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.
The Metropolitan Borough of Dudley is a metropolitan borough of West Midlands in England. It was created in 1974 following the Local Government Act 1972, through a merger of the existing Dudley County Borough with the municipal boroughs of Stourbridge and Halesowen. The borough borders Sandwell to the east, the city of Birmingham to the south east, Bromsgrove to the south in Worcestershire, South Staffordshire District to the west, and the city of Wolverhampton to the north.
Being a metropolitan borough Dudley is effectively a unitary authority, with the exceptions of Transport for West Midlands, (publicly branded as West Midlands Network), fire and police services, and the local government pension fund (West Midlands Pension Fund), which are jointly run by the seven metropolitan boroughs of the West Midlands county.
For Eurostat purposes, Dudley is a NUTS 3 region (code UKG36), and is one of seven boroughs or unitary districts that comprise the "West Midlands" NUTS 2 region.