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23 From the Report of. M.D. Physician to the Workhouse Hospital.

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In the medical wards of a general hospital the cases vary so much in nature and degree from year to year, as to render it impossible to give a reliable statistical comparison of the value of a paid as distinguished from an unpaid staff of nurses. I am, therefore, necessarily compelled to report in general terms on the nursing of the last ten months in the male medical wards; premising that what I say in approbation of the new system, and the new staff of nurses must not be construed as an unfavourable reflection on the whole of the previous staff. The paid superintending nurses of departments, and a few of the unpaid pauper nurses, deserve great credit for their conduct, though their qualifications for the service were decidedly inferior to those of the trained "Nightingale" staff.

With regard to the latter I can cordially bear testimony to their ability, and to their unwearied and uniformly kind attention to the patients under their charge. As to their nursing in its specific sense, I may state my belief that in every case my directions and those of the House Surgeons have been rigidly carried out. The medicines, stimulants, &c. &c. have been carefully administered, and the other numerous but less agreeable duties have been faithfully and efficiently attended to. Under their charge I have perceived a marked improvement in the demeanour of the patients—in fact, the discipline of the wards is completely changed. There has been no disorder or irregularity, but a sense of comfort, order, and quiet pervades the whole department. I believe further, that every patient leaving the wards has been more or less morally elevated during his location there.