"The very first requirement in a hospital is that it should do the sick no harm"
About this Quote
The intent is moral and operational at once. Nightingale isn’t offering a soothing platitude about compassion; she’s laying down a performance metric. “First requirement” reads like an audit checklist, the kind that exposes how often medicine congratulates itself for heroic interventions while ignoring preventable damage: infection, filth, crowding, neglect, bad data, bad systems. Her phrasing quietly suggests that harm is not an accident but a predictable output when environments are mismanaged.
The subtext is activist steel. Nightingale is speaking to administrators, governments, and the self-satisfied medical establishment that treated suffering as inevitable. If the baseline is “do no harm,” then a hospital that spreads disease becomes indefensible, no matter how noble its mission statement. She turns care into accountability.
Context sharpens the blade. Coming out of the Crimean War, she had seen hospitals as warehouses of death, where sanitation and ventilation mattered as much as surgery. This is public health dressed as a simple sentence: an insistence that dignity and safety aren’t add-ons, they’re the floor. It still reads contemporary because modern healthcare, for all its miracles, keeps relearning the same lesson about systems: harm scales when complacency does.
Quote Details
| Topic | Health |
|---|---|
| Source | Florence Nightingale, Notes on Nursing: What It Is and What It Is Not (1859). Contains the line: "The very first requirement in a hospital is that it should do the sick no harm." |
| Cite |
Citation Formats
APA Style (7th ed.)
Nightingale, Florence. (2026, January 15). The very first requirement in a hospital is that it should do the sick no harm. FixQuotes. https://fixquotes.com/quotes/the-very-first-requirement-in-a-hospital-is-that-143831/
Chicago Style
Nightingale, Florence. "The very first requirement in a hospital is that it should do the sick no harm." FixQuotes. January 15, 2026. https://fixquotes.com/quotes/the-very-first-requirement-in-a-hospital-is-that-143831/.
MLA Style (9th ed.)
"The very first requirement in a hospital is that it should do the sick no harm." FixQuotes, 15 Jan. 2026, https://fixquotes.com/quotes/the-very-first-requirement-in-a-hospital-is-that-143831/. Accessed 21 Feb. 2026.







