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.
Nottingham (/ˈnɒtɪŋəm/ (About this soundlisten) NOT-ing-əm) is a city and unitary authority area in Nottinghamshire, England. Part of the East Midlands region, it is 128 miles (206 km) north of London and 45 miles (72 km) northeast of Birmingham. To the west lies Derby, separated by the M1 motorway.
Nottingham has links to the legend of Robin Hood and to the lace-making, bicycle (notably Raleigh bikes) and tobacco industries. It was granted its city charter in 1897, as part of Queen Victoria's Diamond Jubilee celebrations. Nottingham is a tourist destination; in 2018, the city received the second highest amount of overnight visitors in the Midlands and the highest amount in the East Midlands.
In 2017, Nottingham had an estimated population of 329,200. The population of the city proper, compared to its regional counterparts, has been attributed to its historical and tightly-drawn city boundaries. The wider conurbation, which includes many of the city's suburbs, has a population of 768,638. It is the largest urban area in the East Midlands and the second-largest in the Midlands. Its Functional Urban Area, also the largest in the East Midlands, has a population of 919,484. The population of the Nottingham/Derby metropolitan area is estimated to be 1,610,000.
Its metropolitan economy is the seventh largest in the United Kingdom with a GDP of $50.9bn (2014). The city was the first in the East Midlands to be ranked as a sufficiency-level world city by the Globalization and World Cities Research Network.
Nottingham's public transport system won awards prior to 2015, including the largest publicly owned bus network in England, and is also served by Nottingham railway station and the modern Nottingham Express Transit tram system.
It is also a major sporting centre and, in October 2015, was named 'Home of English Sport'. The National Ice Centre, Holme Pierrepont National Watersports Centre and Trent Bridge international cricket ground are all based in or around the city, which is also the home of two professional football teams; the former world's oldest professional league club Notts County and Nottingham Forest, famously two-time winners of the UEFA European Cup under Brian Clough and Peter Taylor in 1979 and 1980. The city also has professional rugby, ice hockey and cricket teams, and the Aegon Nottingham Open, an international tennis tournament on the ATP and WTA tours. This accolade came just over a year after Nottingham was named as the UK's first City of Football.
On 11 December 2015, Nottingham was named a "City of Literature" by UNESCO, joining Dublin, Edinburgh, Melbourne and Prague as one of only a handful in the world. The title reflects Nottingham's literary heritage, with Lord Byron, D. H. Lawrence and Alan Sillitoe having links to the city, as well as a contemporary literary community, a publishing industry and a poetry scene.
The city is served by three universities: the University of Nottingham, Nottingham Trent University and the University of Law; hosting the highest concentration of higher education providers in the East Midlands.
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