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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.WorldWar 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

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