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Nursing

A nurse checks a patient's blood pressure.
Occupation
Activity sectors	Nursing
Description
Competencies	Caring for general and specialized well-being of patients
Education required	Qualifications in terms of statutory regulations according to national, state, or provincial legislation in each country
Fields of employment	Hospital Clinic Laboratory Research Education Home care
Related jobs	Medicine Glossary of medicine

Nursing is a health care profession that "integrates the art and science of caring and focuses on the protection, promotion, and optimization of health and human functioning; prevention of illness and injury; facilitation of healing; and alleviation of suffering through compassionate presence". Nurses practice in many specialties with varying levels of certification and responsibility. Nurses comprise the largest component of most healthcare environments. There are shortages of qualified nurses in many countries.

Nurses develop a plan of care, working collaboratively with physicians, therapists, patients, patients' families, and other team members that focuses on treating illness to improve quality of life.

In the United Kingdom and the United States, clinical nurse specialists and nurse practitioners diagnose health problems and prescribe medications and other therapies, depending on regulations that vary by state. Nurses may help coordinate care performed by other providers or act independently as nursing professionals. In addition to providing care and support, nurses educate the public and promote health and wellness.

In the U.S., nurse practitioners are nurses with a graduate degree in advanced practice nursing, and are permitted to prescribe medications. They practice independently in a variety of settings in more than half of the United States. In the postwar period, nurse education has diversified, awarding advanced and specialized credentials, and many traditional regulations and roles are changing.

History

Premodern

Nursing historians face challenges of determining whether care provided to the sick or injured in antiquity is called nursing care. In the fifth century BC, for example, the Hippocratic Collection in places described skilled care and observation of patients by male "attendants," who may have provided care now provided by nurses. Around 600 BC in India, it is recorded in Sushruta Samhita, Book 3, Chapter V about the role of the nurse as "the different parts or members of the body as mentioned before including the skin, cannot be correctly described by one who is not well versed in anatomy. Hence, anyone desirous of acquiring a thorough knowledge of anatomy should prepare a dead body and carefully, observe, by dissecting it, and examining its different parts."

In the Middle Ages, members of religious orders such as nuns and monks often provided nursing-like care. Examples exist in Christian, Islamic, Buddhist, and other traditions. The biblical figure of Phoebe is described in many sources as "the first visiting nurse". These traditions were influential in the development of the ethos of modern nursing. Its religious roots remain in evidence in many countries. One example in the United Kingdom is the use of the historical title "sister" to refer to a senior nurse.

During the Reformation, Protestant reformers shut down monasteries and convents, allowing a few hundred municipal hospices to remain in operation in northern Europe. Nuns who had been serving as nurses were given pensions or told to marry and stay home. Nursing care went to the inexperienced as traditional caretakers, rooted in the Roman Catholic Church, were removed from their positions. The nursing profession in Europe was extinguished for approximately 200 years.

19th century

During the Crimean War, Grand Duchess Elena Pavlovna called for women to join the Order of Exaltation of the Cross (Krestodvizhenskaya Obshchina) for a year of service in military hospitals. The first section of twenty-eight "sisters", headed by Aleksandra Petrovna Stakhovich, the Directress of the Order, reached Crimea early in November 1854.

Florence Nightingale laid the foundations of professional nursing after the Crimean War, in light of a comprehensive statistical study she made of sanitation in India, leading her to emphasize the importance of sanitation. "After 10 years of sanitary reform, in 1873, Nightingale reported that mortality among the soldiers in India had declined from 69 to 18 per 1,000".

Nightingale believed that nursing was a social freedom and mission for women. She believed that any educated woman could help improve the care of the ill. Her Notes on Nursing (1859) was a popular call to action. The Nightingale model of nursing education led to one of the first schools of nursing to be connected to a hospital and medical school. It spread widely in Europe and North America after 1870.

Nightingale included five factors that helped nurses in her time who worked amidst poor sanitation and little education. These factors included fresh air, clean water, a working drainage system, cleanliness, and good light. Nightingale believed that a clean working environment was important in caring for patients. In the 19th century, this theory was ideal for helping patients, providing a guide for nurses to alter the environment around patients for the betterment of their health.

Nightingale's recommendations built upon the successes of Jamaican "doctresses" such as Mary Seacole, who like Nightingale, served in the Crimean War. Seacole practised hygiene and the use of herbs in healing wounded soldiers and those suffering from diseases in the 19th century in the Crimea, Central America, and Jamaica. Her predecessors had great success as healers in the Colony of Jamaica in the 18th century, and they included Seacole's mother (Mrs. Grant), Sarah Adams, Cubah Cornwallis, and Grace Donne, the mistress and doctress to Jamaica's wealthiest planter, Simon Taylor.

Other important nurses in the development of the profession include:

• Agnes Hunt from Shropshire was the first orthopedic nurse and was pivotal in the emergence of the orthopedic hospital, the Robert Jones & Agnes Hunt Hospital in Oswestry, Shropshire.
• Valérie de Gasparin opened, with her husband Agénor de Gasparin, the world's first nursing school: La Source, in Lausanne, Switzerland.
• Agnes Jones established a nurse training regime at Brownlow Hill infirmary, Liverpool, in 1865.
• Linda Richards established nursing schools in the United States and Japan, and was officially the first professionally trained nurse in the US, graduating in 1873 from the New England Hospital for Women and Children in Boston.
• Clarissa Harlowe "Clara" Barton was a pioneer American teacher, patent clerk, nurse, and humanitarian, and the founder of the American Red Cross.
• Saint Marianne Cope was a Sister of St. Francis who opened and operated some of the first general hospitals in the United States, instituting cleanliness standards that influenced the development of America's hospital system.

Red Cross chapters, which began appearing after the establishment of the International Committee of the Red Cross in 1863, offered employment and professionalization opportunities for nurses (despite Nightingale's initial objections). Catholic orders such as Little Sisters of the Poor, Sisters of Mercy, Sisters of St. Mary, St. Francis Health Services, Inc. and Sisters of Charity built hospitals and provided nursing services during this period. The modern deaconess movement began in Germany in 1836. Within a half century, over 5,000 deaconesses had surfaced in Europe.

Formal use of nurses in the military began in the latter half of the nineteenth century. Nurses saw active duty in the First Boer War, the Egyptian Campaign (1882), and the Sudan Campaign (1883).

20th century

In the 19th and early 20th century, nursing was considered a woman's profession, just as doctoring was a profession for men. With increasing expectations of workplace equality during the late 20th century, nursing became an officially gender-neutral profession, though in practice the percentage of male nurses remained well below that of female physicians in the 21st century.

Hospital-based training became standard in the US in the early 1900s, with an emphasis on practical experience. The Nightingale-style school began to disappear. Hospitals and physicians saw women in nursing as a source of free/inexpensive labor. Exploitation of nurses was not uncommon by employers, physicians, and education providers.

Many nurses saw active duty in the First World War, but the profession transformed again during the Second World War. British nurses of the Army Nursing Service were part of every overseas campaign. More nurses volunteered for service in the US Army and Navy than any other occupation. The Nazis had their own Brown Nurses, numbering 40,000. Two dozen German Red Cross nurses were awarded the Iron Cross for heroism under fire.

The development of undergraduate and post-graduate nursing degrees came after the war. Nursing research and a desire for association and organization led to the formation of professional organizations and academic journals. Nursing became recognized as a distinct academic discipline, initially tasked to define the theoretical basis for practice.

Shortages

Nurses are perceived to be in short supply around the world, particularly in South East Asia and Africa. A global survey by McKinsey & Company in 2022 found that between 28% and 38% of nurse respondents in the United States, the United Kingdom, Singapore, Japan, and France said they were likely to leave their role in direct patient care in the next year. The top five factors which they said would make them stay were:

• Safe working environment
• Work-life balance
• Caring and trusting team-mates
• Meaningful work
• Flexible work schedule

Pay ranked eighth on the list. A 2023 American survey found that around 30% were considering leaving patient care.

Definition

According to the traditional interpretation physicians are concerned with curing or treating medical conditions, while nurses focus on care. In healthcare settings this line is often blurred, complicating the task of distinguishing the professions. Although nursing practice varies both through its various specialties and countries, nursing organizations offer the following definitions:

Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well, and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles.

— International Council of Nurses

The use of clinical judgment in the provision of care to enable people to improve, maintain, or recover health, to cope with health problems, and to achieve the best possible quality of life, whatever their disease or disability, until death.

— Royal College of Nursing (2003)

Nursing is the protection, promotion, and optimization of health and abilities; prevention of illness and injury; alleviation of suffering through the diagnosis and treatment of human responses; and advocacy in health care for individuals, families, communities, and populations.

— American Nurses Association

The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge.

— Virginia Avenel Henderson

Professional nursing

The practice of nursing is based upon a social contract that delineates professional rights and responsibilities as well as accountability mechanisms. In almost all countries, nursing practice is defined and governed by law, and entrance to the profession is regulated at the national or state level.

The nursing community worldwide aims for professional nurses to ensure quality care, while maintaining their credentials, code of ethics, standards, and competencies, and continuing their education. Multiple educational paths lead to becoming a professional nurse; these vary by jurisdiction; all involve extensive study of nursing theory and practice as well as training in clinical skills.

Nurses provide care based on the individual's physical, emotional, psychological, intellectual, social, and spiritual needs. The profession combines physical science, social science, nursing theory, and technology.

Nurses typically hold one or more formal credentials. Roles and responsibilities follow the level of education. For example, in the United States, Licensed Practical Nurses (LPN) have less education than Registered Nurses (RN) and accordingly, a narrower scope of practice.

Diversity

Nursing is a female-dominated profession in many countries; according to the WHO's 2020 State of the World's Nursing, approximately 90% of the nursing workforce is female. For instance, the male-to-female ratio of nurses is approximately 1:19 in Canada and the United States. This ratio is matched in many other countries. Notable exceptions include Francophone Africa, which includes the countries of Benin, Burkina Faso, Cameroon, Chad, Congo, Côte d'Ivoire, the Democratic Republic of Congo, Djibouti, Guinea, Gabon, Mali, Mauritania, Niger, Rwanda, Senegal, and Togo, which all have more male than female nurses. In Europe, in countries such as Spain, Portugal, Czech Republic and Italy, over 20% of nurses are male. In the United Kingdom, 11% of nurses and midwives registered with the Nursing and Midwifery Council (NMC) are male. The number of male nurses in the United States doubled between 1980 and 2000. On average, male nurses in the US receive more pay than female nurses.

Theory and process

Nursing practice is the actual provision of nursing care. In providing care, nurses implement a nursing care plan defined using the nursing process. This is based around a specific nursing theory that is selected based on the care setting and the population served. In providing nursing care, the nurse uses both nursing theory and best practice derived from nursing research. Many nursing theories are in use. Like other disciplines, the profession has developed multiple theories derived reflecting varying philosophical beliefs and paradigms or worldviews.

In general terms, the nursing process is the method used to assess and diagnose needs, plan outcomes and interventions, implement interventions, and evaluate outcomes. The nursing process as defined by the American Nurses Association comprises five steps: 1) evaluate, 2) implement, 3) plan, 4) diagnose, and 5) assess.

Healthcare staffing platforms

Digital health platforms connect nurses and nurse assistants with job openings in healthcare facilities such as skilled nursing homes, home health agencies, and hospitals. Platforms offer an app to facilitate communication and allow nurses to find work opportunities based on their preferences. Healthcare partners and facilities benefit from access to qualified nurses. In 2017, the UK's National Health Service began trialing such a platform.

Platforms such as United States–based ConnectRN, Nomad Health, Gale Healthcare solutions or Lantum add resources, career development tools, and networking opportunities.

Nursing as a science

Florence Nightingale's seminal epidemiological study examining mortality among British soldiers during the Crimean War was published in 1858. With the exception of her works, nursing practice remained an oral tradition until the mid-20th century. The inaugural issue of Nursing Research, the first scientific journal specialized in nursing, came in in 1952. During the 1960s, interest in attaining PhDs increased among nurses in the US, but nursing remained a fledgling area of research, with few journals until the 1970s. Nursing research is increasingly presented as a valid discipline, although lacking a prevailing definition. The question is further complicated by the numerous interpretations of nursing's defining essence.

Evidence-based practice

During the 1980s there was an increased focus on research utilization (RU). Nursing research took an interest in clinical issues and US nursing schools began teaching research methods to facilitate interpretation and integration of scientific findings in routine practice. Several RU initiatives were active during the late 20th century, but the RU movement was superseded by evidence-based practice in the 1990s. Evidence-based practice (EBP) is about using research, but unlike RU it allows for the integration of research findings with clinical expertise and patient preferences. The EBP movement had originated in the field of medicine with Archie Cochrane publishing Effectiveness and Efficiency in 1972, leading up to the founding of the Cochrane Collaboration in 1993. The emerging area of evidence-based medicine also applies to nursing. Common barriers to the study and integration of research findings into clinical decision making include: a lack of opportunity, inexperience, and the rapid pace of evidence accumulation.

Scope of activities

Daily living assistance

Nurses manage and coordinate care to support activities of daily living (ADL). This includes assisting in patient mobility, such as moving an activity intolerant patient within a bed. They often delegate such care to nursing assistants.

Medication

Medication management and administration are common hospital nursing roles, although prescribing authority varies across jurisdictions. In many areas, RNs administer and manage medications prescribed by others. Nurses are responsible for evaluating patients throughout their care – including before and after medication administration – adjustments to medications are often made through a collaborative effort between the prescriber and the nurse. Regardless of the prescriber, nurses are legally responsible for the drugs they administer. Legal implications may accompany an error in a prescription, and the nurse may be expected to note and report the error. In the United States, nurses have the right to refuse to administer medication that they deem to be potentially harmful. Some nurses take additional training that allows them to prescribe medications within their scope of practice.

Patient education

Effective patient/family education leads to better outcomes. Nurses explain procedure, recovery, and ongoing care, while helping everyone cope with the medical situation.

Many times, nurses are busy, leaving little time to educate patients.

Patients' families needs similar education. Educating both patient and their families increases the chance for a better outcome.

Nurses have to communicate in a way that can be understood by patients. Education techniques encompass conversations, visuals, reading materials, and demonstrations.

Specialties

Nursing is the most diverse of all health care professions. Nurses practice in a wide range of settings, but generally follows the needs of their patients.

The major specialties are:

• communities/public health
• family/individual care
• adult-gerontology
• pediatrics
• obstetrics
• neonatal
• women's health/gender-related
• mental health
• informatics (eHealth)
• acute care
• ambulatory settings (physician offices, urgent care settings, camps, etc.)
• school/college/institutional infirmaries
• military
• cardiac care
• orthopedic care
• palliative care
• perioperative
• oncology
• telenursing
• radiology
• emergency care

Nurses with additional degrees allow for specialization. Nursing professions can be separated into categories by care type, age, gender, certain age group, practice setting, individually or in combination.

Settings

Nurses practice in a wide range of settings, including hospitals, private homes, schools, and pharmaceutical companies. Nurses work in occupational health settings (also called industrial health settings), free-standing clinics, physician offices, nurse-led clinics, long-term care facilities and camps. They work on cruise ships, military bases, and in combat settings.

Nurses act as advisers and consultants to the health care and insurance industries. Many nurses also work in health advocacy and patient advocacy, helping in clinical and administrative domains. Some are attorneys and others work with attorneys as legal nurse consultants, reviewing patient records to assure that adequate care was provided and testifying in court.

Nurses can work on a temporary basis, which involves doing shifts without a contract in a variety of settings, sometimes known as per diem nursing, agency nursing or travel nursing. Nurses work as researchers in laboratories, universities, and research institutions. Nurses work in informatics, acting as consultants to the creation of computerized charting programs and other software. Nurse authors publish articles and books to provide essential reference materials.

Occupational hazards

The international nursing shortage is in part due to their work environment. In a recent review of the literature specific to nursing performance, nurses were found to work in generally poor environmental conditions. Some jurisdictions have legislation specifying acceptable nurse-to-patient ratios.

The fast-paced and unpredictable nature of health care places nurses at risk for injuries and illnesses, including high occupational stress. Nurses consistently identify stress as a major work-related concern and have among the highest levels of occupational stress among all professions. This stress is caused by the environment, psychosocial stressors, and the demands of nursing, including mastering new technology, emotional labor, physical labor, shift work, and high workload. This stress puts nurses at risk for short-term and long-term health problems, including sleep disorders, depression, mortality, psychiatric disorders, stress-related illnesses, and overall poor health. Nurses are at risk of developing compassion fatigue and moral distress, which can damage mental health. They have high rates of occupational burnout (40%) and emotional exhaustion (43.2%). Burnout and exhaustion increase the risk for illness, medical error, and suboptimal care provision.

Patient handling

Healthcare has consistently ranked among the industries with the highest rates of musculoskeletal injuries, largely related to patient handling. Anywhere from 30 to 70% of reported musculoskeletal injuries are related to patient handling. Nurses are routinely tasked with lifting, repositioning, and mobilizing patients. According to the National Institute for Occupational Safety and Health (NIOSH) the single greatest factor in overexertion injuries is the manual lifting, moving and repositioning of patients. These tasks present unique ergonomic hazards that results in a high rate of acute and cumulative musculoskeletal injuries.

The most frequently injured body part is the back, with up to 72% of nurses reporting non-specific low back pain. The US Bureau of Labor Statistics reported that for 2021-2022 the rate of overexertion injuries leading to days away from work for nurses was 45.4 per 10,000 full time employees, while nursing aids came in at 145.5 compared to the average for all industries of 26.1.

Traditionally, nurses are trained in manual patient handling techniques. The body of evidence has demonstrated, however, that such interventions area ineffective.

Workplace violence

Nurses are at risk for workplace violence and abuse. Violence is typically perpetrated by non-staff (e.g. patients or family), whereas abuse is typically is by hospital personnel. In the US in 2011, 57% of nurses reported that they had been threatened at work; 17% were physically assaulted.

The three types of workplace violence that nurses can experience are: physical violence (hitting, kicking, beating, punching, biting, and using objects); psychological violence (threats or coercion); sexual violence (attempted/completed non-consensual sex act).

Workplace violence can be in another way: interpersonal violence and organizational coercion. Interpersonal violence is committed by workers or patients and their families. Its predominant form is verbal abuse. Organizational coercion may include excessive workloads, mandatory shifts, involuntary placement in another part of the workplace, low salaries, denial of benefits/overtime, poor working environment, and other stressors. These issues affect quality of life. Managers who lack understanding of the severity of these problems and do not support workers increase worker stress.

Many factors contribute to workplace violence. These factors can be divided into environmental, organizational, and individual psychosocial. The environmental factors can include the specific setting (for example the emergency department), long patient wait times, frequent interruptions, uncertainty regarding patients' treatment, and heavy workloads. Organizational factors can include inefficient teamwork, organizational injustice, lack of aggression- and stress-management programs, and distrust between colleagues. Individual psychosocial factors may include nurses being young and inexperienced, previous experiences with violence, and a lack of communication skills. Misunderstandings may also occur due to the communication barrier between nurses and patients. An example of this could be patients' conditions being affected by medications, pain, or anxiety.

Workplace violence has many causes. The most common perpetrators of harassment or bullying of nursing students were registered nurses including preceptors, mentors, and clinical facilitators. However, the main perpetrators of workplace violence against nurses were patients. 80% of serious violent incidents in health care centers were by patients.

Workplace violence has many effects. It has negative emotional and physical impacts on nurses. They feel depersonalized, dehumanized, worn out, and stressed out. Nurses have reported burn-out due to frequent exposure to this violence.

Interventions

Interventions can mitigate these occupational hazards. They can be individual-focused or organization-focused. Individual-focused interventions include stress management programs, which can be customized to individuals. Stress management programs can reduce anxiety, sleep disorders, and other symptoms of stress. Organizational interventions focus on reducing stressful aspects of the work environment by identifying stress generators and developing solutions to them. Combining organizational and individual interventions is most effective at reducing stress. In some Japanese hospitals, powered exoskeletons are used to reduce physical loads. Lumbar supports (i.e. back belts) have been trialed.

National variations

Africa

Kenya

South Africa

Americas

United States

Nursing in the United States is a professional health care occupation. It is the largest such occupation, employing millions of certified professionals. As of 2023, 3,175,390 registered nurses were employed, paid a median income of $86,070.

Nurses are not doctors' assistants and practice nursing in a wide variety of specialties and departments. They may act in that capacity, such as in the emergency department or in trauma care, but more often independently care for their patients or assist other nurses. RNs treat patients, record their medical history, provide emotional support, and provide follow-up care. Nurses also help doctors perform diagnostic tests.

Canada

Nurses in Canada practise in a wide variety of settings, with various levels of training and experience. They provide evidence-based care and educate their patients about health and disease.

The role that nurses have played in the development of Canada has been recognized through the designation of seven National Historic Sites of Canada related to nursing. Five nurses' residences (the Ann Baillie Building, Begbie Hall, the Hersey Pavilion, the Pavillon Mailloux and the St. Boniface Hospital Nurses' Residence) were designated in commemoration of the growing professionalism of nursing and of the expanded role of nurses in health care over the course of the 20th century. The La Corne Nursing Station and the Wilberforce Red Cross Outpost were designated, in part, in honour of the role played by nurses in delivering health care to isolated areas.

Latin America/Caribbean

Latin American nursing is based on three levels of training: (a) professional/registered, (b) technical, and (c) auxiliary. Nursing education in Latin America and the Caribbean includes the principles and values of universal health and primary health care. These principles are based on critical and complex thinking development, problem-solving, evidence-based clinical decision-making, and lifelong learning.

Europe

European Union

In the European Union, the profession of nurse requires a specific professional qualification. The qualification of nurses responsible for general care in the EU is regulated in Directive 2005/36/EC. The list of regulated nursing professions is held in the regulated professions database.

Germany

Spain

United Kingdom

Nursing in the United Kingdom is the largest health care profession in the country. It has evolved from assisting doctors to encompass a variety of professional roles. Over 700,000 nurses practice, working in settings such as hospitals, health centres, nursing homes, hospices, communities, military, prisons, and academia. Most are employed by the National Health Service (NHS).

Nurses work across all demographics and care areas: adults, children, mental health, and learning disability. Nurses work in specialties across medicine, surgery, theatres, and investigative sciences such as imaging. Nurses also work in sub-specialities such as respiratory, diabetes, cancer, neurology, infectious diseases, liver, research, cardiac, women's health, sexual health, emergency and acute care, gastrointestinal, infection prevention and control, neuroscience, ophthalmic, pain and palliative, and rheumatology. Nurses often work in multi-disciplinary teams, but increasingly work independently.

To practise, all nurses and nursing associates must be registered with the Nursing and Midwifery Council (NMC).

Asia

India

Hong Kong

Nursing is a licensed professional occupation in Hong Kong. The profession is regulated by the Nursing Council of Hong Kong, a statutory body. Nurses in Hong Kong are divided into registered nurses and enrolled nurses, with the former requiring more extensive professional training.

Japan

Pakistan

Nursing is a major component of Pakistan's health-care system. The topic has been the subject of extensive historical studies, is as of 2009 a major issue in the country, and has been the subject of much scholarly discussion amongst academics and practitioners. In 2009, Pakistan’s government stated its intent to improve the country's nursing care.

Philippines

Taiwan

In Taiwan, the Ministry of Health and Welfare regulates nursing. The Taiwan Union of Nurses Association (TUNA) organizes nurses.

Australia

Middle East

Iran

Islam

Israel

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Nurses in Israel has responsibilities including hospital care, patient education, wound care, prenatal and other monitoring, midwifery, and well-baby clinics.

Nurses and midwives are regulated by the Israeli Ministry of Health.

Nursing in Israeli Jewish culture traces its origins to Shifra and Puah, two Hebrew midwives depicted in the Book of Exodus helping women in ancient Egypt give birth and keep their infants safe.

Modern-day nursing was established by nurses sent to Mandatory Palestine and later Israel by the Hadassah organization, as well as at a nursing school founded by Henrietta Szold in 1918. The United Kingdom regulated midwifery in Mandatory Palestine, but nurses were not mentioned in the regulation decree.

See also

• Advanced practice registered nurse
• History of nursing
• History of Nursing in the United Kingdom
• History of nursing in the United States
• History of Philippine nurses in the United States
• Index of nursing articles
• Licensed practical nurse
• List of nurses
• List of nursing specialties
• Men in nursing
• Nightingale Pledge
• Nurse uniform
• Nurse–client relationship
• Nurse scheduling problem
• Nursing care plan
• Nursing ethics
• Nursing school
• Nurse stereotypes
• Nursing theory
• Registered nurse
• Transcultural nursing

References

1. Association, American Nurses (30 May 2021). Nursing: Scope and Standards of Practice. American Nurses Association. ISBN 978-0-9993088-6-8.
2. Maymoun, Nazneen; Sohail, M. Sadiq (2020). "Who Wants to be a Nurse? Understanding Emirati Female Students' Knowledge and Attitudes About Nursing as a Career". Nursing Education Perspectives. 41 (3): E14 – E19. doi:10.1097/01.NEP.0000000000000659. PMID 32310910. S2CID 216046198.
3. Fort, Alfredo L.; Deussom, Rachel; Burlew, Randi; Gilroy, Kate; Nelson, David (2017). "The Human Resources for Health Effort Index: A tool to assess and inform Strategic Health Workforce Investments". Human Resources for Health. 15 (1): 47. doi:10.1186/s12960-017-0223-2. PMC 5518138. PMID 28724381.
4. Haczyński, Józef; Skrzypczak, Zofia; Winter, Małgorzata (2017). "Nurses in Poland — Immediate Action Needed". Engineering Management in Production and Services. 9 (2): 97–104. doi:10.1515/emj-2017-0019.
5. "Nursing | The SAGE Encyclopedia of Economics and Society". search.credoreference.com. Retrieved 18 February 2022.
6. Freeman, Veronica. "The role of nurses in our society today". cerner.com. Retrieved 31 March 2023.
7. Coulehan J. L., Block M. R. (2005): The Medical Interview: Mastering skills for clinical practice, 5th Ed. F. A. Davis. ISBN 0-8036-1246-X. OCLC 232304023.
8. Dunphy L. M., Winland-Brown J. E. (2011): Primary care: The art and science of advanced practice nursing. F.A. Davis. ISBN 9780803626478.
9. O'Lynn, CE (2007). "History of men in nursing: a review". In O'Lynn, CE; Tranbarger, RE (eds.). Men in Nursing: History, Challenges, and Opportunities. New York: Springer Pub. pp. 6–8. ISBN 9780826103499.
10. Levine, EB; Levine, ME (1965). "Hippocrates, father of nursing, too?". The American Journal of Nursing. 65 (12): 86–8. doi:10.1097/00000446-196512000-00022. PMID 5319739. S2CID 38921319.
11. Bloy, M. "Florence Nightingale (1820–1910)". The Victorian Web. Retrieved 24 November 2014.
12. Ferngren, GB (2009). Medicine & health care in early Christianity. Baltimore: Johns Hopkins University Press. p. 121. ISBN 9780801895227.
13. Sachedina, Abdulaziz (2009). Islamic biomedical ethics: principles and application. Oxford: Oxford University Press. pp. 93–94. ISBN 9780195378504.
14. de Bary, WT, ed. (2011). The Buddhist tradition in India, China & Japan (Unabridged. ed.). New York: Vintage eBooks. pp. 35–36. ISBN 9780307778796.
15. Egenes, KJ (2009). "History of nursing". In Halstead, J; Roux, G (eds.). Issues and Trends in Nursing: Essential Knowledge for Today and Tomorrow. Sudbury, MA: Jones and Bartlett. p. 2. ISBN 9780763752255.
16. Striepe, JM (1992). "Reclaiming the church's healing role". Journal of Christian Nursing. 10 (1): 4–7. doi:10.1097/00005217-199310010-00002. PMID 8418284.
17. Wand, T (January 2004). "The 'Sister' title: past the use by date?". Collegian. 11 (1): 35–39. doi:10.1016/S1322-7696(08)60442-4.
18. Leonard, AE (2008). "Female religious orders". In Hsia, RP (ed.). A Companion to the Reformation World (1st paperback ed.). Oxford: Blackwell Publishers. p. 244. ISBN 978-1405149624.
19. Lundy, KS (2014). "A history of health care and nursing". In Masters, K (ed.). Role Development in Professional Nursing Practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning. pp. 11–12. ISBN 9781449681982.
20. Curtiss, John Shelton (1966). "Russian Sisters of Mercy in the Crimea, 1854-1855". Slavic Review. 25 (1): 84–100. doi:10.2307/2492652. JSTOR 2492652. PMID 11633166. S2CID 43448185.
21. Professional Nursing Practice: Concepts and perspective, Koernig & Hayes, sixth edition, 2011, p.100, ISBN 978-0-13-508090-0
22. Winkel, W (2009). "Florence Nightingale". Epidemiology. 20 (2): 311. doi:10.1097/EDE.0b013e3181935ad6. PMID 19234417.
23. Cohen, I. Bernard (March 1984). "Florence Nightingale". Scientific American. 250 (3): 128–137. Bibcode:1984SciAm.250c.128C. doi:10.1038/scientificamerican0384-128. PMID 6367033. S2CID 5409191. (alternative pagination depending on country of sale: 98–107, bibliography on p. 114) online article – see documents link at left Archived 5 July 2010 at the Wayback Machine
24. "nursing | History, Education, & Practices". britannica.com. Retrieved 31 March 2022.
25. Quinn, Shawna M. (2010). Agnes Warner and the Nursing Sisters of the Great War (PDF). Goose Lane editions and the New Brunswick Military Heritage Project. ISBN 978-0-86492-633-3. Archived from the original (PDF) on 24 September 2015. Retrieved 29 November 2014.
26. Gonzalo, Angelo (4 August 2014). "Florence Nightingale: Environmental Theory". Nurseslabs. Retrieved 2 September 2022.
27. Ferguson, Moira (4 January 2016). Nine Black Women: An Anthology of Nineteenth-Century Writers from the United States, Canada, Bermuda and the Caribbean. New York: Routledge. doi:10.4324/9780203760697. ISBN 978-0-203-76069-7.
28. Mother Marianne becomes an American saint. CNN. Retrieved 28 July 2013.
29. Dromi, Shai M. (2020). Above the fray: the Red Cross and the making of the humanitarian NGO sector. Chicago: University of Chicago Press. pp. 93–101. ISBN 9780226680248. Retrieved 27 June 2021.
30. Paradis, Raphael, Mary (10 March 2017). "The Sisters of Mercy in the Crimean War: Lessons for Catholic health care". The Linacre Quarterly. 84 (1): 29–43. doi:10.1080/00243639.2016.1277877. PMC 5375655. PMID 28392597 – via NCBI.
31. Naumann, CD (2008). In the footsteps of Phoebe: a Complete History of the Deaconess Movement in the Lutheran Church—Missouri Synod. St. Louis, MO: Concordia Pub. House. p. 4. ISBN 9780758608314.
32. Blackmore, H, ed. (2007). The Beginning of Women's Ministry: the Revival of the Deaconess in the Nineteenth-century Church of England. Woodbridge: Boydell Press. ISBN 978-1-84383-308-6.
33. "Our History". British Army Website. Archived from the original on 28 October 2011. Retrieved 31 October 2011.
34. "History of the School of Nursing". University of Maryland School of Nursing. Archived from the original on 24 January 2016. Retrieved 19 January 2016.
35. "Total Number of Professionally Active Nurses, by Gender". kff.org. Retrieved 19 January 2016.
36. "Distribution of Physicians by Gender". kff.org. Retrieved 19 January 2016.
37. Chin, PL; Kramer, MK (2008). Integrated Theory and Knowledge Development in Nursing (7th ed.). St. Louis: Mosby Elsevier. pp. 33–34. ISBN 9780323052702.
38. "QA World War Two Nursing". qaranc.co.uk. Retrieved 31 October 2011.
39. D'Ann Campbell, Women at War with America: Private Lives in a Patriotic Era (1984) ch 2 online
40. Philip A. Kalisch and Beatrice J. Kalisch, American Nursing: A History (4th ed. 2003)
41. Bronny Rebekah McFarland-Icky, Nurses in Nazi Germany (Princeton University Press, 1999)
42. Gordon Williamson, World War II German Women's Auxiliary Services (2003) pp 34–36
43. Alligood, MR (2013). "Introduction to nursing theory". In Alligood, MR; Tomey, AM (eds.). Nursing Theorists and their Work (7th ed.). Maryland Heights, MO: Mosby/Elsevier. pp. 5–6. ISBN 9780323056410.
44. "Nursing and midwifery". WHO. 18 March 2022. Retrieved 30 June 2022.
45. "Around the world, nurses say meaningful work keeps them going". McKinsey. 12 May 2022. Retrieved 30 June 2022.
46. "2023 AMN Healthcare Survey of Registered Nurses". May 2023. Retrieved 2 May 2023.
47. Mulhall 1998, p. 4–5.
48. ^ International Council of Nurses Archived 29 April 2010 at the Wayback Machine Retrieved August 2007
49. "Defining nursing 2014". Royal College of Nursing (RCN). 22 December 2014. Archived from the original on 10 October 2016. Retrieved 8 October 2016.
50. ANA Considering Nursing Retrieved Dec 2018
51. Contemporary Nurse Virginia Henderson Archived 14 September 2009 at the Wayback Machine Retrieved July 2009
52. "State of the World's Nursing 2020" (PDF). World Health Organization. Retrieved 16 March 2021.
53. Patrick Sullivan (12 June 2001). "Canada Medical Association Journal 12 June 2001; 164 (12)". CMAJ. 164 (12). Cmaj.ca: 1738–1738–b. Retrieved 4 September 2013.
54. 2000 National Sample Survey of Registered Nurses Archived 22 April 2011 at the Wayback Machine
55. ^ O'Lynn, Chad E.; Tranbarger, Russell E. (2006). Men in Nursing: History, Challenges, and Opportunities. Springer Publishing Company. p. 225. ISBN 978-0-8261-0349-9.
56. "Annual Equality and Diversity Profile, NMC 2015–2016" (PDF).
57. Weintraub, Arlene (3 June 2002). "Nursing: On the Critical List". Business Week.
58. "Men in Nursing Occupations" (PDF). Census.gov. American Community Survey. February 2013. Archived from the original (PDF) on 13 July 2017. Retrieved 6 October 2015.
59. Weber, Janet (2014). Nurses' handbook of health assessment. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health. ISBN 9781451142822.
60. ^ "Nursing | The SAGE Encyclopedia of Economics and Society - Credo Reference". search.credoreference.com. Retrieved 18 February 2022.
61. Han, Xinxin; Pittman, Patricia; Barnow, Burt (9 September 2021). "Alternative Approaches to Ensuring Adequate Nurse Staffing". Medical Care. 59 (Suppl 5): S463 – S470. doi:10.1097/mlr.0000000000001614. ISSN 0025-7079. PMC 8428863. PMID 34524244.
62. "The NHS is going to trial a gig economy app for nurses". Wired UK. ISSN 1357-0978. Retrieved 24 January 2024.
63. Mayer, Miguel Angel; Rodríguez Blanco, Octavi; Torrejon, Antonio (26 June 2019). "Use of Health Apps by Nurses for Professional Purposes: Web-Based Survey Study (Preprint)". JMIR mHealth and uHealth. doi:10.2196/preprints.15195.
64. Boswell & Cannon 2014, p. 30–31.
65. Watson 2021, From Oral Tradition to Written Scholarship.
66. Manhart Barrett 2017, p. 129.
67. Manhart Barrett 2002, p. 51.
68. ^ Mulhall 1998, p. 4.
69. Polit & Tatano Beck 2014, p. 21.
70. Polit & Tatano Beck 2014, p. 20–21.
71. Nieswiadomy 2012, p. 278–279.
72. Boswell & Cannon 2014, pp. 3–4.
73. Nieswiadomy 2012, p. 268–270.
74. Taylor, C. R., Lillis, C., LeMone, P., Lynn, P. (2011) Fundamentals of nursing: The art and science of nursing care. Philadelphia: Lippincott Williams & Wilkins, page 735-736.
75. "RCN factsheet on nurse prescribing in the UK". rcn.org.uk. Archived from the original on 4 May 2020. Retrieved 20 July 2019.
76. ^ "nursing | History, Education, & Practices | Britannica". Encyclopedia Britannica. Retrieved 7 March 2022.
77. ^ Taylor, C. R., Lillis, C., LeMone, P., Lynn, P. (2011) Fundamentals of nursing: The art and science of nursing care. Philadelphia: Lippincott Williams & Wilkins, page 468.
78. Smith, Jackie A.; Zsohar, Helen (October 2013). "Patient-education tips for new nurses". Nursing2022. 43 (10): 1–3. doi:10.1097/01.NURSE.0000434224.51627.8a. ISSN 0360-4039. PMID 24045809.
79. "Nursing | The SAGE Encyclopedia of Economics and Society - Credo Reference". search.credoreference.com. Retrieved 31 March 2022.
80. Draper Elaine; LaDou Joseph; Tennenhouse Dan J (2011). "Occupational Health Nursing and the Quest for Professional Authority". New Solutions. 21 (1): 57–88. Bibcode:2011NewSo..21...57D. doi:10.2190/ns.21.1.i. PMID 21411426. S2CID 207317324.
81. Schneider, John. "Healthcare advocacy experts aid workers." Miami Herald 31 August 2010
82. Buchanan, J. (2002). "Global nursing shortages". BMJ. 324 (7340): 751–2. doi:10.1136/bmj.324.7340.751. PMC 1122695. PMID 11923146.
83. ^ Roberts, Rashaun; Grubb, Paula L.; Grosch, James W. (25 June 2012). "Alleviating Job Stress in Nurses". Medscape. Medscape and NIOSH.
84. "Safe Patient Handling and Mobility | NIOSH". www.cdc.gov. 17 April 2023. Retrieved 16 April 2024.
85. Morse, Tim; Fekieta, Renee; Rubenstein, Harriet; Warren, Nick; Alexander, Darryl; Wawzyniecki, Patricia (29 May 2008). ""Doing the Heavy Lifting: Health Care Workers Take Back Their Backs"". NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy. 18 (2): 207–219. Bibcode:2008NewSo..18..207M. doi:10.2190/ns.18.2.j. ISSN 1048-2911. PMID 18511397.
86. Aslam, Imran; Davis, Scott A.; Feldman, Steven R.; Martin, Willis E. (June 2015). "A Review of Patient Lifting Interventions to Reduce Health Care Worker Injuries". Workplace Health & Safety. 63 (6): 267–275. doi:10.1177/2165079915580038. ISSN 2165-0799. PMID 26135600.
87. "Unsafe patient handling". www.who.int. Retrieved 22 February 2024.
88. "Survey of Occupational Injuries and Illnesses Data : U.S. Bureau of Labor Statistics". www.bls.gov. Retrieved 26 March 2024.
89. ^ Waters, Thomas R. (2007). "For CE Credit: When Is It Safe to Manually Lift a Patient?". The American Journal of Nursing. 107 (8): 53–59. doi:10.1097/01.NAJ.0000282296.18688.b1. ISSN 0002-936X. JSTOR 29746479. PMID 17667392.
90. Hartley, Dan; Ridenour, Marilyn (12 August 2013). "Free On-line Violence Prevention Training for Nurses". National Institute for Occupational Safety and Health. Retrieved 15 January 2015.
91. Wade, Mara R. (1 January 2014), "Gender Matters: Discourses of Violence in Early Modern Literature and the Arts", Gender Matters, BRILL, pp. 5–15, doi:10.1163/9789401210232_002, ISBN 9789401210232
92. "Sexual Harassment in the Workplace". Work Places Respond. September 2021.
93. Faghihi, Mitra; Farshad, Aliasghar; Abhari, Maryam Biglari; Azadi, Nammamali; Mansourian, Morteza (19 May 2021). "The components of workplace violence against nurses from the perspective of women working in a hospital in Tehran: a qualitative study". BMC Women's Health. 21 (1): 209. doi:10.1186/s12905-021-01342-0. ISSN 1472-6874. PMC 8136170. PMID 34011330.
94. ^ Zhang, Liuyi; Wang, Anni; Xie, Xia; Zhou, Yanhong; Li, Jing; Yang, Lijun; Zhang, Jingping (July 2017). "Workplace violence against nurses: A cross-sectional study". International Journal of Nursing Studies. 72: 8–14. doi:10.1016/j.ijnurstu.2017.04.002. ISSN 0020-7489. PMID 28412581.
95. ^ Alkorashy, Hanan A. Ezzat; Al Moalad, Fawziah Bakheet (June 2016). "Workplace violence against nursing staff in a Saudi university hospital". International Nursing Review. 63 (2): 226–232. doi:10.1111/inr.12242. PMID 26830364.
96. Vrablik, Marie C; Chipman, Anne K; Rosenman, Elizabeth D; Simcox, Nancy J; Huynh, Ly; Moore, Megan; Fernandez, Rosemarie (August 2019). "Identification of processes that mediate the impact of workplace violence on emergency department healthcare workers in the USA: results from a qualitative study". BMJ Open. 9 (8): e031781. doi:10.1136/bmjopen-2019-031781. ISSN 2044-6055. PMC 6720251. PMID 31462490.
97. Gilhooly, Rob (17 June 2012). "Exoskeletons await in work/care closet". The Japan Times. Retrieved 21 August 2013.
98. Dawson, A. P.; McLennan, S. N.; Schiller, S. D.; Jull, G. A.; Hodges, P. W.; Stewart, S. (2007). "Interventions to prevent back pain and back injury in nurses: A systematic review". Occupational and Environmental Medicine. 64 (10): 642–650. doi:10.1136/oem.2006.030643. PMC 2078392. PMID 17522134.
99. "A Kenyan nursing education". sites.jmu.edu. Retrieved 27 April 2016.
100. "Registered Nurses". Bureau of Labor Statistics. Archived from the original on 3 May 2024. Retrieved 3 May 2024.
101. "5 Myths about Registered Nurses – Ameritech College of Healthcare". Ameritech College of Healthcare. 6 November 2014. Archived from the original on 30 November 2015. Retrieved 15 October 2015.
102. "Registered Nurse (RN) Career and Job Information". careerprofiles.info. Retrieved 15 October 2015.
103. "nursing - Advanced nursing practice | Britannica". www.britannica.com. Retrieved 10 March 2022.
104. "Alberta & the Great War". Flickr. January 1919. Retrieved 6 July 2016.
105. Ann Baillie Building National Historic Site of Canada. Canadian Register of Historic Places. Retrieved 30 October 2011.
106. Begbie Hall National Historic Site of Canada. Canadian Register of Historic Places. Retrieved 30 October 2011.
107. Hersey Pavilion National Historic Site of Canada. Canadian Register of Historic Places. Retrieved 30 October 2011.
108. Pavillon Mailloux National Historic Site of Canada. Canadian Register of Historic Places. Retrieved 30 October 2011.
109. St. Boniface Hospital Nurses' Residence National Historic Site of Canada. Canadian Register of Historic Places. Retrieved 30 October 2011.
110. La Corne Nursing Station National Historic Site of Canada. Canadian Register of Historic Places. Retrieved 30 October 2011.
111. Wilberforce Red Cross Outpost National Historic Site of Canada. Canadian Register of Historic Places. Retrieved 30 October 2011.
112. "Quality Assurance". www.cno.org.
113. Siantz, de Leon, M.L., Malvárez, S., (31 May 2008) "Migration of Nurses: A Latin American Perspective" OJIN: The Online Journal of Issues in Nursing; Vol. 13 No. 2 Manuscript 2.
114. Cassiani, Silvia Helena De Bortoli; Wilson, Lynda Law; Mikael, Sabrina de Souza Elias; Peña, Laura Morán; Grajales, Rosa Amarilis Zarate; McCreary, Linda L.; Theus, Lisa; Agudelo, Maria del Carmen Gutierrez; Felix, Adriana da Silva; Uriza, Jacqueline Molina de; Gutierrez, Nathaly Rozo (2017), "The situation of nursing education in Latin America and the Caribbean towards universal health", Revista Latino-Americana de Enfermagem, 25: e2913, doi:10.1590/1518-8345.2232.2913, PMC 5466053, PMID 28513769
115. Pan American Health Organization. "Strategy for universal access to health and universal health coverage".
116. Directive 2005/36/EC of the European Parliament and of the Council of 7 September 2005 on the recognition of professional qualifications, Official Journal of the European Union, 30.9.2005
117. "Regulated professions database – European Commission". European Commission. Retrieved 21 June 2024.
118. "¿Quiénes somos?". Organización Colegial de Enfermería. Retrieved 6 February 2019.
119. "The NMC register" (PDF). Nursing and Midwifery Council. Retrieved 12 June 2023.
120. "RCN Forums". Royal College of Nursing. 15 January 2023.
121. "Nursing and Midwifery Council". Nursing and Midwifery Council. Retrieved 15 January 2023.
122. United Kingdom Government Nurses, Midwives and Health Visitors Act, 1997. London: HMSO, 1997.
123. "Nursing in Pakistan" search at Google Scholar, Retrieved 4 August 2021
124. Pakistan has great shortage of trained high-quality nurses The News International (newspaper), Published 12 May 2021, Retrieved 5 August 2021
125. "The Worlds Largest Supplier of Nurses: The Philippines". Hawk Herald. Archived from the original on 20 November 2021. Retrieved 6 December 2022.
126. Rogado, Isabelita C (2006). "Nursing in the Philippines". Nihon Shuchu Chiryo Igakukai Zasshi. 13 (3): 229–233. doi:10.3918/jsicm.13.229.
127. "Ministry of Health and Welfare". Archived from the original on 28 April 2017. Retrieved 6 May 2016.
128. "中華民國護理師護士公會全國聯合會". www.nurse.org.tw.
129. "Health workforce". Australian Institute of Health & Welfare . 7 July 2022. Retrieved 17 February 2023.
130. G. Hussein, Rassool (2000), "The crescent and Islam: healing, nursing and the spiritual dimension. Some considerations towards an understanding of the Islamic perspectives on caring", Journal of Advanced Nursing, 32 (6): 1476–1484, doi:10.1046/j.1365-2648.2000.01614.x

Book sources

• Boswell, Carol; Cannon, Sharon, eds. (2014). Introduction to Nursing Research: Incorporating Evidence-based Practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning. ISBN 9781449681968.
• Nieswiadomy, Rose Marie (2012). Foundations of nursing research (6th International ed.). Boston, Mass.: Pearson. ISBN 978-0132756235.
• Polit, Denise F.; Tatano Beck, Cheryl (2014). Essentials of nursing research: appraising evidence for nursing practice (8th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781451176797.

Journal articles

• Manhart Barrett, Elizabeth Ann (2002). "What is nursing science?". Nursing Science Quarterly. 15 (1): 51–60. doi:10.1177/089431840201500109. ISSN 0894-3184. PMID 11873474.
• Manhart Barrett, Elizabeth Ann (2017). "Again, What Is Nursing Science?". Nursing Science Quarterly. 30 (2): 129–133. doi:10.1177/0894318417693313. PMID 28899250.
• Mulhall, Anne (1998). "Nursing, research, and the evidence". Evidence-Based Nursing. 1 (1): 4–6. doi:10.1136/ebn.1.1.4. ISSN 1367-6539.
• Watson, Jean (2021). "Watson's View of Nursing Science Quarterly's 35th Anniversary". Nursing Science Quarterly. 35 (1): 67–69. doi:10.1177/08943184211051366. ISSN 0894-3184. PMID 34939483.

External links

• UNCG Library Betty H. Carter Women Veterans Historical Project: Nurse
• "Nursing" . Encyclopædia Britannica (11th ed.). 1911.

• Nursing
• Military supporting service occupations
• Rehabilitation team
• Health care occupations
• Hospital staff
• Occupational safety and health