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
Johns Hopkins School of Nursing in a posthumous 1873 instruction letter to the board of trustees of the Johns Hopkins institutions. The School of Nursing in conjunction with the Johns Hopkins Hospital was eventually founded in 1889 after in depth consultation with Florence Nightingale on its planning, organization, structure and curriculum. The Johns Hopkins University School of Nursing is located on the Johns Hopkins University East Baltimore campus along with the Bloomberg School of Public Health, School of Medicine, and the Johns Hopkins Hospital. The School of Nursing offers a variety of programs from pre-licensure programs to Master's, DNP and PhD programs, online options, post-degree