ABPN Newsletter August 2024

Words from the Chair

I hope that you have noticed that we have changed how we manage our membership and are now using VeryConnect. Thanks very much to Simon Hardcastle-Waugh and Jim Robinson for leading this major initiative.

The system gives us the ability to talk to our members more easily. In September we launch our webinars which we very much hope you will join. We have a programme of children and people’s nursing leaders ready to share their knowledge and experience with us, so please look out for them.

We have been busy as a Governance and Development Team and have set up three working groups to deliver on this year's priorities. The working groups are Growth of our Membership, Policy, and Communications, each are vital for the future growth of the ABPN.

We are also working to improve our reach on social media, and our social media specialist has been very busy helping us. So, thank you, Georgina. Our hope is that a bigger social media profile will generate more interest in the Association and more members.

In addition, we have a special offer at the moment for students, free membership for a year if they join by before April 1st 2025. So, if you are a student reading this, join us and start to enjoy the benefits of membership.

Caron Eyre caroneyre0@gmail.com

Updates from the ABPN

Update on our Oral History Project

ABPN President Bernie Carter and ABPN Fellow Katrina McNamara handed over the Oral History Honouring Our Past project to Birmingham Children’s Hospital Librarian and Archivist Ann Daly in the peaceful garden outside Magnolia House at the Hospital on 29 July.

A huge thank you to all who have taken part in the National Lottery Heritage Fund funded project. We recorded 103 histories from all four countries of the UK and encompassing who trained in the 1950s, through to those currently on educational programmes to become children’s nurses. The overwhelming sentiment was one of pride in our profession and gratitude for the decisions that led them into nursing.

The project will be lodged in the Library of Birmingham and as soon as we have details of how you can access the archive we will share these with you.

New membership platform

On 1st August 2024, we announced the launch of our new membership platform. Current membership details have now been transferred over to the new membership platform. We will be providing regular updates as we transition over to the new platform and pick up any issues or problems which may arise. In the meantime you might find the following information helpful.

Existing members

Members who have provided email addresses as part of their contact information will have received an email from the platform with their unique code to log in and update their membership portfolio. If you haven’t received an email, check your junk folder as it might have popped into that folder by mistake. Look out for an email from Members ABPN<members@abpn-uk.co.uk>

Members who have not provided a current email address will have received a letter in the post and a return reply slip to provide their email address.

For those members who currently don’t have access to the internet or online facilities, the ABPN membership officer will continue to manage their membership through the new platform.

Subscriptions and direct debits

As part of the new membership platform, members will need to renew their annual membership and pay their subscriptions via the membership platform.

All current direct debit instructions from the 1st August 2024 will be cancelled. Members who have paid their direct debits over the last year up to the 1st August 2024 have had their membership expiry dates updated on the platform. Reminder emails will be received from the platform explaining that your current membership is due to expire and provide a link to update and re-subscribe for the following year.

New Members

From 1st August 2024 anyone wishing to join the ABPN will be directed to complete an online application form through the ABPN website. The membership officer and or admin person for the platform will then authorise the membership which will then enable you to continue with the process, and let you forward onto the payment section of the platform.

Links to websites and useful addresses

  • Jim Robinson, Membership Officer membersabpn@yahoo.co.uk
  • Simon Hardcastle-Waugh, Finance Officer simon.hardcastle@nhs.net

Increasing our visibility

The Governance and Development Group has been busy over the past few months with activities and with new Working Groups aiming to increase our visibility and our reach (see more about these later in the Newsletter).

On behalf of the Association, the President sent welcome letters to the Secretaries of State and key Ministers in the Department for the Home Office, Department of Education, and the Department of Work and Pensions of the new Government.

We also welcomed Duncan Burton, Chief Nursing Officer for England who took up post in July. Duncan's previous post was Deputy Chief Nursing Officer where he led national work on the maternity and neonatal programme, workforce policies and the children and young people’s transformation programme.

These letters of welcome included the aim of the Association, and offered the Association’s advice and support to the development of policies and guidance that aim to improve the health and lives of children, young people and their families.

We have been more active in sending out press releases in recent months and are developing a strategy for future press releases.

Opportunity to become our Deputy Chair

Deputy Chair is a new role for the Association and an exciting opportunity for someone who is keen to become an active member of the Governance and Development Group.

The key responsibilities include supporting and sharing the responsibilities and duties of the Chair (Caron Eyre). The appointee will be expected to promote the highest possible standards of governance and support high quality decision making.

The Governance and Development Group is a supportive and welcoming group of children's nurses.

If you are interested in finding out more about the role, then please contact Caron Eyre

caroneyre0@gmail.com

News about policies and working groups

We continue to work on ensuring our policies are up to date to guide our working practices. This is best practice and also required by the Charity Commission. We are currently working on our decision-making policy and a policy about approvals of press releases and position statements. We update our existing policies regularly and these are available on our website.

We currently have three Working Groups:

  • Enhancing membership: This group is chaired by Michael Tatterton and has been focusing on student recruitment with the intention to have a campaign targeting qualified children’s nurses in 2025.
  • Policy development: This group is chaired by Katrina McNamara and has been focusing on creating ABPN policy position statements.
  • Communications and Raising our Profile: This group is chaired by Fiona Smith and has been focusing on press releases, webinars, templates for press releases and policy position statements, glossary of terms and marketing materials.

Position Statement on the Assisted Dying for Terminally Ill Adults Bill

You may wonder why we have developed a position statement on the Assisted Dying for Terminally Ill Adults Bill that is currently being introduced to the House of Lords by Lord Falconer.

We recognise that this Bill relates to people over the age of 18 years, but equally recognise that some young people’s services provide services beyond the age of 18, also some young people start to consider options for their future care as they approach adulthood, which could include discussions about Assisted Dying. Nurses are trusted professionals and may find themselves involved in these early discussions, or simply be asked what the Bill is about. We therefore believe that it is appropriate to set out our position statement now. At the same time children and young people do not have access to palliative care services, so call upon the government to ensure this provision. To read more go to our website

https://www.abpn-uk.com/press-releases-and-position-statements.html

Update on our social media drive

Thanks to Georgina who has been driving our social media presence forward, we are happy to share that our presence is increasing.

We started our TikTok account (@ABPN_ChildNurse) on 11th October 2023. We currently have 21 videos + 6 infographics, 19,542 views, 830 likes and 1977 followers.

We started our YouTube account (@ABPN_ChildNurse) on 3rd October 2023. We currently have 11 videos, 1200 views, 63 likes and 17 subscribers.

We started our X page (@ABPN_ChildNurse) in mid-June 2023, our follower count has grown to 1,429 followers.

We started our Facebook page (Association of British Paediatric Nurses) in mid-June 2023, we now have 346 members.

If you’d like to get involved with our social media, if there’s something you’d like to share or if you would be interested in doing a video for our TikTok please email georgina.fg@sky.com

Social media infographics

And as part of our social media presence, we publish infographics about key topics such as the one about Play published in August 2024.

The Blue Book

Our Blue Book contains key moments from the history of the Association reaching back to its first meeting in 1938.

As always, we are interested in any new content for the Blue Book, especially material that will help us fill in details from our early history. We now maintain the Blue Book as a live document and update it regularly. You can find a copy of the Blue Book on our website http://www.abpn-uk.com/key-documents-policies-and-resources.html

If you have any information you think we should add, then please do let us know. If you can contribute, please contact either

  • Robin robin.hyde@northumbria.ac.uk or
  • Bernie bernie.carter@edgehill.ac.uk

Newsletter

If you have any ideas for content or have any feedback on our newsletter, please do contact

  • Bernie bernie.carter@edgehill.ac.uk

Training and Education

We welcome ideas and contributions to our training and education pages.

So, if you’d like to share any training or education resources and updates, please use our contact form on our website.

ABPN Webinar Series

The ABPN is delighted to announce a programme of webinars commencing in September 2024.

Information about further webinars will be found on the ABPN website once the topics and presenters have been confirmed. Our aim is to hold a range of webinars of interest to children’s nurses in clinical practice, education, leadership and research.

Global, regional and local issues: opportunities for children's nurses

Date and time: 18th September 2024, 16.00-17.00

Presenter: Fiona Smith, RNC, RNA, Dip in Nursing Studies, BA Health Studies, Masters in Business Admin (Health)

Summary of webinar presentation: Fiona will be talking about some of the global, European and UK perspectives of the issues facing children and young people today. She will address some of the opportunities that children’s nurses, either individually or collectively can take to tackle and influence services and outcomes for children, young people and their families.

Policy into Practice

Date and time: 17th October 2024, 16.00-17.00

Presenter: Katrina McNamara-Goodger, RN C, RN and RHV

Summary of webinar presentation: We have a new UK Government in Westminster. The Kings Speech has given an indication of how policies will be developing. In this webinar Katrina aims to explore how political rhetoric can become reality and how nurses can influence that policy. Not only does policy become practice but practice needs to influence policy.

Do we really need Community Children’s Nurses?

Date and time: 14th November 2024, 16.00-17.00

Presenter: Mark Whiting, PhD, MSc. BNursing, PGDip(ED), RGN, RSCN, DN, HV

Summary of webinar presentation: Mark Whiting will lead a webinar reflecting on the history of the development of Community Children’s Nursing in the UK. Mark will commence by exploring how and why during the late 19th Century, the introduction of dedicated community nursing provision for children followed close-on-the-heels of the establishment of the first children’s hospitals in the UK. This will be followed with a review of the disjointed development of CCN provision during the early years of the NHS and a celebration of the ‘golden years’ of CCN service expansion between 1985 and 2000. Mark will then offer some personal reflections on “Where we are now” and invite attendees to offer their own perspectives on the question “Do we really need Community Children’s Nurses?”

Paediatric Nursing Associations of Europe

Date and time: 4th December 2024, 16.00-17.00

Presenter: Jean Davies, RGN RSCN, PhD, Fellow Advance HE.

Summary of webinar presentation: Members of ABPN may be interested to hear about the work of the Paediatric Nursing Associations of Europe (PNAE) which was established in 2003 to enhance the care of babies, children and young people (BCYP) across Europe and globally. PNAE aim to influence safe, effective, child and family centred care which upholds children's rights and safeguards as mandated by the United Nations Convention on the Rights of the Child (1969).

Please visit the PNAE website for more information, including the focus of work and key contacts.

Journal of Child Health Care Resources

Apart from great editorials and high quality peer reviewed papers, the Journal of Child Health Care produces great JCHC podcasts, hosted by Associate Editor, Liz King. These podcasts focus on authors talking about their research and the papers published in the journal.

The latest podcast is by Stephen McKeever, Liz King and Jim Reeder and is called ‘Are we at risk of commodifying lived experience in childhood disability research’?

Other podcasts in the series can be found on the journal's website.

2024 World Pediatrics Conference

Members of the ABPN can get 20% of the regular registration fee for the World Pediatrics Conference. The conference runs from October 18-19, 2024 and it will be held at the ANA Crowne Plaza, Osaka, Japan.

The theme of the conference is ‘Exploring global health issues and initiatives related to child care’.

Newcastle Clinical Skills Academy - One day Paediatric ECG and Arrhythmia Course

This one day scenario based course takes delegates through the practical aspects of paediatric ECG interpretation whilst providing strategies for management and treatment options. This interactive course is aimed at both qualified and trainee staff. Advanced nurse practitioners and allied health professionals welcome.

Date: Wednesday 18 September 2024 9:00am to 4:00pm

Scan QR code to book online

For enquiries, email nuth.ncsa@nhs.net

HCUK Events

As a member you can get 20% off a series of great events and conferences events that are run by HCUK.

Update on policies, guidelines & reports

Safeguarding children, young people and adults at risk in the NHS

Published in June 2024 and updated in July 2024, the 4th edition of the Safeguarding Accountability and Assurance Framework set outs the “safeguarding roles and responsibilities of all individuals working in providers of NHS-funded care settings and NHS commissioning organisations”.

The framework aims to “provide guidance and minimum standards but should not be seen as constraining the development of effective local safeguarding practice and arrangements, in line with the underlying legal duties”.

RCPCH: Child health inequalities driven by child poverty in the UK - position statement

The RCPCH published an updated position statement on 8th August that focuses on poverty as a driver of health inequalities

It acknowledged that health inequalities are the “avoidable, unfair and systematic differences in health outcomes between different groups of babies, children and young people”. This updated position statement outlines “the state of child poverty in the UK today, the impacts on children’s health, and the actions each of the devolved administrations and Westminster Government should take to address it, which include:

  • Appointing a Cabinet-level Minister for Children and Young People to ensure a 'child health in all policies' approach to policy development, as well as developing a cross-departmental strategy to improve children’s health and wellbeing.
  • To follow Scotland’s lead in introducing a Young Patients Family Fund, and for this to be expanded across the UK to cover in and outpatients to help a greater number of families meet the costs of attending hospital.
  • Ending the two-child limit to benefit payments to provide further financial support to children and their families.
  • Expand the free school meals scheme to all children in primary schools so they can all be provided with a nutritious meal.”

Addressing the barriers to people-centred clinical research with recommendations for system-wide action

In August the NHS Research Authority published a report titled 'Addressing the barriers to people-centred clinical research with recommendations for system-wide action'.

The report identifies both the characteristics of and the barriers to doing good people-centred research. Three conditions – trust, purpose and possibility – are important to people taking part in research. Another vital component is to have a people-centred research approach or culture.

The report makes 19 recommendations for system-wide action.

Towards an effective and financially sustainable approach to SEND in England.

An independent report by ISOS Partnership commissioned by the County Councils Network and Local Government Association comes to the conclusion that the “SEND system is broken” and it notes that “the growing reality is that a combination of unexpected need and unintended perverse incentives in the system exacerbated by this demand – alongside a general squeeze on public resources – have left parents, schools, health and councils all increasingly dissatisfied and often frustrated, as well as resulting in poorer outcomes for children”. The report notes four key facts:

  • Key fact 1: More children and young people than ever before are being identified as having SEND.
  • Key fact 2: There are more children and young people than ever before whose needs are not being met in mainstream education, and thus require specialist provision.
  • Key fact 3: More money than ever before is being invested in SEND, but it is significantly less than what is actually being spent on SEND by LAs, health services and education settings.
  • Key fact 4: Despite rapidly rising expenditure, outcomes of children and young people with SEND and families’ day-to-day experiences of the system have not improved.

The report proposes eight recommendations that form “an overall vision for reform” and the recommendations fall into three broad blocks: setting the national ambition; putting principles into practice; and underpinning conditions.

https://static1.squarespace.com/static/5ce55a5ad4c5c500016855ee/t/669fcedacd1a1f608546f52b/1721749338168/SEND+report.pdf

Roundup of Reviews & Articles

The Relationship between Urban Environment and Childhood Asthma: A Systematic Literature Review

This systematic review examined the relationship between urban environment and childhood asthma with the outdoor air quality as the intervening variable.

Fifty-one articles were eligible for inclusion; of these a large number of studies focused on the relationship between traffic-related air pollution and childhood asthma.

The findings reveal that “particular environments have detrimental effects on outdoor air quality, which in turn have a negative impact on childhood asthma”. The authors note that “past research has tended to investigate the role of a single variable or just a few variables in causing or exacerbating childhood asthma” rather than taking into account the “complex interaction of environmental factors”.

The authors also note that “there is a need for more research in developing countries, as the prevalence of childhood asthma may vary from one context to another because of the social and physical environmental disparities across the globe”.

Health and health system effects on poverty: A narrative review of global evidence

This narrative review maps routes through which ill-health can cause poverty and identifies those that are potentially amenable to health policy.

The authors note that the review “confirms that ill-health is an important contributor to poverty and it finds that the effect through health-related loss of earnings is often larger than that through medical expenses. Both effects are smaller in countries that are closer to universal health coverage and have higher social safety nets”.

The review reveals that “public health insurance for low-income households does not always deliver financial protection to its targeted population in low- and middle-income countries. In the US, public health insurance for low-income households is effective in reducing poverty by shielding low-income households with children from healthcare costs”.

Association between age of respiratory syncytial virus infection hospitalization and childhood asthma: a systematic review

This systematic review aimed to comprehensively summarize studies of the association between age of RSV infection and childhood asthma risk.

From 149 studies screened, five studies (two prospective cohort studies and three retrospective cohort studies) (n= 47,603 participants) were included in the systematic review.

The included studies only assessed age of severe RSV infection and asthma risk. The heterogeneous epidemiological designs of the included studies did not allow a meta-analysis to be performed for the weighted averages of the effect estimates to be calculated.

The authors conclude that their review highlights “a major gap in our knowledge about the relationship between age of RSV infection and asthma risk”.

Interventions to promote the health and well-being of children under 5s experiencing homelessness in high-income countries: a scoping review

This scoping review’s primary objective was to map the content and delivery methods of culturally sensitive interventions for children under 5 experiencing homelessness in high income countries (HICs).

After screening, 13 articles met the inclusion criteria.

The results show “two predominant categories of intervention delivery methods were identified in this research: group-based interventions (educational sessions) and individual-based interventions (home visits)”.

The authors conclude that there are “effective interventions for promoting the health and well-being of children under 5 experiencing homelessness, including educational sessions and home visits” and that home visiting can be “instrumental in breaking down language, cultural and health literacy barriers”.

Social media influencers and adolescents’ health: A scoping review of the research field

This scoping review aimed to synthesize existing research on the role of social media influencers (SMIs) in adolescent health.

Fifty-one articles (mostly conducted in the Global North and reliant on quantitative approaches) published between 2012 and 2022 were included in the review.

Results revealed “inconsistent definitions and classifications of SMIs. The most common topics included appearance, nutrition, and substance use, while mental and sexual health topics were underrepresented”. Most studies focused on the “negative roles of SMIs, such as the promotion of unrealistic body images, unhealthy diets, substance use, and inaccurate diagnosis and treatment advice”.

Recommendations in the reviewed studies proposed “stricter regulation and improved social media and health literacy as important avenues for policy action”.

A meta-synthesis of the experience of paediatric nurses in communication with children

This study aimed to conduct a meta-synthesis to explore the experiences of paediatric nurses in communication with children.

After screening, 14 relevant studies were included in the review and data were synthesized using the qualitative thematic analysis.

Data analysis yielded three main themes: swinging between triadic and dyadic communication; applying a hybrid of communication methods; and influential factor in communication.

The authors conclusions note the “significance of establishing a balanced approach between dyadic communication (nurse and child) and triadic communication (nurse–parent–child) in paediatric care” and the importance of “simultaneous use of verbal and non-verbal methods to enhance effective communication”. Identifying the influential factors in communication can aid in developing and improving nurses' competency in communication skills within paediatric department

Experiences of siblings and parents of children with congenital heart disease and exploration of siblings’ support needs

This interview study with 10 siblings aged 10 to 21 and a respective parent aimed to explore the diagnosis-associated experience of German siblings of children with CHD, their interest in a potential intervention, and potential key topics and contextual conditions of such an intervention.

Findings show that “negative experiences associated with CHD included concerns regarding hospitalization, health deterioration, and the death of the child with CHD, as well as burdens including reduced family activities, less parental attention and support, and extended family meals. Positive experiences included perceived positive consequences of CHD, such as strong family cohesion and empathy toward people with chronic illnesses”.

The authors conclude that their findings “should be used for counselling and developing tailored interventions to support these siblings”

“My child is my job now” – Care, work and careers of mothers with disabled children in the Norwegian welfare state

This qualitative multiple case study of 11 mothers with disabled children aimed to investigate how mothers of disabled children in Norway experience the work–family conflict and its impact on their careers, highlighting the role of provision of health and welfare services.

The findings show that “mothers of disabled children experience considerable work–family conflict, creating ill-health and income-related struggles. This conflict is heavily influenced by inadequate support from health and welfare services”. The authors also note that “some of the mothers highlighted how caring for their disabled children led to growth and new career paths, using their care experiences to craft new careers”.

The authors draw on the concept of the “care crunch and a relational perspective on disability to demonstrate how the social organisation of care for disabled children undervalues the care work mothers do and puts disabled children at risk of receiving insufficient and unequal services”.

Change in child mental health during the Ukraine war: evidence from a large sample of parents

This study aimed to provide a preliminary estimate of the degree of change in the mental health problems of Ukrainian children following Russia’s invasion in February 2022, and to identify the sociodemographic and war-related risk factors associated with these changes.

The study used a nationwide, opportunistic sample of 1238 parents who reported on a single randomly chosen child within their household as part of The Mental Health of Parents and Children in Ukraine Study. The modified version of the Pediatric Symptom Checklist (PSC-17) was adapted to capture change in the frequency of symptoms since the beginning of the war.

Parents reported “increases across all 17 indicators of internalizing, externalizing, and attention problems of the PSC-17. Increased problems were most pronounced within the internalizing domain, with 35% of parents reporting that their child worried more since the beginning of the war”. Results show that “exposure to war trauma, pre-existing mental health problems, and child age were among the strongest predictors of change”.

The authors conclude there is “preliminary evidence that the Russian war on Ukraine has led to an increase in common mental health problems among children in the general population”.

Child development education in the Neonatal Unit: Understanding parent developmental literacy needs, priorities and preferences

This study aimed to describe child development knowledge needs, priorities, and preferences for education to enhance developmental literacy among parents with children admitted to the neonatal unit (NNU).

Parents of infants who were inpatients (n=209) or who had graduated from NNUs (n=316) took part in a survey.

The results show that “parents considered it extremely important to understand child development. Almost half (42%) of graduate parents described the child development education provided by neonatal staff as poor or inadequate”. Parents wanted “education to commence during NNU and continue post discharge” with “individualised education by a Neonatal Nurse/Midwife” being the most preferred option.

The authors conclude that “improved early developmental literacy education for parents with children admitted to the neonatal unit” is important.

Creative Arts Therapy among Children with Cancer: Symptom Assessment Reveals Reduced Anxiety

This study used a secondary analysis of prospective data to examine Pediatric Quality of Life Inventory (PedsQL) symptom subscales in relation to creative arts therapy (CAT) over time in 83 children (aged 3-17yrs) during the first year of cancer treatment.

Findings showed a reduced child report of procedural anxiety was significantly related to receiving CAT with a medium magnitude of association.

The authors conclude that “creative arts interventions were associated with a longitudinal improvement in anxiety in children with cancer” and that paediatric oncology nurses “can advocate for CAT as an effective intervention to ameliorate the burdensome procedural anxiety experienced by patients”.

Nurses’ perspectives on child-friendly care needs in emergency departments: A qualitative study

This qualitative interview study recruited 17 emergency nurses with 2-23 years of experience in caring for children in emergency departments from 3 medical centres in northern and central Taiwan.

Using qualitative content analysis they identified six categories: timely comfort; emotional care; frontline safety; emergency response, human resources support; and treatment efficiency.

The authors conclude that emergency nurses have “professional competencies, play a crucial role as care providers for children in the emergency department, and ensure the comfort and safety of children seeking treatment”.

Effect of Routine Child Physical Abuse Screening Tool on Emergency Department Efficiency

This study aimed to evaluate the feasibility of routine screening and its effect on length of stay in a network of general Emergency Departments (ED).

Children aged <6 years old who presented for care in a system of 27 general EDs were screened using a 2-question child physical abuse screening tool. Data were compared for the 6 months before and after screening was deployed with the main outcome measure being length of stay in the ED (in minutes).

Screening was completed for 13,404 visits (78.9%), with 116 (0.7%) screening positive. Of those who screened positive, 29% were reported to child protective services.

The study concludes that “routine screening identifies children at high risk of physical abuse without increasing ED length of stay or resource utilization”.

Advising parents when their child has a fever: a phenomenographic analysis of nurses’ perceptions when working at a telephone helpline, at primary care or at a paediatric emergency department in Sweden

This qualitative, phenomenographic study aimed to describe nurses’ perceptions of advising parents when their child has a fever.

Twenty-four nurses based in southern Sweden with experience advising parents of febrile children between birth and 5 years of age were interviewed online.

The nurses described four different kinds of balancing acts: “balancing between the parents’ story and objective assessment, balancing between listening and teaching, balancing between self-confidence and trust in the expert, and balancing between independence and having someone by one’s side”.

The authors conclude that “giving advice to parents when their child has a fever is a process where the nurse needs to listen, assess and give advice based on the situation” and “what dominates are the nurses’ perceptions of the inner qualities required to achieve a balance in the process”.

Inspired to be part of the ABPN?

Join the ABPN

We love to welcome new members. And for students we have a special offer - if you join before 1st April 2025, you'll get a year's free membership

If you're interested in joining the ABPN please go the membership page on our website.

Or contact us by email to our Membership Secretary membersabpn@yahoo.co.uk

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