This quickly focused on training new nurses to provide better patient care. Nurses were urgently needed during the Civil War of 1861 to 1865 to aid sick and injured soldiers. Florence made a major contribution to it as she influenced many people. Florence established the first nursing school at St. Thomas Hospital in London in 1860. Schools similar to Miss. Nightingale originated in the United States and Canada in the early 1870s. As the industry grew, so did the need for nurses. Many hospitals and nursing schools began popping up everywhere over the next decades. As production progressed, standards became higher and higher (Rowell, Hagan, 2006, pp..