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.
Northampton /nɔːrˈθæmptən/ (About this soundlisten) is a large market town and the county town of Northamptonshire in the East Midlands of England. It lies on the River Nene, 60 miles (97 km) north-west of London and 50 miles (80 km) south-east of Birmingham. One of the largest towns (as opposed to cities) in England, it had a population of 212,100 at the 2011 census (223,000 est. 2019).
Archaeological evidence of settlement in the area dates to the Bronze Age, Romans and Anglo-Saxons. In the Middle Ages, the town rose to national significance with the establishment of Northampton Castle, an occasional royal residence which regularly hosted the Parliament of England. Medieval Northampton had many churches, monasteries and the University of Northampton, all enclosed by the town walls. It was granted a town charter by Richard I in 1189 and a mayor was appointed by King John in 1215. The town was also the site of two medieval battles, in 1264 and 1460.
Northampton supported the Parliamentary Roundheads in the English Civil War, and Charles II ordered the destruction of the town walls and most of the castle. The Great Fire of Northampton in 1675 destroyed much of the town. It was soon rebuilt and grew rapidly with the industrial development of the 18th century. Northampton continued to grow with the arrival of the Grand Union Canal and the railways in the 19th century, becoming a centre for footwear and leather manufacture.
Northampton's growth was limited until it was designated as a New Town in 1968, accelerating development in the town. It unsuccessfully applied for city status in 2000.