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
Florence Nightingale from both sides of her family. Her parents were William Edward Nightingale, born William Edward Shore (1794–1874) and Frances ("Fanny") Nightingale "née" Smith (1789–1880). William's mother Mary "née" Evans was the niece of Peter Nightingale, under the terms of whose will William inherited his estate at Lea Hurst, and assumed the name and arms of Nightingale. Fanny's father (Florence's maternal grandfather) was the abolitionist and Unitarian William Smith. Nightingale's father educated her. In 1838, her father took the family on a tour in Europe where he was introduced to the English-born Parisian hostess Mary Clarke, with whom Florence bonded. She