Nurse education qualification courses have graduate status. Traditionally, from the times prior to Florence Nightingale, nursing was seen as an apprenticeship, often undertaken in religious institutes such as convents by young women, although there has always been a proportion of male nurses, especially in mental health services. In 1860 Nightingale set up the first nurse training school at St Thomas' Hospital, London. Nightingale's curriculum was largely base around nursing practice, with instruction focused upon the need for hygiene and task competence. Her methods are reflected in her "Notes on Nursing", (1898). Some other nurses at that time, notably Ethel Gordon Fenwick, were
Emmy Rappe age of thirty. She had an early interest in medicine and nursing. She was reportedly inspired by her aunt Elisabeth "Elise" Rappe. In 1866, the newly established Swedish Red Cross wished to establish a nursing school in Sweden, and was in search for an educated principal to head the institution. Sophie Adlersparre made a deal with Florence Nightingale, that the person selected for the task should be educated by Nightingale in London, and then advertised for a suitable candidate in her publication "Tidskrift för hemmet". Rappe was considered to be a suitable candidate to establish a proper school for the