Overview: I am delighted to be asked to write the Foreword for Management and Practice in Emergency Nursing. More than any other nursing speciality Accident and Emergency work reflects change in society because it is the casualties of social upheaval, imbalance and inequality that you face every day. Here, unfortunately, A and E staff are confronted on a regular basis with child abuse, family violence, the result of terrorist activities, social violence, motor car accidents, personal loss of loved ones, the frustrations and aggression of life. Sometimes, though, some pleasant and funny episode
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