 She had spent a total of 16 years and eight months working in Sydney.Despite all her difficulties, she had reformed nursing at Sydney Hospital; trained nurses who spread the Nightingale system of nursing to other hospitals; established that it was necessary for nurses to be trained rather than just learn from experience; and had validated a system of nursing that put the patient's welfare as the central concern of a nurse.From October 1886 Lucy Osburn lived in London and trained to be a district nurse with the Metropolitan and National Nursing Association for Providing Trained Nurses for the Sick Poor in their Own Homes (MNNA).