So what sort of nurse are you?

  • Research type

    Research Study

  • Full title

    So what sort of nurse are you? Nursing in a social care setting: Looked after children’s views and stories

  • IRAS ID

    149570

  • Contact name

    Lin Graham-Ray

  • Contact email

    Lin.Graham-Ray@lbhf.gov.uk

  • Research summary

    Looked after children is a term introduced by the Children Act, which refers to all children in public care, including those who may live at home with their parents but who are the subject of care orders. There were 67,050 looked after children In England and Wales at 31 March 2012. This figure has been rising over the last few years. My practice
    area is a busy cosmopolitan London borough and currently we have in the region of 550 looked after children per year
    and approximately 200 young people who are referred to as care leavers; that is to say they are young people aged
    over 18 who have previously been in the care system as looked after children. The studies that have been carried out
    to date tell us this group of children and young people are reluctant to go to health services for help or assistance. This
    concerns those whose job it is to make sure that everyone gets the same assessment and access to health services
    and treatment. All of the reports and documents produced by government bodies in the last few years have indicated
    that looked after children are also particularly prone to long term ill health and emotional and mental health difficulties
    (NICE/SCIE2010). Some of this is due, in part, to the experiences they have had, such as neglect, abuse, social
    isolation and poverty. The reports also suggest that looked after children and care leavers do not trust health
    professionals and are fearful about attending health appointments. However, my professional experience of being a
    looked after children’s nurse has been such that the vast majority of looked after children and care leavers are very
    happy to meet with the nurses and engage in a meaningful way. This has lead to achieving high levels of attainment in
    the key performance indicators that the government set all Local authorities as part of their mandatory role and
    responsibilities (DH 2010). As a looked after children’s nurse I have become very interested as to why, and what it is
    about being a nurse, that makes a difference to looked after children and care leavers. I would like to understand some
    of the reasons why they are happy to see us and let us help them with their health issues. Therefore, I would like to
    research what it is about nurses working in social care that makes a difference to looked after children and care
    leavers health, but perhaps more importantly what do looked after children and care leavers think about this and what
    do they say about it when asked?
    A further aim of this research is to gather examples of what patients think works for them, as well as what doesn’t, so
    too what’s helpful and what’s not in their view. I will invite looked after children and care leavers to talk to me in
    interview and tell me about their experiences

  • REC name

    London - Harrow Research Ethics Committee

  • REC reference

    14/LO/0845

  • Date of REC Opinion

    4 Sep 2014

  • REC opinion

    Further Information Favourable Opinion