Is Florence Nightingale relevant to nursing today?
The second question asks what Nightingale, Wald and Breckinridge would make of nursing now. Answering it needs you to know what they actually argued for — which is mostly not what they are remembered for.
Editorial process
Last reviewed · August 15, 2026
Two questions, and the second is a counterfactual
The relevance question is more interesting than the lamp-and-bandages image suggests, and the strong answer rests on what Nightingale actually did. She was a statistician — an early user of data visualisation to make a mortality argument to a government — and her case was that sanitation, ventilation and nutrition killed more soldiers than wounds did. That is an environmental and systems argument supported by data, which makes her recognisable as an ancestor of infection prevention, quality measurement and evidence-based practice rather than of bedside kindness. Argue relevance on that ground and it holds. Argue it on compassion and it is unfalsifiable, since nobody is against compassion. Note the structural demand in the brief as well: three paragraphs and three references per question, plus replies to two classmates with a further reference each. That is checkable, so budget for it, and note that the reference requirement rules out answering from the chapter alone.
The second question is a counterfactual and needs the same treatment. Lillian Wald founded public health nursing and settlement-house care, arguing that health was determined by housing, work and poverty — so she would recognise the social determinants literature immediately and would probably ask why it has taken so long to act on it. Mary Breckinridge built a nurse-midwifery service for a rural population nobody else served, and would recognise both the maternity care deserts and the scope-of-practice restrictions as the same obstacles she worked around. Nightingale, given her statistics, would want to know what our data shows. Answering with what each would admire and what would dismay them is more defensible than a general claim about their approval, and the honest version includes their limitations — Nightingale opposed germ theory for years, and none of them can be enlisted wholesale for a modern position without distortion.
Likely learning objectives
Inferred from the brief — check these against your own rubric.
- 01Ground a relevance argument in what a historical figure actually did.
- 02Distinguish a figure's documented positions from their popular image.
- 03Construct a defensible historical counterfactual.
- 04Acknowledge a historical figure's limitations honestly.
Read the full question
Review every instruction before using the planning guidance that follows.
Turn the brief into deliverables
- 01A relevance argument grounded in Nightingale's documented work.
- 02Specific positions attributed to each named leader.
- 03A counterfactual answering both what would please and what would dismay.
- 04At least three paragraphs and three references per question.
Relevance now, then the historical judgement
What Nightingale actually did
Establish the statistical and environmental basis of her work.
The relevance argument
Connect that work to current practice specifically.
What each leader argued for
Attribute specific documented positions to Wald and Breckinridge.
What they would make of today
Answer the counterfactual in both directions.
Reading the leaders rather than the legend
Recommended databases
- Your course chapter and lecture
- PubMed Central
- CINAHL
- Historical nursing collections
Search sequence
- 1.Find an account of Nightingale's statistical work rather than her biography.
- 2.Read what Wald and Breckinridge each founded and why.
- 3.Look up the social determinants literature to connect Wald's argument forward.
- 4.Note at least one documented error or limitation for each figure.
Reference shortlist
These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.
Nothing here is cleared for citation until you have read it.
- 01
Past, Present and Future: A Historical Analysis and Reflection of 100 Years of Nursing Leadership
Journal of Nursing Management · 2025
A historical analysis of a century of nursing leadership, which gives the documented positions rather than the legend.
- 02
Social Determinants of Health - Healthy People 2030
Office of Disease Prevention and Health Promotion · 2025
The modern determinants framework, which is what Wald's argument becomes when carried forward.
- 03
Principles of Epidemiology | Lesson 1 - Section 1
Centers for Disease Control and Prevention · 2024
The epidemiological tradition Nightingale's mortality argument belongs to, which is the ground the relevance claim stands on.
- 04
Policy Advocacy and Nursing Organizations: A Scoping Review
Policy, Politics & Nursing Practice · 2021
On nursing's organised advocacy, which is the tradition the three leaders started and which continues.
Review before submission
Common mistakes
- Arguing relevance on compassion, which nothing could disconfirm.
- Treating the three leaders as interchangeable founders.
- Assuming all three would approve of everything modern.
- Omitting their documented errors and limitations.
Submission checklist
- Is the relevance argument falsifiable?
- Does each leader have a documented position attributed to them?
- Have you said what would dismay them as well as please them?
- Are the paragraph and reference minimums met for both questions?
Use this guide to plan and review your own work. Follow your institution's rules and read our academic-integrity policy.

Written by
Aaron Bishop
MA, Education
assignment interpretation and research-methods coaching across disciplines
Aaron leads the EssayCrackers editorial desk. He works on how assignment briefs are read — what a rubric is actually asking for, and where students most often answer a different question than the one set.

Reviewed by
Dr. Nathan Cole
PhD, Rhetoric & Composition
Argumentation and thesis development
Nathan teaches first-year composition and directs a university writing center. He reviews EssayCrackers guides for argumentative soundness and citation accuracy.