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Children and Young People’s Nursing: International Directions in Practice and Research . Swansea University
CROESO
Welcome to Wales
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Shand Ward Cardiff Royal Infirmary
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The Princess Royal
at G.O.S. World War 1
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It is the children who pay the highest price for our short sighted economic policy , our political blunders, our wars.
Eglantyne Webb
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1920s (Davies,2008)
General
1921 – 958
1925 -7,372
Average 7,004
RSCNs
1
300
Average 212
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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
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‘Tuppence for the doctor, penny for the nurse’.
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1930s (Davies,2008)
General
1930- 3,629
1935- 4,962
1940-7,422
RSCNs
201
267
349
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Now as I was young and easy under the apple boughs About the lilting house and happy as the grass was green. Dylan Thomas
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1940s (Davies,2008)
General
1940-7,422
1945-7,157
1950-8,699
RSCN
349
362
508
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Day 1 of the National Health Service 5th July 1948
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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
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The child must be protected beyond and above all considerations of race, nationality or creed. Declaration of the Rights of the Child, 1948.
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1950s (Davies,2008)
General
1950- 8,699
1952-6,177
RSCNs
508
361
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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)
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1960s (Davies,2008)
General
1960 10,176
1969 11,800
RSCNs
536
567
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1970-1980 (Davies,2008)
General
1970-4,436
RSCN
245
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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
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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
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CYP Nurses: Project 2000
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CYP Nurses in the 21st Century
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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
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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
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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
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Since 2008 CYP Nurses Swansea University
2008 19
2009 18
2010 18
2011 16
2012 19
2013 19
2014 16
TOTAL 125
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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
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Research with Children
‘Children’s Stories of Managing their Chronic Illness at Home ’.
Dr Marie Bodycombe-James 2011
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Research with Fathers
‘Protecting, providing and participating . Fathers and their children’s unplanned hospital admission’.
Dr Sue Higham
2011 (Higham and Davies, 2013, JAN)
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Research with CYP Nurses
‘A comparative study of nursing morale within children’s palliative care: The Hospice and Community Perspective’. Dr Eryl Maunder 2013
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My babe so beautiful ! It thrills my heart with tender gladness, thus to look at thee.
Samuel Coleridge Taylor
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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
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Children living in Poverty 2012
Wales 31%
England 29%
Scotland 24%
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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
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‘Little children , love one another. Remember we are not many selves but members of a community’.
Florence Nightingale
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St Michael who loves the hills. Pray for Wales, St Michael friend of the sick, remember us. Saunders Lewis