Children and Young People’s Nursing: International Directions in Practice and Research . Swansea University

CROESO

Welcome to Wales

Shand Ward Cardiff Royal Infirmary

The Princess Royal

at G.O.S. World War 1

It is the children who pay the highest price for our short sighted economic policy , our political blunders, our wars.

Eglantyne Webb

1920s (Davies,2008)

General

1921 – 958

1925 -7,372

Average 7,004

RSCNs

1

300

Average 212

And does it not seem hard to you, When all the sky is clear and blue, And I should like so much to play,

To have to go to bed by day ? Robert Louis Stevenson

‘Tuppence for the doctor, penny for the nurse’.

1930s (Davies,2008)

General

1930- 3,629

1935- 4,962

1940-7,422

RSCNs

201

267

349

Now as I was young and easy under the apple boughs About the lilting house and happy as the grass was green. Dylan Thomas

1940s (Davies,2008)

General

1940-7,422

1945-7,157

1950-8,699

RSCN

349

362

508

Day 1 of the National Health Service 5th July 1948

Children are not the people of tomorrow, but are people of today,

they have a right to be taken seriously, and to be treated with tenderness and respect .

Janusz Korczack

The child must be protected beyond and above all considerations of race, nationality or creed. Declaration of the Rights of the Child, 1948.

1950s (Davies,2008)

General

1950- 8,699

1952-6,177

RSCNs

508

361

The Platt Report (1959)

Sir Harry Platt FRCS

Main recommendations from report:

• Children should not be admitted to hospital if it could possibly be avoided.

•Parents should be allowed to visit their child whenever they can, and to help as much as possible with the care of the child .

(Davies, 2010)

1960s (Davies,2008)

General

1960 10,176

1969 11,800

RSCNs

536

567

1970-1980 (Davies,2008)

General

1970-4,436

RSCN

245

Registered Sick Children’s Nurses (Davies,2008)

1989/90- RSCNS

England 804

NI 56

Scotland 150

Wales 6

Overseas 91

1995/96 RSCNS

915

3

39

41

155

Table 4: RSCNs Registered 1989 - 2004

0

500

1000

1500

2000

2500

3000

1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

CYP Nurses: Project 2000

CYP Nurses in the 21st Century

Registered Children’s Nurses 1920- 2005 (Davies,2008)

Table 3 : Registrants Children's Nurses 1920 - 2005

0

500

1000

1500

2000

2500

3000

1920 1925 1930 1935 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005

Total Community Children’s Nurses in Wales (Davies,2010)

• Scoping exercise across whole of Wales through CCN Forum

• No more than 40-45 (WTE) across whole of Wales

• No team provides 24/7 support or care

• Under RCN formula Wales needs at least 280 (WTE) to serve all of Wales

Conference in Florence, September 2013 to discuss ‘Future Directions in Children’s Nurses’.

Table 3 : Registrants Children's Nurses 1920 - 2005

0

500

1000

1500

2000

2500

3000

1920 1925 1930 1935 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005

Since 2008 CYP Nurses Swansea University

2008 19

2009 18

2010 18

2011 16

2012 19

2013 19

2014 16

TOTAL 125

2011

‘I think this should be on the must read list not just of undergraduate and post graduate nursing students but of all practitioners working with children an d young people’.

Keith Towler

Children’s Commissioner for Wales

Research with Children

‘Children’s Stories of Managing their Chronic Illness at Home ’.

Dr Marie Bodycombe-James 2011

Research with Fathers

‘Protecting, providing and participating . Fathers and their children’s unplanned hospital admission’.

Dr Sue Higham

2011 (Higham and Davies, 2013, JAN)

Research with CYP Nurses

‘A comparative study of nursing morale within children’s palliative care: The Hospice and Community Perspective’. Dr Eryl Maunder 2013

My babe so beautiful ! It thrills my heart with tender gladness, thus to look at thee.

Samuel Coleridge Taylor

Many ‘Brians’ do not survive childhood in the developing world

Under five mortality rate

(per 1000 live births) by region Infant. Mortality Worldwide (1960- 2005) UNICEF

Children living in Poverty 2012

Wales 31%

England 29%

Scotland 24%

I don’t want to be sweet and neat. I don’t want someone living their life for me,

I want to be free. I’m going to turn this world inside out. Toyah

‘Little children , love one another. Remember we are not many selves but members of a community’.

Florence Nightingale

St Michael who loves the hills. Pray for Wales, St Michael friend of the sick, remember us. Saunders Lewis