Before DENOSA was formed in 1996, there was no representation of South Africa to the International Council of Nurses (ICN), which is a global nursing place where global and national policies and health are influenced. No later than a year after its establishment, DENOSA applied to be affiliated to ICN in 1997 as a National Nursing Association (NNA) for South Africa.
As a result of this affiliation, DENOSA was then able to bring the necessary training and continuous professional development opportunities for South African nurses.