ounded ▁in ▁ 1 8 7 8 ▁and ▁opened ▁in ▁ 1 8 8 6 , ▁the ▁H UP ▁Training ▁School ▁for ▁N urs ing ▁engaged ▁n urs ing ▁students ▁in ▁rig orous ▁hands - on ▁and ▁lecture - based ▁learning . ▁During ▁the ▁first ▁month ▁of ▁n urs ing ▁training , ▁" prob ation ers " ▁began ▁their ▁n urs ing ▁education ▁providing ▁di et ary ▁and ▁clean ing ▁services ▁at ▁the ▁hospital . ▁As ▁they ▁progress ed ▁through ▁their ▁n urs ing ▁education , ▁tra ine e ▁n urs es ▁learned ▁n urs ing ▁skills ▁on ▁the ▁floor ▁of ▁the ▁hospital ▁and ▁participated ▁in ▁lect ures ▁given ▁by ▁phys icians ▁at ▁the ▁university ▁hospital . ▁At ▁H UP , ▁C ly mer ▁received ▁training ▁through ▁clin ical ▁experience ▁providing ▁patient ▁care ▁and ▁lect ures ▁presented ▁by ▁the ▁hospital ' s ▁phys icians . ▁ ▁The ▁C ly mer ▁Di aries ▁ ▁During ▁her ▁training ▁between ▁ 1 8 8 7 ▁and ▁ 1 8 8 9 , ▁Mary ▁C ly mer ▁kept ▁di aries ▁that ▁included ▁clin ical ▁and ▁lecture ▁notes ▁that ▁have ▁been ▁preserved ▁through ▁the ▁Barbara ▁B ates ▁Center ▁for ▁the ▁Study ▁of ▁the ▁History ▁of ▁N urs ing ▁arch ives . ▁C ly mer ' s ▁di aries ▁reve al ▁daily ▁n urs ing ▁tasks , ▁practical ▁knowledge ▁learned , ▁and ▁the ▁occas ional ▁student ' s ▁g ri pe --" L ear ned ▁nothing ▁new , ▁and ▁everything ▁seemed ▁to ▁go ▁wrong . ▁M . V .