102-816: Indian Nursing Council is a national regulatory body for nurses and nurse education in India . It is an autonomous body under the Government of India , Ministry of Health & Family Welfare , constituted by the Central Government under section 3(1) of the Indian Nursing Council Act, 1947 of Indian parliament . According to the original act the function of the council is to provide " uniformity in nursing education" . Its functions are as follow: There are many registered state-level nursing councils. They are granted autonomous rights by
204-452: A bed. They often delegate such care to nursing assistants . 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
306-720: 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. Effective patient/family education leads to better outcomes. Nurses explain procedure, recovery, and ongoing care, while helping everyone cope with
408-605: A conflict between the democratic ideals of the west that started with the "great movement of 1789" against "Russia and Absolutism". He described the Ottoman Empire as a buffer against a pattern of expansionism by the Tsar. Marx and Engels also accused Lord Palmerston of playing along with the interests of Russia and being unserious in preparing for the conflict. Marx believed Palmerston to be bribed by Russia, and shared this belief with David Urquhart . Urquhart, for his part,
510-535: A cordial understanding with England in regard to the Eastern Question, and early in the spring of 1853 he had a series of interviews with Sir George Hamilton Seymour , then British ambassador at St. Petersburg." Emperor Nicholas I assured that he did not intend to seize Constantinople and territories in the Balkans, he himself offered Britain to take over Egypt and Crete. Concessions at the conclusion of
612-652: 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. During the Crimean War , Grand Duchess Elena Pavlovna called for women to join
714-647: 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). 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
816-578: A narrower scope of practice. 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
918-841: A new treaty confirming France and the Catholic Church's supreme authority over Catholic holy places, including the Church of the Nativity , which had been held by the Greek Orthodox Church . Tsar Nicholas I then deployed his 4th and 5th Army Corps along the River Danube in Wallachia, as a direct threat to the Ottoman lands south of the river. He had Foreign Minister Count Karl Nesselrode undertake talks with
1020-555: A number of battles , which forced Mahmud II to seek Russian military aid. A Russian army of 10,000 landed on the shores of the Bosphorus in 1833 and helped prevent the Egyptians from capturing Constantinople . "The reasons for the Tsar's disquietude are not obscure. Not Turkey alone was threatened by the advance of Ibrahim . The rights secured to Russia by a succession of treaties were also directly jeopardized. The substitution of
1122-582: A respectable Power". Orlando Figes has claimed that "The motives of the British in promoting liberal reforms were not just to secure the independence of the Ottoman Empire against Russia. They were also to promote the influence of Britain in Turkey", also: "to promote British free-trade interests (which may have sounded splendid but was arguably damaging to the Ottoman Empire)". "British exports to
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#17327873611621224-649: A result. A second Russian counterattack at Inkerman ended in a stalemate. By 1855, the Italian Kingdom of Sardinia sent an expeditionary force to Crimea, siding with France, Britain and the Ottoman Empire. The front settled into the Siege of Sevastopol , involving brutal conditions for troops on both sides. Smaller military actions took place in the Caucasus (1853–1855), the White Sea (July–August 1854) and
1326-787: 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
1428-634: A virile Albanian dynasty at Constantinople in place of the effete Osmanlis was the last thing desired by the Power which wished, naturally enough, to command the gate into the Mediterranean". Russia was satisfied with the weak government in Constantinople (Istanbul). As a result, the Treaty of Hünkâr İskelesi was signed and greatly benefited Russia. It provided for a military alliance between
1530-412: 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
1632-541: Is a lawful action; but Russia demands a treaty to protect millions of Christians, and that is deemed to strengthen its position in the East at the expense of the balance of power. We can expect nothing from the West but blind hatred and malice.... ( comment in the margin by Nicholas I : 'This is the whole point'). Russia was militarily weak, technologically backward and administratively incompetent. Despite its grand ambitions toward
1734-537: 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
1836-533: 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
1938-406: Is further complicated by the numerous interpretations of nursing's defining essence. 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
2040-457: Is nothing; but Russia only thinks of occupying Constantinople, and the peace of Europe is threatened. The English declare war on the Chinese , who have, it seems, offended them: no one has the right to intervene; but Russia is obliged to ask Europe for permission if it quarrels with its neighbour. England threatens Greece to support the false claims of a miserable Jew and burns its fleet: that
2142-406: 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
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#17327873611622244-753: 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. 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,
2346-408: 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: 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. Nurses practice in
2448-616: The Baltic , near the Russian capital of Saint Petersburg , an Anglo-French fleet instituted a naval blockade and bottled up the outnumbered Russian Baltic Fleet , causing economic damage to Russia by blockading trade while also forcing the Russians to keep a large army guarding St. Petersburg from a potential allied attack. After a minor skirmish at Köstence (now Constanța ), the allied commanders decided to attack Russia's main naval base in
2550-531: The Black Sea straits . Also, Serbia received autonomy, and the Danubian Principalities ( Moldavia and Wallachia ) became territories under Russian protection. France took the opportunity to occupy Algeria , which had been under Ottoman rule, in 1830. In 1831, Muhammad Ali of Egypt , the most powerful vassal of the Ottoman Empire, declared independence. Ottoman forces were defeated in
2652-592: The Danubian Principalities (now part of Romania but then under Ottoman suzerainty ). On 16 October [ O.S. 4 October] 1853, having obtained promises of support from France and Britain, the Ottomans declared war on Russia. Led by Omar Pasha , the Ottomans fought a strong defensive campaign and stopped the Russian advance at Silistra (now in Bulgaria ). A separate action on
2754-510: 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. Nurses are perceived to be in short supply around
2856-605: The North Pacific (1854–1855). Sevastopol finally fell after eleven months, after the French assaulted Fort Malakoff . Isolated and facing a bleak prospect of invasion by the West if the war continued, Russia sued for peace in March 1856. France and Britain welcomed the development, owing to the conflict's domestic unpopularity. The Treaty of Paris , signed on 30 March 1856, ended the war. It forbade Russia to base warships in
2958-693: The Treaty of Küçük Kaynarca from 1774), the Ottomans reversed their earlier decision, renounced the French treaty and declared that Russia was the protector of the Orthodox Christians in the Ottoman Empire. Napoleon III responded with a show of force by sending the ship of the line Charlemagne to the Black Sea and thereby violated the London Straits Convention. The gunboat diplomacy show of force, together with money , induced Ottoman Sultan Abdülmecid I to accept
3060-568: The balance of power that had been established in the Congress of Vienna in 1815. Russia had assisted Austria's efforts in suppressing the Hungarian Revolution of 1848 , and expected a free hand in settling its problems with the Ottoman Empire, the " sick man of Europe ". However, Britain could not tolerate Russian dominance of Ottoman affairs, which would challenge its domination of the eastern Mediterranean. Starting with Peter
3162-418: 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
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3264-463: The ultima ratio of kings, being, it had been seen, the means which the present ruler of France was in the habit of employing in the first instance. The agreement referred to by the French was in 1740. At present most historians (except for the new Russian Orthodox nationalists) accept that the question of the holy places was no more than a pretext for the Crimean War. As conflict emerged over
3366-558: 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: Red Cross chapters, which began appearing after
3468-447: The Black Sea in case of war. Thus, the way to the Black Sea was open for British and French warships during a possible Russo-Ottoman conflict. Russian historians tend to view that history as evidence that Russia lacked aggressive plans. The Russian historian V. N. Vinogradov writes: "The signing of the documents was the result of deliberate decisions: instead of bilateral (none of the great powers recognized this Treaty of Unkiar Skelessi),
3570-679: The Black Sea, Sevastopol , in Crimea . After extended preparations, allied forces landed on the peninsula in September 1854 and marched their way to a point south of Sevastopol after they had won the Battle of the Alma on 20 September 1854. The Russians counterattacked on 25 October in what became the Battle of Balaclava and were repulsed, but the British Army 's forces were seriously depleted as
3672-544: The Black Sea. The Ottoman vassal states of Wallachia and Moldavia became largely independent. Christians in the Ottoman Empire gained a degree of official equality, and the Orthodox Church regained control of the Christian churches in dispute. The Crimean War was one of the first conflicts in which military forces used modern technologies such as explosive naval shells , railways and telegraphs . The war
3774-484: The British and the French Empires were allied with the Ottoman Empire and were determined to prevent that from happening. The historian A. J. P. Taylor argued that the war had resulted not from aggression, but from the interacting fears of the major players: In some sense the Crimean War was predestined and had deep-seated causes. Neither Nicholas I nor Napoleon III nor the British government could retreat from
3876-578: The Christian population of Palestine , to the detriment of Russia (the sponsor of Eastern Orthodoxy ). To achieve that, he in May 1851 appointed Charles, marquis de La Valette , a zealous leading member of the Catholic clericalists, as his ambassador to the Sublime Porte of the Ottoman Empire. Russia disputed that attempted change in authority. Referring to two previous treaties (one from 1757 and
3978-540: The Egyptians at the Battle of Nezib on 24 June 1839 but were saved by Britain, Austria , Prussia and Russia, who signed a convention in London on 15 July 1840 that granted Muhammad Ali and his descendants the right to inherit power in Egypt in exchange for the removal of Egyptian forces from Syria and Lebanon . Moreover, Muhammad Ali had to admit a formal dependence on the Ottoman sultan. After Muhammad Ali refused to obey
4080-599: The European Balance of Power. Because of "British commercial and strategic interests in the Middle East and India", the British joined the French, "cement[ing] an alliance with Britain and... reassert[ing] its military power". Among those who supported the British strategy were Karl Marx and Friedrich Engels . In his articles for the New-York Tribune around 1853, Marx saw the Crimean War as
4182-473: The Great in the early 1700s, after centuries of Ottoman northward expansion and Crimean-Nogai raids , Russia began a southwards expansion across the sparsely-populated " Wild Fields " toward the warm water ports of the Black Sea, which does not freeze over, unlike the handful of ports controlled by Russia in the north. The goal was to promote year-round trade and a year-round navy. Pursuit of that goal brought
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4284-460: The London Straits Convention were made earlier in 1841. "By signing the convention, the Russians had given up their privileged position in the Ottoman Empire and their control of the Straits, all in the hope of improving relations with Britain and isolating France". But Britain after 1838 was interested in preserving the integrity of the Ottoman Empire and rejected all Russian proposals. "The fall of
4386-513: 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. 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
4488-743: 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
4590-540: The Ottoman Empire from destruction, but the Ottomans also lost their independence in foreign policy. Britain and France desired more than any other states to preserve the integrity of the Ottoman Empire because they did not want to see Russia gaining access to the Mediterranean Sea . Austria had the same fears. Russia, as a member of the Holy Alliance , had operated as the "police of Europe" to maintain
4692-605: The Ottoman Empire to maintain the balance of power in the Concert of Europe . The flashpoint was a disagreement over the rights of Christian minorities in Palestine , (now divided between Israel and Palestine), then part of the Ottoman Empire, with the French promoting the rights of Roman Catholics , and Russia promoting those of the Eastern Orthodox Church . The churches worked out their differences with
4794-421: The Ottoman Empire was not, however, a requirement of British policy in the East. A weak Ottoman state best suited British interests". French Emperor Napoleon III 's ambition to restore France's grandeur initiated the immediate chain of events that led to France and Britain declaring war on Russia on 27 and 28 March 1854, respectively. He pursued Catholic support by asserting France's "sovereign authority" over
4896-540: The Ottoman Empire with control of the Orthodox Church's hierarchy. A compromise was reached regarding Orthodox access to the Holy Land, but the Sultan, strongly supported by the British ambassador, Stratford Canning, 1st Viscount Stratford de Redcliffe , rejected the most sweeping demands. Russian historian Vinogradov V.N. point out that Menshikov's demands did not go beyond the limits of previous treaties. "The agreement
4998-449: The Ottoman Empire) on the Russian southwest flank would mitigate that threat. The Royal Navy also wanted to forestall the threat of a powerful Imperial Russian Navy . Taylor stated the British perspective: The Crimean war was fought for the sake of Europe rather than for the Eastern question; it was fought against Russia, not in favour of Turkey.... The British fought Russia out of resentment and supposed that her defeat would strengthen
5100-460: The Ottoman Empire, including Egypt and the Danubian principalities, increased nearly threefold from 1840 to 1851 (...) Thus it was very important, from the financial point of view, for Britain to prevent the Ottoman Empire from falling into other hands." "From this moment (1838) the export of British manufactured goods to Turkey rose steeply. There was an elevenfold increase by 1850". Assistance from Western European powers or Russia had twice saved
5202-504: The Ottoman Empire. Having resigned the ambassadorship in January, he had been replaced by Colonel Rose as chargé d'affaires . Lord Stratford then turned around, sailed back to Constantinople, arriving there on 5 April 1853 and convinced the Sultan there to reject the Russian treaty proposal as compromising Ottoman independence. The Leader of the Opposition in the British House of Commons , Benjamin Disraeli , blamed Aberdeen and Stratford's actions for making war inevitable, which started
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#17327873611625304-476: The Ottomans and came to an agreement , but both the French Emperor Napoleon III and the Russian tsar Nicholas I refused to back down. Nicholas issued an ultimatum that demanded the Orthodox subjects of the Ottoman Empire be placed under his protection. Britain attempted to mediate and arranged a compromise to which Nicholas agreed. When the Ottomans demanded changes to the agreement, Nicholas recanted and prepared for war. In July 1853, Russian troops occupied
5406-445: The Ottomans. Nesselrode confided to Seymour: [The dispute over the holy places] had assumed a new character—that the acts of injustice towards the Greek church which it had been desired to prevent had been perpetrated and consequently that now the object must be to find a remedy for these wrongs. The success of French negotiations at Constantinople was to be ascribed solely to intrigue and violence—violence which had been supposed to be
5508-411: The Porte a Tariff Convention which in effect transformed the Ottoman Empire into a virtual free-trade zone. Therefore its trade interests pushed it to protect the integrity of the Ottoman Empire. In the long term, the Ottoman Empire lost the opportunity to modernize and industrialize, but in the short term, it gained the opportunity to receive the support of European powers (primarily Britain) in opposing
5610-440: The Porte personified for him the whole Eastern Question, The British and the French sent in naval task forces to support the Ottomans, as Russia had prepared to seize the Danubian Principalities . All the calculations of the Russian emperor turned out to be erroneous. Britain refused his proposals, it was not possible to prevent the Anglo-French rapprochement, Austria opposed his policy, the Ottoman Empire showed intransigence. On
5712-412: The Porte. The ‘Great Elchi’, or Great Ambassador, as he was known in Constantinople, had a direct influence on the policies of the Turkish government. (...) His presence was a source of deep resentment among the Sultan's ministers, who lived in terror of a personal visit from the dictatorial ambassador". Nicholas fumed at "the infernal dictatorship of this Redcliffe" whose name and political ascendancy at
5814-447: The Russian Empire but that he had an obligation to the Christian communities in the Ottoman Empire. He next dispatched a highly-abrasive diplomat, Prince Menshikov , on a special mission to the Ottoman Sublime Porte in February 1853. By previous treaties, the sultan had committed "to protect the (Eastern Orthodox) Christian religion and its churches". Menshikov demanded a Russian protectorate over all 12 million Orthodox Christians in
5916-494: The Russian and the Ottoman Empires if one of them was attacked, and a secret additional clause allowed the Ottomans to opt out of sending troops but to close the Straits to foreign warships if Russia were under threat. Egypt remained nominally under Ottoman sovereignty but was de facto independent. In 1838 in a situation similar to that of 1831, Muhammad Ali of Egypt was not happy about his lack of control and power in Syria , and he resumed military action . The Ottomans lost to
6018-472: 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. 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
6120-516: The area". When Russia conquered those groups and gained possession of their territories, the Ottoman Empire lost its buffer zone against Russian expansion, and both empires came into direct conflict. The conflict with the Ottoman Empire also presented a religious issue of importance, as Russia saw itself as the protector of history of the Eastern Orthodox Church under the Ottoman Orthodox Christians , who were legally treated as second-class citizens . The Ottoman Reform Edict of 1856 , promulgated after
6222-441: The autonomy of the first Balkan Christian nation under the empire. The Greek War of Independence , which began in early 1821, provided further evidence of the empire's internal and military weakness, and the commission of atrocities by Ottoman military forces (see Chios massacre ) further undermined the empire. The disbandment of the centuries-old Janissary corps by Sultan Mahmud II on 15 June 1826 ( Auspicious Incident ) helped
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#17327873611626324-519: 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
6426-473: The conflict for prestige once it was launched. Nicholas needed a subservient Turkey for the sake of Russian security; Napoleon needed success for the sake of his domestic position; the British government needed an independent Turkey for the security of the Eastern Mediterranean... Mutual fear, not mutual aggression, caused the Crimean War. In the early 1800s, the Ottoman Empire suffered a number of existential challenges. The Serbian Revolution in 1804 resulted in
6528-476: The contrary, a favourable situation was developing for Britain. Britain had great naval power and a powerful economy, but did not have a strong land army. The alliance with France, which had a strong land army, made it possible to strike at Russia. "With the help of French infantry, it was possible to overturn Russia's positions with one blow" In February 1853, the British government of Prime Minister Lord Aberdeen reappointed Lord Stratford as British ambassador to
6630-433: 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
6732-564: The desire of the conquered peoples for self-determination and Russia, which sought to crush its influence in the Balkans and Asia. Publicly, European politicians made broad promises to the Ottomans. Lord Palmerston , the British Foreign Secretary , said in 1839: "All that we hear about the decay of the Turkish Empire, and its being a dead body or a sapless trunk, and so forth, is pure and unadulterated nonsense. Given 10 years of peace under European protection, coupled with internal reform, there seemed to him no reason why it should not become again
6834-428: The emerging Russian state into conflict with the Ukrainian Cossacks and then the Tatars of the Crimean Khanate and Circassians . "The plan to develop Russia as a southern power had begun in earnest in 1776, when Catherine placed Potemkin in charge of New Russia (Novorossiia), the sparsely populated territories newly conquered from the Ottomans on the Black Sea’s northern coastline, and ordered him to colonize
6936-421: The empire in the longer term but deprived it of its existing standing army in the short term. In 1827, the Anglo-Franco-Russian fleet destroyed almost all of the Ottoman naval forces at the Battle of Navarino . In 1830, Greece became independent after ten years of war and the Russo-Turkish War (1828–29) . The Treaty of Adrianople (1829) granted Russian and Western European commercial ships free passage through
7038-406: The empire's status as a European power . The war thus became a catalyst for reforms of Russia's social institutions , including the abolition of serfdom and overhauls in the justice system, local self-government, education and military service. As the Ottoman Empire steadily weakened during the 19th century, the Russian Empire stood poised to take advantage by expanding southward. In the 1850s,
7140-481: 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
7242-507: 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. The use of clinical judgment in
7344-594: The fort town of Kars , in the Ottoman Empire, led to a siege, and an Ottoman attempt to reinforce the garrison was destroyed by a Russian fleet at the Battle of Sinop in November 1853. Fearing the growth of influence of the Russian Empire, the British and French fleets entered the Black Sea in January 1854. They moved north to Varna in June 1854 and arrived just in time for the Russians to abandon Silistra. In
7446-567: 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. 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
7548-447: 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. Crimean War Total: 165,363 dead 45,770 combat deaths 119,593 non-combat deaths The Crimean War
7650-581: The importance of Britain's trade interests and did not understand the changes in the situation after the conclusion of the Anglo-Ottoman Treaty in 1838 (see Treaty of Balta Liman ). Russia attempted to "honestly" negotiate with the United Kingdom on the partition of the Ottoman Empire and made concessions in order to eliminate all objections from the United Kingdom. "The Tsar Nicholas had always, as we have seen, been anxious to maintain
7752-466: 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
7854-435: 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,
7956-415: The issue of the holy places, Nicholas I and Nesselrode began a diplomatic offensive, which they hoped would prevent either British or French interference in any conflict between Russia and the Ottomans and prevent both from forming an anti-Russian alliance. Nicholas began courting Britain by means of conversations with Seymour in January and February 1853. Nicholas insisted that he no longer wished to expand
8058-702: 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
8160-464: 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
8262-412: 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
8364-461: The list. A 2023 American survey found that around 30% were considering leaving patient care. 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
8466-409: 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. Nursing
8568-424: 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
8670-465: The new Treaty of London was obligatory for all, it closed the Bosphorus and Dardanelles. In the absence of expansion plans, this was a sound decision". In 1838, Britain lost interest in crushing the Ottoman Empire. On the contrary, after the conclusion of the trade treaty of 1838 (see Treaty of Balta Liman ), Britain received unlimited access to the markets of the Ottoman Empire. "Britain imposed on
8772-432: 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. 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
8874-455: The nursing council. Nursing 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
8976-515: 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. 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. The unique function of
9078-524: 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. Nursing historians face challenges of determining whether care provided to
9180-673: The requirements of the convention, the allied Anglo-Austrian fleet blockaded the Nile Delta , bombarded Beirut and captured Acre . Muhammad Ali then accepted the convention's conditions. On 13 July 1841, after the expiry of the Treaty of Hünkâr İskelesi, the London Straits Convention was signed under pressure from the European countries. The new treaty deprived Russia of its right to block warships from passing into
9282-552: 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
9384-414: The south, it had not built its railway network in that direction, and its communications were poor. Its bureaucracy was riddled with graft, corruption and inefficiency and was unprepared for war. Its navy was weak and technologically backward. Its army, although very large, suffered from colonels who pocketed their men's pay, from poor morale, and from a technological deficit relative to Britain and France. By
9486-402: The war's end, the profound weaknesses of the Russian armed forces had become readily apparent, and the Russian leadership was determined to reform it. However, no matter how great the problems of Russia were, Russia believed those of the Ottomans were greater. "In a one-to-one fight Nikolai (Tsar) had no doubt of beating the Ottoman armies and navy". Russian foreign policy failed to understand
9588-402: The war, largely reversed much of the second-class status, most notably the tax that only non-Muslims paid . Britain's immediate fear was Russia's expansion at the expense of the Ottoman Empire. The British desired to preserve Ottoman integrity and were concerned that Russia might make advances toward British India or move toward Scandinavia or Western Europe . A distraction (in the form of
9690-466: 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: Pay ranked eighth on
9792-480: The wounded. The Crimean War marked a turning point for the Russian Empire. The war weakened the Imperial Russian Army , drained the treasury and undermined Russia's influence in Europe. The empire would take decades to recover. Russia's humiliation forced its educated elites to identify its problems and recognise the need for fundamental reforms. They saw rapid modernisation as the sole way to recover
9894-482: Was a British politician who was a major advocate for the Ottoman Empire. Mikhail Pogodin , a professor of history at Moscow University , gave Nicholas I a summary of Russia's policy towards the Slavs in the war. Nicholas' answer was filled with grievances against the West. Nicholas shared Pogodin's sense that Russia's role as the protector of Orthodox Christians in the Ottoman Empire was not understood and that Russia
9996-461: Was also one of the first to be documented extensively in written reports and in photographs . The war quickly became a symbol of logistical, medical and tactical failures and of mismanagement. The reaction in Britain led to a demand for the professionalisation of medicine, most famously achieved by Florence Nightingale , who gained worldwide attention for pioneering modern nursing while she treated
10098-540: Was fought from October 1853 to February 1856 between the Russian Empire and an ultimately victorious alliance of the Ottoman Empire , France , the United Kingdom , and Sardinia-Piedmont . Geopolitical causes of the war included the decline of the Ottoman Empire (the " Eastern Question "), the expansion of Russia in the preceding Russo-Turkish Wars , and the British and French preference to preserve
10200-476: 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
10302-497: Was reached on the administration of church rites of both clergy in respected temples and, secondly, that the tsar rejected the idea of expanding his right of patronage and, in fact, insisted on confirming the terms of the Kucuk-Kaynardzhiy treaty of 1774, which allowed giving advice to the Sultan, but did not oblige them to accept". "By the early 1850s Stratford Canning had become far more than an ambassador or adviser to
10404-430: Was unfairly treated by the West. Nicholas especially approved of the following passage: France takes Algeria from Turkey , and almost every year England annexes another Indian principality : none of this disturbs the balance of power; but when Russia occupies Moldavia and Wallachia , albeit only temporarily, that disturbs the balance of power. France occupies Rome and stays there several years during peacetime: that
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