Victorian Medicine and Social ReformVictorian Medicine and Social Reform traces Florence Nightingale s career as a reformer and Crimean war heroine. Her fame as a social activist and her writings including Notes on Nursing and Notes on Matters Affecting the Health, Efficiency and Hospital Administration of the British Army influenced novelists such as Wilkie Collins, Elizabeth Gaskell, and George Eliot. Their novels of social realism, in turn, influenced Nightingale's later essays on