Nightingale Ward Concept:

During the height of pavilion hospital , Florence nightingale propose her new concept about the ideal ward design which is known as Nightingale ward . According to her the best design of ward was a long rectangle with about thirty beds ranged along the opposite walls and at the end past the sister’s room which had a window overlooking the ward. In this type of ward the entire ward was visible to the sister, whether she was in or out of her office.

Figure 9  Nightingale Ward

Figure 9 Nightingale Ward concept

Nightingale’s principles were first implemented in H. Currey’s design of St. Thomas’s Hospital in London, which was built between 1861 and 1865.here we found the linear configuration of the patient ward, the supply spine corridor for circulation of people and supplies and modern heating and natural ventilation. Due to the advancement of germ theory , on the issue of infection control , isolation room on the unit were deemed essential. Such isolation room had been first used in St. Thomas hospital in London with each of ots thirty bed ward equipped with two isolation room adjacent to the nurses’ station .

Figure 10 St. Thomas hospital in London

Figure 10 St. Thomas hospital in London

Most of the advancements in nursing unit design came in the late 19th-century. Bobrow and Thomas (2000) described many construction technologies that were introduced during this time that allowed longer structural spans, vertical movement with elevators, and air conditioning. These advancements allowed hospitals to evolve in their role for the treatment of diseases. Not only did the design and construction of nursing units change during this time, medical practices were also evolving through new research. This new medical research emphasized efficiency in operation, eventually yielding highly functional nursing units. One hospital to implement several remarkable concepts that led to modern nursing unit design was John Hopkins University of Baltimore School of Medicine (Maryland) in 1875. These were some of the first nursing units to experiment with circular, square, and octagonal configurations. An important aspect to all of these configurations was the location of patient beds, which were no longer lined along the exterior walls and made visible from the central nursing desk.


Figure 11 Interior of John Hopkins Hospital Ward Figure 11 Interior of John Hopkins Hospital Ward Figure 12  Final Plan of John Hopkins Hospital Figure 12 Final Plan of John Hopkins Hospital Figure 13  Isolation ward of John Hopkins Hospital Figure 13: Isolation Ward of John Hopkins Hospital

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