Nightingale’s Hospital Plans in 3D: Notes on Hospitals, 1863 (Interactive Module)

Teaching Material · Hospital Design and Patient Safety

Nightingale’s Hospital Plans in 3D


In Notes on Hospitals (1863) Florence Nightingale argued for a new kind of hospital with eleven engraved plans. This module rebuilds every one of them in three dimensions, so the argument can be seen as well as read.

11engraved plans rebuilt
2plans she condemned
9improved designs
1863Notes on Hospitals, 3rd edition
Interactive model

Turn it, cut it open, check it against the plate

Choose a plan in the menu, then follow the numbered stops. Each stop moves the camera and gives Nightingale’s own reasoning.

This model needs WebGL, which this browser has switched off.
How to use it

Four things you can do with each model

1

Choose a plan

Eleven plans in the order of the book, from the two she condemns to the nine she recommends.

2

Follow the stops

Each numbered stop moves the camera to one feature and explains why it mattered to her.

3

Cut the model

Lift the roof or a floor to see the ward: beds, windows, fireplaces, and how the air moves.

4

Check the plate

The original engraving lies under every building. Look straight down to compare the two.

Reading the plans

From one shared atmosphere to the pavilion

What she condemned

Wards that open into each other, or onto one corridor, share their air. At Netley every ward door is joined by a passage, so the air of each ward reaches all the others.

Small wards put the beds along dead walls, away from the windows, and out of the nurse’s sight.

What she proposed

Separate pavilions that touch the rest of the hospital at one end only, with windows down both long sides of every ward.

Two floors of wards and no more, pavilions set apart by twice their height, and everything the sick do not need moved out of the ward block.

“By far the finest hospital establishment in the united kingdom, or indeed in Europe.”On the Herbert Hospital. Notes on Hospitals, 1863, p. 102
26½ ftwidth of a Herbert ward, 14 ft high
1 window / 2 bedson each side of the ward
2 × heighther rule for the distance between pavilions
1,200 to 1,400 ft³of air to each bed
Method

What is drawn, what is stated, what is inferred

From the plates

Footprints and positions

Every block is traced from the engraving and scaled with the plate’s own scale of feet where it has one.

From the text

Storeys, wards and beds

Number of floors, ward dimensions, beds per ward, windows and fireplaces follow what Nightingale wrote.

Inferred

Roofs, heights and colours

Nine of the eleven plates are ground plans only. Roof forms, storey heights and materials are reconstructions.

The assumptions for each plan are listed inside the model under “Sources and assumptions”. Five plates carry no scale; their scale is estimated from the drawn beds or the stated dimensions.

Source: Florence Nightingale, Notes on Hospitals, 3rd edition, London: Longman, Green, 1863. Plates from the Cornell University Library copy digitized by the Internet Archive.

Prepared by Prof. Dr. Mehmet Nurullah Kurutkan, Düzce University, Faculty of Business, Department of Health Management.

Read the companion article