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Assignment questions
NursingDiscussion postNursing history

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

01

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.

  • 01
    Ground a relevance argument in what a historical figure actually did.
  • 02
    Distinguish a figure's documented positions from their popular image.
  • 03
    Construct a defensible historical counterfactual.
  • 04
    Acknowledge a historical figure's limitations honestly.
Assignment instructionsQuoted verbatim

Read the full question

Review every instruction before using the planning guidance that follows.

After reading Chapter 1 and reviewing the lecture power point (located in lectures tab), please answer the following questions. Each question must have at least 3 paragraphs and you must use at 3 least references included in your post. Additionally, you are expected to reply to two other students and include a reference that justifies your post. Your reply must be at least 3 paragraphs. Chapter 1 1. After reading Chapter 1, do you think Florence Nightingale is relevant in the 21 st century to the nursing profession? Why or why not? 2. What do you think would be the response of historical nursing leaders such as Florence Nightingale, Lillian Wald, and Mary Breckenridge if they could see what the profession of nursing looks like today?
02

Turn the brief into deliverables

  1. 01
    A relevance argument grounded in Nightingale's documented work.
  2. 02
    Specific positions attributed to each named leader.
  3. 03
    A counterfactual answering both what would please and what would dismay.
  4. 04
    At least three paragraphs and three references per question.
03

Relevance now, then the historical judgement

01

What Nightingale actually did

Establish the statistical and environmental basis of her work.

02

The relevance argument

Connect that work to current practice specifically.

03

What each leader argued for

Attribute specific documented positions to Wald and Breckinridge.

04

What they would make of today

Answer the counterfactual in both directions.

04

Reading the leaders rather than the legend

Recommended databases

  • Your course chapter and lecture
  • PubMed Central
  • CINAHL
  • Historical nursing collections

Search sequence

  1. 1.
    Find an account of Nightingale's statistical work rather than her biography.
  2. 2.
    Read what Wald and Breckinridge each founded and why.
  3. 3.
    Look up the social determinants literature to connect Wald's argument forward.
  4. 4.
    Note at least one documented error or limitation for each figure.
05

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.

  1. 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.

  2. 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.

  3. 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.

  4. 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.

06

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.

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