Long before nursing and caregiving became a profession, the earliest healers and caregivers, both men and women, learned the vocation through oral teachings and traditions passed down from generation to generation. Those known to have these medicinal skills were highly trusted.
The founder of VNA Health was Marian Watts, a visiting nurse, who graduated from Johns Hopkins Hospital School of Nursing. In the early 20th century, nurses were identified by their nursing pin, which represented a badge of trusted care. Nurses embraced this trust and responsibility so deeply, that when they died, they instructed their families to send their pin back to their School of Nursing to ensure no one could take it and pretend to be a nurse.
Today, the certification and validation of healthcare organizations are managed by independent federal, state, and local agencies.