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.
Devon(/ˈdɛvən/, also known asDevonshire) is acountyofEngland, reaching from theBristol Channelin the north to theEnglish Channelin the south. It is part ofSouth West England, bounded byCornwallto the west,Somersetto the north-east andDorsetto the east. The city ofExeteris thecounty town. The county includes the districts ofEast Devon,Mid Devon,North Devon,South Hams,Teignbridge,TorridgeandWest Devon.PlymouthandTorbayare each geographically part of Devon, but are administered asunitary authorities.Combined as aceremonial county, Devon's area is 6,707 km2(2,590 square miles)and its population is about 1.1 million.
Devon derives its name fromDumnonia(the shift frommtovis a typicalCeltic consonant shift). During theBritish Iron Age,Roman Britainand theearly Middle Ages, this was the homeland of theDumnoniiBrittonicCelts. TheAnglo-Saxon settlement of Britainresulted in the partial assimilation of Dumnonia into theKingdom of Wessexduring the eighth and ninth centuries. The western boundary with Cornwall was set at theRiver TamarbyKing Æthelstanin 936. Devon was later constituted as ashireof theKingdom of England.
The north and south coasts of Devon each have both cliffs and sandy shores, and the county'sbayscontainseaside resorts,fishing townsandports. The inland terrain is rural, generally hilly and has a lower population density than many other parts of England.Dartmooris the largest open space in southern England, at 954 km2(368 square miles);itsmoorlandextends across a large expanse ofgranitebedrock. To the north of Dartmoor are theCulm MeasuresandExmoor. In the valleys and lowlands of south and east Devon the soil is more fertile, drained by rivers including theExe, theCulm, theTeign, theDartand theOtter.
As well as agriculture, much of theeconomy of Devonis based ontourism. The comparatively mild climate, coastline and landscape make Devon a destination forrecreation and leisure in England. Visitors are particularly attracted to the Dartmoor and Exmoornational parks; its coasts, including the resort towns along the south coast known collectively as theEnglish Riviera; theJurassic CoastandNorth Devon's UNESCO Biosphere Reserve; and the countryside including theCornwall and West Devon Mining Landscape.