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.
Sandwell is a metropolitan borough of the West Midlands county in England. The borough is named after the Sandwell Priory, and spans a densely populated part of the West Midlands conurbation. According to Sandwell Metropolitan Borough Council, the borough comprises the six amalgamated towns of Oldbury, Rowley Regis, Smethwick, Tipton, Wednesbury, and West Bromwich, although these places consist of numerous smaller settlements and localities. Sandwell's Strategic Town Centre is designated as West Bromwich, the largest town in the borough, while Sandwell Council House (the headquarters of the local authority) is situated in Oldbury.
Bordering Sandwell is the City of Birmingham to the east, the Metropolitan Borough of Dudley to the south and west, the Metropolitan Borough of Walsall to the north, and the City of Wolverhampton to the north-west. Spanning the borough are the parliamentary constituencies of West Bromwich West, West Bromwich East, Warley, and part of Halesowen and Rowley Regis, which crosses into the Dudley borough.
At the 2011 census, the borough had a population of 309,000 and an area of 86 square kilometres (33 sq mi).