Florence Nightingale an outpouring of generous donations. Sidney Herbert served as honorary secretary of the fund and the Duke of Cambridge was chairman. Nightingale was considered a pioneer in the concept of "medical tourism" as well, based on her 1856 letters describing spas in the Ottoman Empire. She detailed the health conditions, physical descriptions, dietary information, and other vital details of patients whom she directed there. The treatment there was significantly less expensive than in Switzerland. Nightingale had £45,000 at her disposal from the Nightingale Fund to set up the Nightingale Training School at St. Thomas' Hospital on 9 July 1860. The
History of nursing rapidly in the late 19th century as larger hospitals set up nursing schools that attracted ambitious women from middle- and working-class backgrounds. Agnes Elizabeth Jones and Linda Richards established quality nursing schools in the U.S. and Japan; Linda Richards was officially America's first professionally trained nurse, having been trained at Florence Nightingale's training school, and subsequently graduating in 1873 from the "New England Hospital for Women and Children" in Boston In the early 1900s, the autonomous, nursing-controlled, Nightingale-era schools came to an end. Despite the establishment of university-affiliated nursing schools, such as Columbia and Yale, hospital training programs were dominant.