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International Nurses’ Day – the nurses’ lives at Stannington Sanatorium

Today is International Nurses’ day, which celebrates the work and contribution of nurses to society and takes place on the birthday of Florence Nightingale. We thought we would select a few images and documents to give us an insight into the sanatorium nurses’ lives at Stannington. Our online exhibition has already looked a little at the lives of the nurses, especially in the early years, so we thought we would look at some of what our collections reveal about their lives and surroundings.

At many hospitals accommodation would be provided for staff. Florence Nightingale highlighted the importance of space for staff as nurses had formerly slept on the wards, and nurses’ homes became used from the 1870s. The Nurses’ Home at Stannington Sanatorium, constructed in 1926, is sadly an enigma as we have no layout of the interior. If it was built like others the nursing hierarchy would have been preserved in the architecture. Sisters often had their rooms at the end of corridors so they kept an unofficial eye on younger staff, and matrons’ rooms were often near the main door, overlooking staff and visitors as they came and went. We know the Nurses’ Home at Stannington Sanatorium was large to incorporate further growth in the number of nurses required. However an excellent insight into the building comes from the war years, when a number of documents in the Annual Report for 1946 (HOSP/STAN/2/1/2) relate to the curtains, carpets and furnishings of rooms as they were moved from Stannington to the Hexham Hydro and back again.

HOSP/STAN/9/1/1 Nurse's home

An inventory of furniture in rooms made by Miss Martindale on the 28th August 1944, ahead of the transfer back from Hexham Hydro, lists the contents of the doctor’s and matron’s rooms. This gives quite a detailed view of the Matron’s room:

 (13) Matron’s bedroom, Stannington – wardrobe and dressing chest in Matron’s room at Hexham. Bed wanted for matron’s bedroom at Stannington. Keep a Hydro bed for this purpose.

(14)Rose-pink long curtains and pink carpet from Matron’s sitting rooms at Stannington are in store in the attic at Hexham. Note: – Keep carpet in Matron’s room at Hexham for use at Stannington (Carpet extra good quality).

(15) Matron’s spare bedroom at Stannington. Bedroom suite, wardrobe, dressing table and bed in one of the Sister’s bedrooms at Hexham.

The Assistant Matron’s room had a simpler layout of ‘1 wardrobe, 1 chest of drawers, a bed’. The nurses’ rooms were also simple. A list of furniture shows each nurse had besides a bed a dressing table, towel rail, a chair or armchair, some had a locker or wardrobe, and linen baskets. Only one of the 102 rooms on the list had a carpet.

Other documents within HOSP/STAN/2/1/2 show a little of what living in the Nurses’ Home would have been like. A staff recreation fund was established some time in 1946, and an itemised list details ‘from Inauguration to 7th April 1947’ what was spent. This money came partly from the Sanatorium Committee, who gave £95, but money also came from member subscriptions and a raffle. The biggest purchases were on a dance – with £61 12s spent on a band; £8½ 1s 3d on food; 10s on domestic help, presumably for the tidying up afterwards; £3 13s 3d was spent on decorations; there must have been a prize-giving, as prizes cost £1 6s 4d; and printing stationary and postage for the invitations cost £2 19s 7½d. It would be interesting to know when this took place; perhaps it was the domestic and nursing staff Christmas dances.

HOSP/STAN/9/1/1 Tennis

Other entertainment came from three wireless radios and a second-hand sewing machine. This must have been for the staff to make their own clothes, as we know from a linen list also found in HOSP/STAN/2/1/2 that their uniforms were made within the sanatorium by in-house seamstresses. Books for a staff library were included on the list, mostly technical nursing textbooks but £5 was spent on fiction. Tennis balls, playing cards, a dartboard and darts and give an impression of how the nurses socialised in their free time. Practical needs were not forgotten, a hair dryer and electric iron also made the list, and spiritual needs thought of in the re-wiring for the chapel to keep it in use. A list of furniture from this time also shows the nurses’ sitting room had a grand piano and a pianola. The furniture list for the nurses’ sitting room shows there were three settees, leather and occasional arm chairs, a moquette tub chair, three tables, a writing table, sideboard, bookcase and a mirror pinched from the matron’s sitting room at Hexham Hydro. The nurses’ dining room contained 12 oak tables and 31 chairs. There were also individual sitting rooms for the higher ranks such as staff nurses, sisters and the matron. The domestic staff had their own dining and sitting rooms, and the teaching staff also had their own dining room. The photographs below are from a 1936 brochure for the sanatorium, and judging by these descriptions it seems there wasn’t a great deal of change in 10 years!

HOSP/STAN/9/1/1 Nurses' recreation room

HOSP/STAN/9/1/1 Nurses' dining room

A 1946 list from HOSP/STAN/2/1/2 of the distribution of staff and patients shows there was an assistant matron, home sister, night sister, 2 ward sisters, two trained part-time nurses, 5 assistant nurses and 17 probationer nurses. Another list shows how the numbers fluctuated throughout the year. In the January of that year the 34 nurses were split fairly evenly between resident and non-resident, but by December only 4 lived outside of the sanatorium.

We know that the number of patients and nurses had dwindled during the war years, but they were boosted after the war, particularly by student or ‘probationer’ nurses. The 1947 annual report (HOSP/STAN/2/1/3) discusses the future use of the hospital for training junior nurses, the ‘probationer’ nurses mentioned earlier. They had lectures given on site by the doctors (such as Doctor Stobbs) and other medical staff, and took an exam. This can be seen from the Nurse’s Schedule of Practical Instruction (NRO 10352/27), a book where their competency in each area was shown by a signature of one of the lecturing medical staff. The book takes the student from basic cleanliness, punctuality and organisation up to taking sputum samples, bronchoscopy and treating patients with chemotherapy such as Streptomycin. Below are some of the pages from the book. The nurse who owned the book completed her training, and each section is signed off.

NRO 10352-27-1

NRO 10352-27-3NRO 10352-27-4NRO 10352-27-5NRO 10352-27-6If you would like to find out more about the nurses at Stannington Sanatorium please have a look at our online exhibition, which features the stories of Matron Isabella Campbell and Florence Parsons, and memories from other nurses.

1920’s Stannington – May Brown’s photographs

The Stannington Sanatorium project has been continuing at a good pace. Our digitisation and redaction of the patient files is progressing quickly, and we have now completed repackaging them. Our project assistant is now focusing on some of the photographs we have in the collection, and is listing a 1920s photograph album we hope to be able to feature soon. In the meantime, still thinking of photographs, we thought we would share some from another set from our collection, featuring 1920s Stannington Sanatorium.

May Brown was a nurse at Stannington in the late 1920s, and left after her marriage in 1929. Her family have donated these photographs to the Northumberland Archives, which show a little of Stannington life in the 1920s.

 NRO 11036-01

The first, NRO 11036/1, shows two patients and some of the nurses at Stannington on the veranda, and is labelled as ‘May 1927’.

 NRO 11036-03

This photograph, NRO 11036/3, labelled Bessie J. Young, shows a nurse with a patient on the veranda.

 NRO 11036-04

NRO 11036/4 is labelled ‘This is our baby on my ward’. It is likely the ‘baby’ was the youngest patient on the ward, or perhaps a favourite patient of May’s.

 NRO 11036-05

Photograph NRO 11036/5 shows the Nurses photographed together. The matron in the centre of the picture is Miss Campbell, and May Brown is fourth from the left.

 NRO 11036-06

NRO 11036/6 shows a larger group of the Sisters and Nurses together. This time May is in the middle of the picture, 6th from the left in the back row.

 NRO 11036-07

NRO 11036/7 shows staff and patients gathered outside for a fun day. As it is labelled ‘August 1927’ it could be a sports day or a summer outing.

 NRO 11036-09

This last photograph, NRO 11036/9, shows the Nurses’ home at Stannington, where May would have lived during her time there. You can find out more about the Nurses’ home through our Online Exhibition tour by clicking on the Nurses’ home.

We hope to be able to bring you more photographs in the future, however if you would like to see more in the meantime have a look on our Voices of Stannington Sanatorium Flickr set.

World Tuberculosis Day 2016!

In honour of World Tuberculosis Day, we have a guest blog from Rebecca Cessford. Rebecca is a PhD researcher with the AHRC funded Heritage Consortium based at the Universities of Hull and Bradford. She will be using the Stannington Sanatorium Collection to study tuberculosis in the past using the archaeology of human remains and medical history. Here she tells us about her research and the role of the Stannington Collection in it.

 

When we think of tuberculosis (TB), images are conjured of a romantic disease causing a bloody cough, a pale complexion and weight-loss, the romanticised disease of the 19th century. What we do not think of is TB roaming the streets today. But tuberculosis is still a great threat, with over a million people dying of the disease each year and over 6,500 new cases declared in the UK during 2014. With increasing multidrug resistant strains of tuberculosis, is it possible to look back at a time before antibiotic drug therapy to better understand the future of this global emergency?

Early Discovery, Early Recovery 1929. Image from the National Library of Medicine, USA
Early Discovery, Early Recovery 1929. Image from the National Library of Medicine, USA

 

Tuberculosis is a disease that extends as far back as the Neolithic period in Europe, with the earliest case reported in England coming from Dorset dating to the Iron Age. However, our ability to identify tuberculosis in skeletal remains from archaeological contexts is difficult. Firstly, tuberculosis of the bones and joints only affects 3-5% of all cases. Secondly, bone can only react to disease in a limited number of ways with many diseases causing similar bony destruction and remodelling. There are also problems identifying tuberculosis in the remains of children, due mainly to the under-representation of children in the archaeological record.

The most characteristic feature of tuberculosis in the skeleton is Pott’s Spine, an angular deformity in the mid to lower spinal column caused by the collapse of one or more vertebral bodies. The presence of this deformity has, for many years, been the only way of diagnosing tuberculosis in human remains with any certainty, despite the fact that any bone in the body can be affected. Advances in ancient DNA and biomolecular studies in archaeology mean tuberculosis can be tested for, even in the absence of any physical pathologies. However, these destructive and costly procedures are not without their limitations, still leaving much reliance on routine macroscopic observations (seen with the naked eye) of dry bone remains.

Pott's Spine the main diagnostic feature of tuberculosis in skeletal remains. Image courtesy of https://www.dur.ac.uk/images/archaeology/researchprojects/Roberts_TB.jpg
Pott’s Spine – characteristic collapse of the vertebral bodies causing an angular deformity of the spine due to tuberculosis. Image from University of Durham.

 

My research aims to look at the potential for using pre-antibiotic clinical radiographs (x- rays) as an aid to the macroscopic identification of tuberculosis in human remains, focussing specifically on infants and children. To do this, I intend to undertake a thorough examination of all the radiographs demonstrating skeletal tuberculosis to look at variations in progression of disease over time; the outcomes of healing on bones and the distribution of tuberculosis across the body where more than one bone was involved. In addition to this I will look at the corresponding medical file for each set of radiographs drawing on details outlined in the medical notes and x-ray reports to add to my own observations from the radiographs for an informed review of the underlying processes to bone and soft tissue being observed. It is hoped that the compilation of this data will provide a more detailed understanding of the processes involved in advancing tuberculous infection with comparative examples from pre-antibiotic radiographs. This strives to increase the ability to diagnose tuberculosis in archaeological remains even in the absence of Pott’s Spine.

 

Tuberculosis of the Knee: HOSP-STAN-07-01-02-91_09
Tuberculosis of the Knee: HOSP-STAN-07-01-02-91_09
Tuberculosis of the Spine - HOSP-STAN-07-01-02-1662-22
Tuberculosis of the Spine – HOSP-STAN-07-01-02-1662-22
Tuberculosis affecting the finger bones: HOSP-STAN-07-01-02-641_07
Tuberculosis affecting the finger bones: HOSP-STAN-07-01-02-641_07

 

 

 

 

 

 

 

 

 

By studying the patterns of tuberculosis in the past we are better informed when it comes to dealing with the disease in the present and in the future. To be able to offer an evidence-based and informed approach to tackling tuberculosis we need better criteria for diagnosing it macroscopically in archaeological human remains, to get a more encompassing view of the various manifestations associated with it. The outcomes of my research will aim to act as an aid to the identification and study of tuberculosis in children in relation to archaeological remains further identifying the worth of pre-antibiotic medical records.

The Stannington Collection is a unique resource for studying this long standing infectious disease in children from the early to mid-20th century, many of which are still alive today living with the memories and/or side effects of the disease. I would also like to take this opportunity to thank the former patients of Stannington Sanatorium who expressed support for academic research to be undertaken on the collection during the first phase of the Stannington Sanatorium Project; their support makes research all the more worthwhile.