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.
Goole is a town, civil parish and inland port located at junction 36 off the M62 via the A614 and approximately 45 miles (72 km) from the North Sea at the confluence of the rivers Don and Ouse in the East Riding of Yorkshire, England, although historically within the West Riding of Yorkshire. Goole lies 19 miles (31 km) south of York and 29 miles (47 km) west of Hull.
According to the 2011 UK census, Goole parish had a population of 19,518, an increase on the 2001 UK census figure of 17,600. The port, which is the UK's furthest inland port, is highly versatile and capable of handling nearly 2 million tonnes of cargo per annum, making it one of the most important ports on the east coast of England.
Goole is twinned with Złotów in Poland. Goole was informally twinned with Gibraltar in the 1960s; at that time, Gibraltar Court was named in Goole and Goole Court was named in Gibraltar.