Nursingis a profession within thehealth caresector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health andquality of life. Nurses may be differentiated from otherhealth care providersby theirapproach to patient care,training, andscope of practice. Nurses practice in manyspecialtieswith differing levels ofprescription authority. Nurses comprise the largest component of most healthcare environments;but there is evidence of international shortages of qualified nurses.Many nurses provide care within the ordering scope ofphysicians, and this traditional role has shaped the public image of nurses as care providers. Nurse practitioners are however permitted by most jurisdictions to practice independently in a variety of settings. Since thepostwarperiod, nurse education has undergone a process of diversification towardsadvanced and specialized credentials, and many of the traditional regulations and provider roles are changing.
Nurses develop a plan of care, working collaboratively with physicians, therapists, the patient, the patient's family, and other team members that focuses on treating illness to improve quality of life. In the United Kingdom and the United States, advanced practice nurses, such as clinical nurse specialists and nurse practitioners, diagnose health problems and prescribe medications and other therapies, depending on individual state regulations. Nurses may help coordinate the patient care performed by other members of a multidisciplinary health care team such as therapists, medical practitioners, and dietitians. Nurses provide care both interdependently, for example, with physicians, and independently as nursing professionals.
Bristol (/ˈbrɪstəl/ (About this soundlisten)) is a city, ceremonial county and unitary authority in England. Situated on the River Avon, it is bordered by the ceremonial counties of Gloucestershire, to the north; and Somerset, to the south. Bristol is the most populous city in South West England. The wider Bristol Built-up Area is the eleventh most populous urban area in the United Kingdom.
Iron Age hill forts and Roman villas were built near the confluence of the rivers Frome and Avon, and around the beginning of the 11th century, the settlement was known as Brycgstow (Old English "the place at the bridge"). Bristol received a royal charter in 1155 and was historically divided between Gloucestershire and Somerset until 1373 when it became a county of itself. From the 13th to the 18th century, Bristol was among the top three English cities, after London, in tax receipts; however, it was surpassed by the rapid rise of Birmingham, Manchester and Liverpool in the Industrial Revolution.
Bristol was a starting place for early voyages of exploration to the New World. On a ship out of Bristol in 1497 John Cabot, a Venetian, became the first European to land on mainland North America. In 1499 William Weston, a Bristol merchant, was the first Englishman to lead an exploration to North America. At the height of the Bristol slave trade, from 1700 to 1807, more than 2,000 slave ships carried an estimated 500,000 people from Africa to slavery in the Americas. The Port of Bristol has since moved from Bristol Harbour in the city centre to the Severn Estuary at Avonmouth and Royal Portbury Dock.
Bristol's modern economy is built on the creative media, electronics and aerospace industries, and the city-centre docks have been redeveloped as centres of heritage and culture. The city has the largest circulating community currency in the UK; the Bristol pound, which is pegged to the Pound sterling. The city has two universities, the University of Bristol and the University of the West of England, and a variety of artistic and sporting organisations and venues including the Royal West of England Academy, the Arnolfini, Spike Island, Ashton Gate and the Memorial Stadium. It is connected to London and other major UK cities by road and rail, and to the world by sea and air: road, by the M5 and M4 (which connect to the city centre by the Portway and M32); rail, via Bristol Temple Meads and Bristol Parkway mainline rail stations; and Bristol Airport.
One of the UK's most popular tourist destinations, Bristol was named the best city in Britain in which to live in 2014 and 2017, and won the European Green Capital Award in 2015.