PubMed · 11636594
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B Bellande. 1997. [The "Grand Compromise."].. https://pubmed.ncbi.nlm.nih.gov/11636594/
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Primary source material related to St Mary's Hospital, Paddington and the London Homoeopathic Hospital, and St Marylebone and Kensington Infirmaries, from the late 19th to the early 20th century is examined. Descriptions of nurse probationers by matrons and sisters are analysed. Character traits rather than intellectual ability are stressed as important. More recent literature, from the 1970s till the present time, is examined to chart the shift in terms of prescription for nurse socialisation, with increasing stress on the nurse as 'knowledgeable doer'.
One of the main aims of the Poor Law Amendment Act of 1834 was to impose national consistency of practice in poor relief. Central guidance was designed to produce uniformity in guardians' policies on dealing with the insane. This study of the administration of insanity in the eastern metropolis in the first decade after the Act demonstrates that the new boards of guardians were as culturally distinctive in their style of administration of the new Poor Law as the parishes had been under the old regime. A complex interplay of personality, politics, and class determined the corporate culture of individual boards.
The Sairey Gamp image has been grossly overused in describing the 'un-reformed' 19th-century British nurse/midwife. For Dickens she was a literary device--an exaggerated portrait of the reality, which has often come to represent the true state of British nursing at the time. But were things uniformly bad in nursing? Those who nursed the sick in voluntary hospitals were, undoubtedly, not of the highest class but many, no doubt, gave reasonably good service. In workhouses those entrusted with caring for the sick were often able-bodied paupers, which added an additional disadvantage to the working class status of nurses in general. In this paper I will explore the myth in relation to selected citations from the literature and to data gathered from the probationer registers of Kensington Infirmary (St Mary Abbot's Hospital) in west London.