For every two women who would die if they gave birth at home, fifteen would have to die if they gave birth in a hospital. (Dunn, 1996, p. F219) The meticulous detail that Nightingale put into her reform efforts is evident when examining her written letters and other memoirs. “His approach involved clinical observation and examination of anecdotal case studies, as well as statistical analyzes of relevant numerical data and the subsequent generation of theories linking the various elements (Clements & Averill, 2006, p.. 269).”