give some idea of what is contemplated with regard to the ordinary nurses in a General Military Hospital. The superintendent of the nurses in each institution must be a woman of high quality and large experience. And she will show her good sense, in the first place, by insisting on a precise definition of her province, that there maybe no avoidable ill-will on the part of the medical officers, and no cause of contention with the captain of service, or whatever the administrator of the interior may be called. She must have a decisive voice in the choice of her nurses; and she will choose them for their qualifications as nurses only, after being satisfied as to their character, health, and temper.
No good nurse can endure any fuss about her work and her merits. Enthusiasts and devotees find immediately that they are altogether out of place in a hospital,—or, as we may now say, they would find this, if they were ever to enter a hospital: for, in fact, they never now arrive there. The preparation brings them to a knowledge of themselves; and the two sorts of women who really and permanently become nurses are those who desire to make a living by a useful and valued and well-paid occupation, and those who benevolently desire to save life and mitigate suffering, with such a temper of sobriety and moderation as causes them to endure hardship and ill-usage with firmness, and to dislike praise and celebrity at least as much as hostility and evil construction. The best nurses are foremost in perceiving the absurdity and disagreeableness of such heroines of romance as flourished in the press seven years ago,—young ladies disappointed in love, who went out to the East, found their lovers in hospital, and went off with them, to be happy ever after, without any anxiety or shame at deserting their patients in the wards without leave or notice. Not of this order was Florence Nightingale, whose practical hard work, personal reserve, and singular administrative power have placed her as high above impeachment for feminine weaknesses as above the ridicule which commonly attends the striking out of a new course by man or woman. Those who most honor her, and most desire to follow her example, are those who most steadily bring their understandings and their hearts to bear upon the work which she began. Her ill-health has withdrawn her from active nursing and administration; but she has probably done more towards the saving of life by working in connection with the War-Office in private than by her best-known deeds in her days of health. Through her, mainly, it is that every nation has already studied with some success the all-important subject of Health in the Camp and in the Hospital. It now lies in the way of American women to take up the office, and, we may trust, to "better the instruction."
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A STORY OF THANKSGIVING-TIME.
Old Jacob Newell sat despondent beside his sitting-room fire. Gray-haired and venerable, with a hundred hard lines, telling of the work of time and struggle and misfortune, furrowing his pale face, he looked the incarnation of silent sorrow and hopelessness, waiting in quiet meekness for the advent of the King of Terrors: waiting, but not hoping, for his coming; without desire to die, but with no dread of death.
At a short distance from him, in an ancient straight-backed rocking-chair, dark with age, and clumsy in its antique carvings, sat his wife. Stiffly upright, and with an almost painful primness in dress and figure, she sat knitting rapidly and with closed eyes. Her face was rigid as a mask; the motion in her fingers, as she plied her needles, was spasmodic and machine-like; the figure, though quiet, wore an air of iron repose that was most uneasy and unnatural. Still, through the mask and from the figure there stole the aspect and air of one who had within her deep wells of sweetness and love which only strong training or power of education had thus covered up and obscured. She looked of that stern Puritanical stock whose iron will conquered the severity of New England winters and overcame the stubbornness of its granite hills, and whose idea of a perfect life consisted in the rigorous discharge of all Christian duties, and the banishment, forever and at all times, of the levity of pleasure and the folly of amusement. She could have walked, if need were, with composure to the stake; but she could neither have joined in a game at cards, nor have entered into a romp with little children. All this was plainly to be seen in the stern repose of her countenance and the stiff harshness of her figure.
Upon the stained deal table, standing a little in the rear and partially between the two, reposed an open Bible. Between its leaves lay a pair of large, old-fashioned, silver-bowed spectacles, which the husband had but recently laid there, after reading the usual daily chapter of Holy Writ. He had ceased but a moment before, and had laid them down with a heavy sigh, for his heart to-day was sorely oppressed; and no wonder; for, following his gaze around the room, we find upon the otherwise bare walls five sad mementos of those who had "gone before,"—five coarse and unartistic, but loving tributes to the dead.