"It may seem a strange principle to enunciate as the very first requirement in a hospital that it should do the sick no harm"
About this Quote
The intent is reform, but not the soft kind that asks politely. Nightingale is weaponizing common sense against complacency in medicine and government. In the mid-19th century, hospitals were often filthy, overcrowded, and poorly ventilated; infection was treated like misfortune rather than a preventable outcome. Her point isn’t only that patients were dying in care, but that the system had normalized collateral damage as the price of treatment. She’s naming iatrogenesis before the term had cultural traction: harm caused by the very apparatus meant to heal.
The subtext has a moral edge that feels contemporary. "Do no harm" reads like baseline ethics; Nightingale reminds us baselines are political. Standards have to be fought for, measured, enforced. The quote also reframes heroism in healthcare: not the dramatic cure, but the unglamorous work of sanitation, data, process, and accountability. It’s a warning about institutions that confuse tradition with competence, and a demand that care be judged by outcomes, not intentions.
Quote Details
| Topic | Health |
|---|---|
| Source | Florence Nightingale, Notes on Nursing: What It Is and What It Is Not (1859) — opening chapter; contains the line “It may seem a strange principle to enunciate as the very first requirement in a hospital that it should do the sick no harm.” |
| Cite |
Citation Formats
APA Style (7th ed.)
Nightingale, Florence. (2026, January 15). It may seem a strange principle to enunciate as the very first requirement in a hospital that it should do the sick no harm. FixQuotes. https://fixquotes.com/quotes/it-may-seem-a-strange-principle-to-enunciate-as-143830/
Chicago Style
Nightingale, Florence. "It may seem a strange principle to enunciate as the very first requirement in a hospital that it should do the sick no harm." FixQuotes. January 15, 2026. https://fixquotes.com/quotes/it-may-seem-a-strange-principle-to-enunciate-as-143830/.
MLA Style (9th ed.)
"It may seem a strange principle to enunciate as the very first requirement in a hospital that it should do the sick no harm." FixQuotes, 15 Jan. 2026, https://fixquotes.com/quotes/it-may-seem-a-strange-principle-to-enunciate-as-143830/. Accessed 26 Feb. 2026.






