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,.,,
<
s F.A.DAVIS
ESSENTIALS OF
Nursing Leadership
& Management
SEVENTH EDITION
Sally A. Weiss, EdD, APRN, FNP-C,
CNE, ANEF
Professor, Lead Faculty Graduate Program
Herzing University
Menominee Falls, Wisconsin

Ruth M. Tappen, EdD, RN, FAAN


Christine E. Lynn Eminent Scholar and Professor
Florida Atlantic University College of Nursing
Boca Raton, Florida

Karen A. Grimley, PhD, MBA, RN,


NEA-BC, FACHE
Chief Nursing Executive, UCLA Health
Vice Dean, UCLA School of Nursing
Los Angeles, California
F. A. Davis Company
1915 Arch Street
Philadelphia, PA 19103
www.fadavis.com

Copyright © 2019 by F. A. Davis Company


Copyright © 2019, 2015, 2010, 2007, 2004, 2001, 1998 by F. A. Davis Company. All rights reserved. This
book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmit-
ted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without
written permission from the publisher.

Printed in the United States of America


Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1

Acquisitions Editor: Jacalyn Sharp


Content Project Manager: Sean West
Design and Illustration Manager: Carolyn O’Brien
As new scientific information becomes available through basic and clinical research, recommended treat-
ments and drug therapies undergo changes. The author(s) and publisher have done everything possible
to make this book accurate, up to date, and in accord with accepted standards at the time of publication.
The author(s), editors, and publisher are not responsible for errors or omissions or for consequences from
application of the book, and make no warranty, expressed or implied, in regard to the contents of the
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Library of Congress Cataloging-in-Publication Data

Names: Weiss, Sally A., 1950- author. | Tappen, Ruth M., author. | Grimley, Karen A., author.
Title: Essentials of nursing leadership & management / Sally A. Weiss, Ruth M. Tappen, Karen A.
Grimley.
Description: Seventh edition. | Philadelphia : F. A. Davis Company, [2019] | Includes bibliographical
references and index.
Identifiers: LCCN 2019000397 (print) | LCCN 2019001079 (ebook) | ISBN 9780803699045 | ISBN
9780803669536 (pbk. : alk. paper)
Subjects: | MESH: Leadership | Nursing, Supervisory | Nursing Services—organization & administra-
tion | United States
Classification: LCC RT89 (ebook) | LCC RT89 (print) | NLM WY 105 | DDC 362.17/3068—dc23
LC record available at https://lccn.loc.gov/2019000397

Authorization to photocopy items for internal or personal use, or the internal or personal use of specific
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license by CCC, a separate system of payment has been arranged. The fee code for users of the Transac-
tional Reporting Service is: 978-0-8036-6953-6/19 0 + $.25.
Dedication

To my granddaughter, Sydni, and my grandsons, Logan and


Ian. Their curiosity and hunger for learning remind me how
nurturing our novice nurses helps them in their quest to seek
new knowledge and continue their professional growth.
—SALLY A. WEISS

To students, colleagues, family, and friends, who have taught


me so much about leadership.
—RUTH M. TAPPEN

To my kids, Kristina, Kathleen, Meagan, and Ian, for their


love and understanding during this lifelong pursuit of learning.
To my dad for teaching me that the only limits we face are the
ones we create and to my mom for instilling the value of a good
education.
—KAREN A. GRIMLEY

v
Preface
We are pleased to bring our readers this seventh edition of Essentials of Nursing Leadership &
Management. This new edition has been updated to reflect the dynamic health-care environment,
new safety and quality initiatives, and changes in the nursing practice environment. As in our previ-
ous editions, the content, examples, and diagrams were designed with the goal of assisting the new
graduate to make the transition to professional nursing practice.
Our readers may have noticed that we have added a new author to our team: Dr. Karen A.
Grimley, Chief Nurse Executive at UCLA Health Center and Vice Dean of the School of Nursing
at UCLA. We are delighted to have her join us, bringing a fresh perspective to this new edition.
The seventh edition of Essentials of Nursing Leadership & Management focuses on essential lead-
ership and management skills and the knowledge needed by the staff nurse as a key member of the
interprofessional health-care team and manager of patient care. Issues related to setting priorities,
delegation, quality improvement, legal parameters of nursing practice, and ethical issues were also
updated for this edition.
This edition discusses current quality and safety issues and the high demands placed on nurses in
the current health-care environment. In addition, we continue to bring you comprehensive, practical
information on developing a nursing career and addressing the many workplace issues that may arise
in practice.
This new edition of Essentials of Nursing Leadership & Management will provide a strong foun-
dation for the beginning nurse leader. We want to thank all of the people at F. A. Davis for their
continued support and assistance in bringing this edition to fruition. We also want to thank our
contributors, reviewers, colleagues, and students for their enthusiastic support. Thank you all.
—SALLY A. WEISS
RUTH M. TAPPEN
KAREN A. GRIMLEY

vii
Reviewers
JENNA L. BOOTHE, DNP, APRN, FNP-C CANDACE JONES, BSN, MSN, RN
Assistant Professor Professor of Nursing
Hazard Community and Technical College Greenville Technical College
Hazard, Kentucky Greenville, South Carolina

LYNETTE DEBELLIS, MS, RN SUSAN MUDD, MSN, RN, CNE


Chairperson and Assistant Professor of Nursing Coordinator, Associate Degree Nursing Program
Westchester Community College Elizabethtown Community & Technical
Valhalla, New York College
Elizabethtown, Kentucky
SONYA C. FRANKLIN, RN, EdD/CI, MHA,
MSN, BSN, AS, ADN DONNA WADE, RN, MSN
Associate Professor of Nursing Professor of Nursing
Cleveland State Community College Mott Community College
Cleveland, Tennessee Flint, Michigan

ix
Table of Contents

unit 1 Professionalism 1

chapter 1 Characteristics of a Profession 3

chapter 2 Professional Ethics and Values 13

chapter 3 Nursing Practice and the Law 35

unit 2 Leading and Managing 55

chapter 4 Leadership and Followership 57


chapter 5 The Nurse as Manager of Care 71
chapter 6 Delegation and Prioritization of Client Care Staffing 81

chapter 7 Communicating With Others and Working


With the Interprofessional Team 99
chapter 8 Resolving Problems and Conflicts 117

unit 3 Health-Care Organizations 131

chapter 9 Organizations, Power, and Professional


Empowerment 133
chapter 10 Organizations, People, and Change 149
chapter 11 Quality and Safety 163
chapter 12 Maintaining a Safe Work Environment 181
chapter 13 Promoting a Healthy Work Environment 197

unit 4 Your Nursing Career 213

chapter 14 Launching Your Career 215

chapter 15 Advancing Your Career 235

xi
xii Table of Contents

unit 5 Looking to the Future 249

chapter 16 What the Future Holds 251

Bibliography 263

Appendices
appendix 1 Standards Published by the American Nurses Association 285

appendix 2 Guidelines for the Registered Nurse in Giving, Accepting,

or Rejecting a Work Assignment 287


appendix 3 National Council of State Boards of Nursing Guidelines

for Using Social Media Appropriately 293


®
appendix 4 Answers to NCLEX Review Questions 295

Index 321
unit 1
Professionalism
chapter 1 Characteristics of a Profession

chapter 2 Professional Ethics and Values

chapter 3 Nursing Practice and the Law


chapter 1
Characteristics of a Profession
OBJECTIVES OUTLINE
After reading this chapter, the student should be able to: Introduction
■ Explain the qualities associated with a profession
Professionalism
■ Differentiate between a job, a vocation, and a profession
Definition of a Profession
■ Discuss professional behaviors
Professional Behaviors
■ Determine the characteristics associated with nursing as a

profession Evolution of Nursing as a Profession


■ Explain licensure and certification Nursing Defined
■ Summarize the relationship between social change and the The National Council Licensure Examination
advancement of nursing as a profession Licensure
■ Discuss some of the issues faced by the nursing profession
Licensure by Endorsement
■ Explain current changes impacting nursing ’s future
Qualifications for Licensure
Licensure by Examination
NCLEX-RN®
Political Influences and the Advance of Nursing
Professionals
Nursing and Health-Care Reform
Nursing Today
The Future of Professional Nursing
Conclusion

3
4 unit 1 ■ Professionalism

Introduction Professionalism
It is often said that you do not know where you Definition of a Profession
are going until you know where you have been. A vocation or calling defines “meaningful work”
More than 40 years ago, Beletz (1974) wrote depending on an individual’s point of view (Dik
that most people thought of nurses in gender- & Duffy, 2009). Nursing started as a vocation or
linked, task-oriented terms: “a female who per- “calling.” Until Nightingale, most nursing occurred
forms unpleasant technical jobs and functions as through religious orders. To care for the ill and
an assistant to the physician” (p. 432). Interest- infirmed was a duty (Kalisch & Kalisch, 2004). In
ingly, physicians in the 1800s viewed nursing as early years, despite the education required, nursing
a complement to medicine. According to War- was considered a job or vocation (Cardillo, 2013).
rington (1839), “. . . the prescriptions of the best Providing a definition for a “profession” or “pro-
physician are useless unless they be timely and fessional” is not as easy as it appears. The term is
properly administered and attended to by the used all the time; however, what characteristics
nurse” (p. iv). define a professional? According to Saks (2012),
In its earliest years, most nursing care occurred several theoretical approaches have been applied
at home. Even in 1791 when the first hospital to creating a definition of a profession, the older
opened in Philadelphia, nurses continued to care of these looking only at knowledge and expertise,
for patients in their own home settings. It took whereas later ones include a code of ethics, prac-
almost another century before nursing moved into tice standards, licensure, and certification, as well
hospitals. These institutions, mostly dominated by as expected behaviors (Post, 2014).
male physicians, promoted the idea that nurses Nurses engage in specialized education
acted as the “handmaidens” to the better-educated, and training confirmed by successfully passing
more capable men in the medical field. the National Council Licensure Examination
The level of care differed greatly in these early (NCLEX®) and receiving a license to practice
health-care institutions. Those operated by the in each state. Nurses follow a code of ethics and
religious nursing orders gave high-quality care to recognized practice standards and a body of con-
patients. In others, care varied greatly from good to tinuous research that forms and directs our practice.
almost none at all. Although the image of nurses Nurses function autonomously within the desig-
and nursing has advanced considerably since then, nated scope of practice, formulating and delivering
some still think of nurses as helpers who carry out a plan of care for clients, applying judgments, and
the physician’s orders. utilizing critical thinking skills in decision making
It comes as no surprise that nursing and health (Cardillo, 2013).
care have converged and reached a crossing point.
Nurses face a new age for human experience; the
very foundations of health practices and thera- Professional Behaviors
peutic interventions continue to be dramatically According to Post (2014), professional characteris-
altered by significantly transformed scientific, tics or behaviors include:
technological, cultural, political, and social realities
■ Consideration
(Porter-O’Grady, 2003). The global environment
■ Empathy
needs nurses more than ever to meet the health-
■ Respect
care needs of all.
■ Ethical and moral values
Nursing sees itself as a profession rather than a
■ Accountability
job or vocation and continues with this quest for its
■ Commitment to lifelong learning
place among the health-care disciplines. However,
■ Honesty
what defines a profession? What behaviors are
expected from the members of the profession? Professionalism denotes a commitment to carry
Chapter 1 discusses nursing as a profession with out specialized responsibilities and observe ethical
its own identity and place within this new and principles while remaining responsive to diverse
ever-changing health-care system. recipients (Al-Rubaish, 2010). Communicating
16 unit 1 ■ Professionalism

because of their values (Zimmerman & Zalta,


skills in order to get him into the “best private
2014). Patients who have traumatic brain injuries
school” in the area. As he moved through the
may overcome tremendous barriers because they
program, his grades did not reflect his mother’s
value independence. Race car drivers may risk
great effort, and he felt that he had disap-
death or other serious injury because they value
pointed his mother as well as himself. By the
competition and winning.
time Dino reached 9 years of age, he had devel-
Values also generate the standards by which
oped a variety of somatic complaints such as
people judge others. For example, someone who
stomach ailments and headaches.
values work more than leisure activities will look
unfavorably on a coworker who refuses to work
throughout the weekend. A person who believes
that health is more important than wealth would
approve of spending money on a relaxing vacation Values change with experience and maturity.
or perhaps joining a health club rather than invest- For example, young children often value objects,
ing the money. such as a favorite blanket or toy. Older children
Often people adopt the values of individu- are more likely to value a specific event, such as
als they admire. For example, a nursing student a family vacation. As children enter adolescence,
may begin to value humor after observing it used they place more value on peer opinions than those
effectively with patients. Values provide a guide of their parents. Young adults often place value on
for decision making and give additional meaning certain ideals such as heroism. The values of adults
to life. Individuals develop a sense of satisfaction are formed from all these experiences as well as
when they work toward achieving values they from learning and thought.
believe are important (Tuckett, 2015). The number of values that people hold is not as
important as what values they consider important.
How Values Are Developed Choices are influenced by values. The way people
Values are learned (Taylor, 2012). Ethicists attri- use their own time and money, choose friends, and
bute the basic question of whether values are pursue a career are all influenced by values.
taught, inherited, or passed on by some other
mechanism to Plato, who lived more than Values Clarification
2,000 years ago. A recent theory suggests that Values clarification is deciding what one believes
values and moral knowledge are acquired much is important. It is the process that helps people
in the same manner as other forms of knowledge, become aware of their values. Values play an
through real-world experience. important role in everyday decision making. For
Values can be taught directly, incorporated this reason, nurses need to be aware of what they
through societal norms, and modeled through do and do not value. This process helps them to
behavior. Children learn by watching their parents, behave in a manner that is consistent with their
friends, teachers, and religious leaders. Through values.
continuous reinforcement, children eventually Both personal and professional values influ-
learn about and then adopt values as their own. ence nurses’ decisions (McLeod-Sordjan, 2014).
Because of the values they hold dear, people often Understanding one’s own values simplifies solving
make great demands on themselves and others, problems, making decisions, and developing better
ignoring the personal cost. For example: relationships with others when one begins to
realize how others develop their values. Kirschen-
baum (2011) suggested using a three-step model
of choosing, prizing, and acting with seven sub-
Niesa grew up in a family where educational
steps to identify one’s own values (Box 2-1).
achievement was highly valued. Not surpris-
You may have used this method when making
ingly, she adopted this as one of her own values.
the decision to go to nursing school. For some
Niesa became a physician, married, and had
people, nursing is a first career; for others, a second
a son, Dino. She placed a great deal of effort
career. Using the model in Box 2-1, the valuing
on teaching her son the necessary educational
process is analyzed:
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Preparing for Publication,

BY THE SAME AUTHOR,

In three volumes, with numerous illustrations,

NARRATIVE OF THE TRAVELS

OF

LADY HESTER STANHOPE,

IN COMPANY WITH HER PHYSICIAN.


INDEX
TO THE

MEMOIRS OF LADY HESTER L. STANHOPE.

Abbott, Mr., i., 34, 53, 55, 225


Abella, Signor, ii., 121; iii., 282
Abercorn, Marquis of, ii., 219
Abortion, procuring of, i., 298
Abrah, convent, i., 84, 90, 262
Abyssinian Women, iii., 97
Abu Ghosh, i., 263
Acre, siege of, iii., 179
Adam, book penned by, ii., 360
Adams, Mr. Dacres, i., 18, 32; ii., 65
Addington, Mr., ii., 219
Advice, iii., 271
Agents, English, iii., 283
Agreement made, ii., 38, sexies
Ahmed Bey, i., 164
Albanians, ii., 366
Alchemy
Alexander, the Emperor, iii., 183
Ali, the messenger, iii., 288
Amber cane, ii., 108
Amelia, the Princess, ii., 18
Anastatius at Shemäuny, iii., 258
Anecdotes, sundry, i., 208
Anson, Mr., ii., 369
Antonio, servant, ii., 172
Arborescence of milk, ii., 48, ter
Argyll, Duke of, i., 174
Arrian, Castle of, iii., 317
Artois, Comte d’, ii., 95
Asaph, Lord St., i., 225, 285
Ash, Captain, i., 280
Astrology, i., 275
Aubin, M., French Surgeon, i., 114
Austin, the boy, i., 308
Awly, the river, iii., 22, 28

Bailey, Dr., iii., 165, 235


Bakhshysh, ii., 368; iii., 248
Baklaawy, ii., 333
Bankes, Peggy, ii., 16
Barrington, Jonah, ii., 337, 377
Bartlett, Mr., iii., 32, 82
Bavaria, Duke Maximilian of, iii., 38, 219, 244
Baz, Widow, i., 110
Beating a Mahometan, ii., 147; iii., 217
Beck, Dr., ii., 271
Belmore, Lord, ii., 375
Belvidere, the ship, i., 235
Bentinck, Lord Frederick, i., 53
Berri, Duc de, ii., 97; iii., 183
Berthou, Comte de, iii., 282
Besborough, iii., 158
Beshyr, the Emir, i., 55, 59, 104, 219; iii., 67, 100, 146, 274
Beyrout, iii., 205
Black Doses, iii., 243
Blair, Captain, i., 224
Blues, the, ii., 78
Blushing, ii., 18
Boghoz Bey, iii., 65, 76
Bourbons, the, ii., 74; iii., 168
Bowring, Dr., iii., 95
Bradford, Captain, ii., 76
Bridport, Lord, iii., 138
Brothers, fortune teller, i., 204
Brougham, Lord, iii., 237
Brummel, Beau, i., 284
Bruce, Michael, i., 20; iii., 133
Buckingham, Duke of, i., 31, 318, 361; iii., 58
Buckinghamshire, Lady, i., 179
Builth, ii., 7; iii, 193
Bull’s pizzle, ii., 38
Buonaparte, iii., 186
Buonaventura, Padre, i., 49
Burdett, Sir Francis, i., 2, 248, 374; ii., 314; iii., 170, 290, 254, 307
Burkhardt, iii., 205, 271
Burrell, ii., 59
Burton Pynsent, iii., 178
Bury, Lady Charlotte, i., 30, 80; iii., 79, 185
Busech, Baron de, iii., 220, 316
Bute, Lady, i., 215
Bute, Lord, i., 213
Byron, Lord, iii., 219

Cabûr, servant, i., 252


Caher, Lady, iii., 80
Camden, Lord, ii., 2, 219, 381; iii., 293
Camelford, Lord, i., 273, 321, 394; ii., 137
Campbell, Char., Lady, iii., 162, 170, 185
Campbell, Col., ii., 245, 265
Canning, Mr., i., 313, 319, 393
Canning, Mrs., i., 317
Canova, Dr., ii., 70
Caroline, Queen, i., 305
Carrington, Lord, ii., 61, 70; iii., 163, 290
Câsem, shepherd, ii., 332
Cass, Commodore, i., 225; ii., 224, 311, 339; iii., 282
Castel Rosso, schooner, iii., 303
Castlereagh, Lord, i., 315
Catafago, Signor, iii., 313, 352
Cats, iii., 146
Catsiflitz, iii., 44
Chaboceau, Dr., iii., 153
Charms, i., 275
Chasseaud, Mr., i., 80, 94, 170, 186, 222, 249
Chastity, i., 296
Chatham, Lord, First, ii., 255, 286; iii., 79, 178, 184, 187
Chatham, Lord, Second, ii., 76; iii., 293
Cheshire Gentleman, iii., 166
Chevening, i., 384; ii., 208, 384
Christians, Syrian, i., 60; iii., 312
Clark, Dr., i., 92, 246
Clean and Unclean, i., 148
Cline, Mr. Henry, ii., 5, 254
Clysters, i., 328
Cobham, Lady, iii., 178
Cockchafers and Maybugs, iii., 253
Cœle-Syria iii., 57, 244 note
Colburn or Cockburn, ii., 371
Compton, Mr., i., 224; ii., 373
Congleton, Lord, i., 75
Conscription, the, ii., 113
Conti, Mr., iii., 27, 304
Conversations, ii., 107
Cooper, Mr., Brewer, iii., 157
Corn Cellars
Courtezans, born so, ii., 262
Coutts, Mr., i., 173; iii., 62, 290, 308
Cronin, Mrs., i., 75
Crutches for the lame, iii., 34
Cumberland, Duke of, i., 308; ii., 18, 52
Cumberland, Mr., i., 378
Cure of sore throat, ii., 338
Cyprus, i., 232

D——, Lord, ii., 103


Damûr, river, iii., 209
Dar Jûn, i., 85
Darnley, Lord, ii., 14
Davenport, Miss, ii., 104
Davidson, Col., iii., 215
Debts, Lady H. S.’s, i., 339
Derby, Lord, i., 175
Dervises, iii., 174
Devonshire, Duchess of, iii., 158, 216
Deyr el Benàt, iii., 112
Deyr el Mkallas, ii., 329
Deyr Seyda, iii., 112
Dillon, Harry, i., 182
Dobree, the hatter, iii., 295
Doctors, ii., 36, 110
Dorgan, Colonel, ii., 288
Dorset, Duke of, i., 175
Down, Lord, iii., 185
Dragomans, i., 10, 346
Drummond, Sir W.
Druzes, iii., 25, 67, 70, 73, 265, 269, 310, 316
Duchesses, ii., 52, 96
Dundas, Capt., i., 235, 288
Dundas, Mr., Scotch gentleman, i., 93; iii., 52
Dundas, secretary, ii., 71
Du Thé, Madlle, ii., 262
Dyk, the cook, ii., 334; iii., 155
Dyke, Sir John, iii., 179

Ear Suckers
Ebrington, Lord, i., 194; iii., 54
Education, iii., 137
Elliott, Mr., ii., 376
Emir Beshyr, i., 55, 59, 104, 219; iii., 67, 100, 146, 274
Eugenia Meryon, i., 380; ii., 247
European taste for beauty, i., 192
Ewelly, the river, iii., 22
Eyes, ii., 69

Fable, the, Lion and Mouse, iii., 308


Fair Ellen, the, i., 184
Family, Dr. M.’s, ii., 37
Farkûah Hanah, i., 233
Farquhar, Sir Walter, iii., 165, 235
Farren, Mr., i., 224
Fatoom, negress, i., 168; ii., 335
Faults like bad money, iii., 119
Faur, Julie de Saint
Fazacherly, Mr., i., 205
Fiott, Mr.
Fish, drawings of
Fitzirnham, iii., 163, 165
Flies on horses’ tails, ii., 35
Flogging, i., 294, 298; ii., 135; iii., 51, 242, 248
Footmen, ladies borrow of, iii., 164
Footmen’s Nosegays, iii., 128
Forster, Lady Elizabeth
Forster, Sir Augustus, ii., 359
Fox, Mrs. Charles, iii., 172, 188
François, cook, ii., 255
Freeky, the dog, iii., 259
Fright at Mt. Lebanon paths, i., 210
Fry, Mrs., i., 224
Feriat, Madame de, i., 362

Gallantry, definition of, i., 192


Gally, Knight, i., 204
Gambling Debt how paid, ii., 106
Gantés, Dr., iii., 231
Gardner, John, iii., 123
Gendal, castle of, iii., 317
Georgio, iii., 188
George the Third, ii., 230
Gifford’s Life of Pitt, iii., 166
Gifts, Lady H.’s, ii., 244
Giovanni, servant, iii., 51
Girius Gemal, i., 226
Girolamo, Signor, i., 49
Giuseppe, servant, ii., 271
Glastonbury, Lord, ii., 149
Gloves, iii., 143
Goats, why killed, i., 273
Going, A., ii., 367
Gondolfi, Abbate, i., 112
Gontaut, La Duchesse de, ii., 97, 370
Gordon, Duchess of, ii., 52
Gore, Mrs. C., iii., 80
Go to bed, ii., 148
Granby, Marquis of, iii., 178
Granville, Lord, ii., 259
Greek Pirates, i., 39
Greeks and Greek Catholics, iii., 72
Green, Mr. Joseph, ii., 257; iii., 33
Grenville, General, ii., 89
Grenville, Lord, ii., 259
Grenville, Thomas, ii., 28
Grey, Lord, ii., 19
Griselda, Lady, ii., 8
Grote, Mr., i., 178
Gubbins, Misses, i., 174
Gully Tom and Boa Constrictor, iii., 292
Guys, Mons., i., 148; ii., 30, 205, 327; iii., 169, 204, 311

Hadjy Salah, iii., 218, bis


Haeberly, Mr., i., 12, 30, 224
Hairy Women, i., 192
Halford, Sir Henry, i., 313
Hamadi, the executioner, iii., 130
Hamàms
Hamilton, Duke of, ii., 59
Hamilton, Sir Wm., i., 187
Hanàdy, tribe, iii., 317
Hardwicke, Earl, i., 362
Harewood, Lady, ii., 167
Harrington, Lord and Lady, ii., 97
Hasbeyah, iii., 274
Hassan, El Logmagy, i., 227, 268; ii., 222, 245; iii., 145
Hawkesbury, Lord, i., 217, 315
Hazetà, Colonel, iii., 277, 287
Heads, shape of, iii., 295
Heat in Syria, iii., 253
Heathcote, Lady, ii., 52
Heathcote, Sir Gilbert, ii., 164
Heber, Mr., i., 31
Hertford, Marquis of, i., 310
Hesitation in Speech, ii., 108
Hesse Darmstadt, Princess of
Heyne, iii., 102
High Descent, iii., 181, 216
Hill, Mr., i., 281
Hollow Back Mare, i., 17, 203; iii., 9
Holwood, i., 190
Horse Dealers in Syria, iii., 115
Horse Marines, iii., 216
Horses’ Tails, i., 203
House at Sayda, i., 251, 256
Howard, Mr., i., 284; ii., 252
Hume, Sir Abraham, ii., 26
Huskisson, Mr., ii., 64, 95

Ibrahim Pasha, iii., 67, 310, 317


Incontinence, when pardonable, i., 298
Inn at Cyprus, i., 233
Insults, definition of, ii., 212
Insurrection of the Druzes, iii., 268, 274, 310, 316
Ismäel Pasha, i., 188
Italian Tumblers, iii., 245

Jars on women’s heads


Jersey, Earl and Countess, i., 312
Jew, stories of a, i., 184
Jigger, ii., 133
Jordan, Mrs., i., 208
Jorelle, Madame, iii., 303
Jorelle, Mons., iii., 289
Josephine, the Empress, iii., 186
Joyce, Mr., ii., 21
Jûn Dar, description of, i., 85

Kaldy, ruins of, iii., 211


Karỳby, sweetmeat, ii., 333
Kaye, Dr., i., 213
Kent, Duke of, ii., 229, 232, bis
Khabỳl Mansûr, i., 172
Kilbee, iii., 201, 234
Kilmorey, Lord, iii., 254, 289
Kinglake, Eothen, i., 240
Knight, Gally, i., 205
Knox, Mr., ii., 349; iii., 21, 26

Laila, the mare, i., 201


Lamartine, M., i., 300, 394; ii., 351
Lambert, M., i., 325
Lancaster, Mr., iii., 211
Lapi, Signor and Signora, iii., 241, 271, 318
Lascaris, M., i., 301, 369
Las Cases, Artist, iii., 216
Lauderdale
Laurence, Sir Tho., i., 228
Lebanon, paths in Mt., i., 210
Lemàn, the, iii., 207
Letters, instructions to write, ii., 313
Letters, Lady H. S. to Dr. M., i., 6, 13, 21, 28, 30, 38, 54, 64, 67,
380;
to Mr. Webb, i., 50, 59, 69;
to Mr. Coutts, i., 62; iii., 62;
to Eugenia Meryon, i., 380;
to Sir E. Sugden, ii., 281;
to the Duke of Wellington, ii., 294;
to Lord Brougham, iii., 238;
to the Duke of Bavaria, iii., 245, 298;
to Baron de Busech, iii., 316;
to Sir F. Burdett, iii., 307;
to Mr. Speaker Abercrombie, ii., 223, 239, 272;
to Lord Palmerston, iii., 278;
to the Queen, ii., 267
Liverpool, Lord, i., 217, 315
Liverpool, Lady, ii., 76, 95, 96
Locusts, iii., 259
Lœve, Dr., iii., 262, 267
Logmagi, i., 263, ter; iii., 51, 144, 303, 322, bis
Longchamp, Madlle, i., 263, ter; ii., 92; iii., 52, 84, 98, 325
Loofloofy Mâlem, ii., 269
Louis XVIII., iii., 168
Loustaunau Capt., iii., 306
Loustaunau, Gen., ii., 184, 198, 244; iii., 341
Lowe, Sir Hudson, iii., 187
Lowther, Lord, i., 96, 187
Lunardi, i., 228

Macintosh, Sir James, i., 141


McLean, Col., i., 47
Madden, Dr., i., 59
Maddox, Mr., i., 249; ii., 373
Magic, i., 275, 279
Mahadi, el, the coming of, i., 200
Mahannah Emir
Mahbûby, Prince Puckler Muskau’s slave, iii., 109
Mahmûd, Sultàn, iii., 69
Mahhmûd, servant, iii., 92
Mahomet Ali Pasha, i., 188; iii., 65, 76, 146
Mahometan, beaten, ii., 145
Mahon, Lord, ii., 87; iii., 163
Makhtarra, iii., 318
Malagamba, Signor, iii., 312
Malmesbury, Lord, i., FN[43], FN[65], FN[66], FN[67], FN[68], 162,
270; ii., 26, FN[3], FN[32]; iii., FN[20]
Mammûl, sweetmeat, ii., 333
Marchesson, Mr., iii., 273, 276
Mare, hollow backed, iii., 93
Mar Elias, i., 259; ii., 279, 315
Marks, good and bad, i., 27
Maronites, iii., 70
Mattei, Signor Baldassare, i., 234; iii., 324
Maubourg, M. de la Tour, ii., 290
Melbourne, Lord, ii., 232
Melek El Seyf, ii., 366
Meryon, Dr., leaves England, i., 3, 37;
promises made to him, i., 5; ii., 4;
his salary, ii., 2;
returns to England, i., 64, 74;
refuses to go to Damascus, i., 167;
his uncomfortable situation, i., 220; ii., 328; iii., 270;
makes love, ii., 16, 166;
his integrity, ii., 208;
reluctance to leave Lady Stanhope, iii., 154;
character of, iii., 133;
long sittings, iii., 162;
writes letters, iii., 313
Meryon, Mrs., i., 84, 162; iii., 123, 286;
her hostility to Lady H. S., i., 252, 338;
not fit company for Lady H. S, ii., 246;
her fright on the terrace, i., 258;
her visit to Lady H. S., i., 162;
mischief attributed, i., 172, 221;
is invited to Lady H. S.’s, ii., 236, 245;
is to be loved by Lady H. S., i., 33, 68;
what she is doing by clairvoyance, iii., 286;
her lamentations against Logmagi
Messaad Hannah, ii., 322
Messiah, Mrs., a Jewess, i., 58
Metta, a village doctor, i., 206; ii., 105
Mill, Doctor, iii., 277, 287
Montague Square, ii., 5, 7; iii., 193
Moore, General, ii., 36
Moore, Mr. B., Consul, ii., 311
Moore, Mrs., ii., 273; iii., 216
Motteux, Mr., ii., 94
Murray, Lady Augusta, i., 208; ii., 262
Mustaby, its meaning, iii., 246
Mustafa Pasha’s cruelty, ii., 136
Mustafa, the barber, ii., 121
Musters, Mrs., ii., 262
Myrice

Napier, Lady Sarah, ii., 362


Napier, Sir Wm., his letter, ii., 298
Napoleon I., iii., 186
Narbonne, Comte de, i., 300
Nash, Mrs., iii., 192
Natural children, i., 94
Needham, Col., iii., 289, 307
Neglected by the world, iii., 194
Negresses, iii., 364
Newbery, Doctor, i., 137; iii. 347
Newspaper, (April 12, 1838) iii., 234
North, the Hon. Fred., i., 205
Nuckly Ibrahim, iii., 38
Nugent, Mrs., i., 208

Ogles, the, iii., 139


Omar Sheykh, i., 349; ii., 120
Osman, Chäûsh, iii., 79
Ouseley, Sir Gore, ii., 93

Paget, Sir Arthur, ii., 182, bis


Paine, Tom, ii., 22
Palmerston, Lord, ii., 266
Paper Patterns, ii., 166
Paraschivà, Giuseppe, iii., 202
Parnell, Henry, (Baron Congleton) i., 75
Parry, Mrs., ii., 247
Passage to Cyprus, iii., 305
Passports, iii., 43
Payne, Capt., iii., 138
People of inferior station, iii., 128, 180
People’s Stars, ii., 251
Pepys, Sir Lucas, ii., 218
Perceval, Lady, ii., 97
Perceval, Mr., i., 306
Pether, artist, iii., 154
Pewits, birds, iii., 176
Phipps, General, ii., 218
Physicians, ii., 34, 331, bis
Pichetti, or Piccetti, i., 366, ter
Pierre, Old, ii., 343; iii., 55, 142
Pigot, Captain, i., 323; ii., 137, bis
Pirates, i., 39
Pitt, Wm.,
in love, i., 180;
dreams of Comus, i., 182;
drinks a health in a lady’s shoe, i., 181;
dislikes Mr. Canning, i., 317;
his attention to ladies’ dress, i., 181;
property bequeathed to him, iii., 289;
regrets making a peer, ii., 247; iii., 162;
his eyes, ii., 69;
his bust, ii., 79;
picture of Diogenes, ii., 80;
rabble under him, ii., 71;
his appearance, iii., 187;
not equal to his father, iii., 171;
his angelic worth, iii., 167, 235;
subscription to pay his debts, iii., 291;
his death, iii., 165, 235

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