Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health care providers by their approach to patient care, training, and scope of practice. Nurses practice in many specialties with differing levels of prescription 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 of physicians, 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 the postwar period, nurse education has undergone a process of diversification towards advanced 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.
Derbyshire (/ˈdɑːrbɪˌʃɪər, -ʃər/) is a county in the East Midlands of England. A substantial portion of the Peak District National Park lies within Derbyshire, containing the southern extremity of the Pennine range of hills which extend into the north of the county. The county contains part of the National Forest, and borders on Greater Manchester to the northwest, West Yorkshire to the north, South Yorkshire to the northeast, Nottinghamshire to the east, Leicestershire to the southeast, Staffordshire to the west and southwest and Cheshire also to the west. Kinder Scout, at 636 metres (2,087 ft), is the highest point in the county, whilst Trent Meadows, where the River Trent leaves Derbyshire, is its lowest point at 27 metres (89 ft).:1 The River Derwent is the county's longest river at 66 miles (106 km), and runs roughly north to south through the county. In 2003 the Ordnance Survey placed Church Flatts Farm at Coton in the Elms (near Swadlincote) as the farthest point from the sea in Great Britain.
The city of Derby is a unitary authority area, but remains part of the ceremonial county of Derbyshire. The non-metropolitan county contains 30 towns with between 10,000 and 100,000 inhabitants. There is a large amount of sparsely populated agricultural upland: 75% of the population live in 25% of the area.