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Nevada RNformation - March 2011

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<strong>March</strong>, April, May 2021 <strong>Nevada</strong> <strong>RNformation</strong> • Page 3<br />

The President’s Message continued from page 1<br />

trouble’ by either submitting an op-ed for the next<br />

RNFormation or making a comment online.<br />

Below is a verbatim article from Nursing Clio, an<br />

open access, peer-reviewed, collaborative blog that<br />

presents the case against Nightingale and a link to<br />

where you can join the conversation. Given that<br />

the ANA and the WHO have continued the Year of<br />

the Nurse into 2021, I believe it is appropriate for us<br />

to carry on the conversation that gained so much<br />

attention with Nightingale’s 200th birthday celebration.<br />

The Racist Lady with the Lamp<br />

By Natalie Stake-Doucet<br />

SOURCE: Nursing Clio 11/5/2020<br />

Nursing historiography is centered on whiteness.<br />

Even worse, nursing history revolves largely around<br />

a single white nurse: Florence Nightingale. This,<br />

unfortunately, doesn’t mean nurses understand who<br />

Nightingale was. There are nurse historians doing<br />

incredible and diverse work, but in general, nursing,<br />

both as a profession and as an academic discipline,<br />

promotes a view of Nightingale based in a culture of<br />

white supremacy rather than historical facts. Here,<br />

I make explicit Nightingale’s role in British colonial<br />

violence by analyzing some of her writings on the<br />

British colonies. This history allows us to better discuss<br />

the consequences of her legacy in nursing.<br />

Indigenous traditions offended the “cleanliness”<br />

ideal of Victorian Britain. Miasma theory conveniently<br />

supported British supremacy and was a pillar of<br />

public health until the end of the 19th century. More<br />

importantly, it was a political weapon to destroy<br />

Indigenous health and wellness traditions, as it labelled<br />

anything non-British or non-Christian as “filthy.” It is<br />

inaccurate to assume that when Nightingale speaks<br />

of “cleanliness” it is somehow detached from its<br />

ideological roots. When she speaks of cleanliness, filth,<br />

or foulness, there is always an implicit Christian bias.<br />

She could never have supported any form Indigenous<br />

health practices because they were not based in<br />

Christian values.<br />

Natalie Stake-Doucet is a registered nurse, activist,<br />

and PhD candidate. She is passionate about nursing<br />

history, and she studies the socio-political structure of<br />

hospitals in relation to nurses and nursing work.<br />

You can add your opinions and start some ‘good<br />

trouble’ for yourself at the link below<br />

https://historynewsnetwork.org/article/178101 or<br />

https://meaww.com/year-of-the-nurse-2020-florencenightingale-racist-anti-feminist-legacy-allegations-innursing-200<br />

An opposite view and a response from the<br />

Nightingale Society can be found at the link below.<br />

http://nightingalesociety.com/published-articles/<br />

defending-florence-nightingales-reputation-kai-tiakinursing-new-zealand/<br />

Some other references are below to help you with<br />

your journey into what may be ‘good trouble’ for you<br />

too.<br />

‘A Letter From Florence Nightingale’. (1924, 1 July). Kai Tiaki:<br />

The Journal of the Nurses of New Zealand, Vol 17(3),<br />

p123. https://paperspast.natlib.govt.nz/periodicals/<br />

KT19240701.2.35<br />

Rodgers, J A. (1985). Nursing Education in New Zealand,<br />

1883 to 1930: The Persistence of the Nightingale<br />

Ethos. MA thesis, Massey University, Palmerston North.<br />

https://mro.massey.ac.nz/handle/10179/6274<br />

McDonald, L. (Ed.). (2004). Florence Nightingale on Public<br />

Health Care – Collected Works of Florence Nightingale,<br />

Volume 6. Waterloo, Canada: Wilfrid Laurier University<br />

Press, pp 183-5.<br />

Nightingale, F., & National Association for the Promotion<br />

of Social Science. (1865). Note on the aboriginal races<br />

of Australia: a paper read at the annual meeting of<br />

the National Association for the Promotion of Social<br />

Science, held at York, September, 1864. Retrieved from<br />

http://hdl.handle.net/2027/uc2.ark:/13960/t07w6pn5d<br />

Waitangi Tribunal. (2019). Hauora – Report on Stage One<br />

of the Health Services and Outcomes Kaupapa Inquiry.<br />

Lower Hutt: Legislation Direct. Retrieved from https://<br />

forms.justice.govt.nz/search/Documents/WT/wt_<br />

DOC_152801817/Hauora%20W.pdf<br />

Please send comments to this article to the<br />

RNFormation Editor (lbowman@nvnurses.org), and let<br />

us know if we can publish your comment,<br />

Respectfully yours,<br />

Nightingale and Colonialism<br />

What is rarely discussed in nursing history is<br />

Nightingale’s racism and her political role in the<br />

genocide of Indigenous people under British rule. She<br />

counseled many key political figures and her writings<br />

on the subject show that she was a staunch supporter<br />

of British colonialism, even with the knowledge of the<br />

death and destruction left in its wake. She believed<br />

Indigenous lives were a small price to pay for the<br />

expansion of the British Empire. Although some of her<br />

contemporaries recognized the brutality of the colonial<br />

system, Nightingale believed imposing British culture<br />

to be necessary. Anything else, she believed, “would<br />

be simply preserving their barbarism for the sake of<br />

preserving their lives.” 1<br />

This racist statement by Florence Nightingale is one<br />

of many. Thanks to digitization efforts, her writings<br />

are now accessible, and it’s easy to find sources that<br />

reveal Nightingale’s racism. She was steadfast in her<br />

belief of the supremacy of white Christian culture. By<br />

her own accounts, Nightingale considered Indigenous<br />

peoples to be inferior, and the British state to be a<br />

“civilizing” force. The quote above is from Nightingale’s<br />

Sanitary Statistics of Native Colonial Schools and<br />

Hospitals, published in 1863, a report commissioned<br />

by the Colonial Office of the British government. In it,<br />

she concluded that the high death rates of Indigenous<br />

people in colonial schools and hospitals reflected the<br />

haste of British authorities to assimilate them. She<br />

felt assimilation should be more gradual in order to<br />

minimize the death toll, but she had no issue with the<br />

death toll itself: “Every society which has been formed<br />

has had to sacrifice large proportions of its earlier<br />

generation to the new conditions of life arising out of<br />

the mere fact of change.” 2<br />

In the report, Nightingale defended the deaths<br />

of Indigenous children in the Canadian precursors<br />

to residential schools: “There is nothing in the school<br />

education as described in the returns, sufficient to<br />

account for the special prevalence of tubercular<br />

diseases in these schools. The causes must probably be<br />

looked for in the close foul atmosphere of the native<br />

dwelling.” 3 Her comments on the Canadian situation<br />

were indicative of her larger position: that the deaths<br />

of Indigenous people was due to habits of Indigenous<br />

people themselves, and that British rule catalyzed a<br />

process of “decay” already in motion.<br />

Victorian “Cleanliness” and Miasma Theory as<br />

Ideological Weapons<br />

It is important to understand the meaning of<br />

cleanliness within the Victorian era and for Nightingale.<br />

Cleanliness was a synonym for purity, and the Victorian<br />

rituals attached to it came with a sense of godly<br />

supremacy. 4 It is beyond the scope of this article to<br />

discuss the ideological roots of the term, but it went<br />

hand in hand with the miasma theory of disease,<br />

which Nightingale believed until the end of her life.<br />

Miasma theory held that bad smells and filth generated<br />

disease. Filth was not just physical, it was also moral.<br />

For example, under miasma theory, Nightingale<br />

believed sex workers embodied evil that spontaneously<br />

generated disease. As Nightingale explained: “When<br />

we obey all God’s laws as to cleanliness,…, health is<br />

the result. When we disobey, sickness.” 5<br />

One of the few pictures of Nightingale<br />

contemporary, Mary Seacole, (above photo by an<br />

unknown author in the public domain)<br />

Mary Bondmass, Ph.D., RN, CNE<br />

President, <strong>Nevada</strong> Nurses Association<br />

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