This soon placed an emphasis on training new nurses to provide better patient care. Nurses were urgently needed during the Civil War in 1861-65 to help sick and wounded soldiers. Florence made an important contribution to this as it influenced many people. Florence created the first nursing school at St. Thomas's Hospital in London in 1860. Schools similar to Miss. Nightingales began in the United States and Canada in the early 1870s. As the industry grew, so did the need for nurses. Numerous hospitals and nursing schools began to appear everywhere over the next few decades. As more and more were produced, the standers became higher and higher (Rowell, Hagan, 2006, pp.