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This chapter will examine theatre both for, and by, the armed services on the fighting fronts. It will outline how and why theatre was an important aspect of leisure time for British, Colonial and allied troops fighting on land, at sea and in the air. This chapter will examine the importance of both watching and taking part in theatrical entertainments through a discussion of the professional civilian and military Concert Parties in the Army, Navy and the RFC/RAF, the role of voluntary-aid organisations such as the British Red Cross and the YMCA, and theatrical entertainments in wider wartime contexts such as PoW camps and military hospitals. A key focus of the chapter will be the social function of such entertainments, the content, and the practicalities of how they were staged in various wartime contexts.
In January 1917, the Red Cross Shakespeare Exhibition, which opened at the Grafton Galleries in London, was advertised with two different posters. One displayed an oversize red cross on a white background – the Red Cross emblem and the English national flag. The other depicted Shakespeare’s coat of arms. The exhibition, described in the press as the most comprehensive show of Shakespeareana ever exhibited, was originally curated in Manchester as part of the celebrations of the 1916 Tercentenary, the commemoration of the three hundred-year anniversary of Shakespeare’s death. In London, it became part of the war effort, the way civilians at the ‘Home Front’ did their bit to help the British Army in the trenches. The exhibition, a successful charity venture, moved to London thanks to the collaboration of actor-manager Martin Harvey and the British Red Cross, one of several wartime collaborations between the British NPO and the theatrical profession to bring relief to Western Front soldiers. The poster portraying Shakespeare’s coat of arms aimed to present Shakespeare as an English gentleman, to counteract the influence of the Baconians who questioned Shakespeare’s authorship. This exhibition was one of several ways in which Shakespeare’s cultural capital was enlisted to raise funds in wartime.
Demonstrates that music was a vital part of the daily routines of those interned in prisoner of war camps. The forming of orchestras and theatrical revues were a popular way of passing the time and maintaining morale, but in many cases musical activities were used by prisoners of war to conceal attempts to escape. This chapter will give examples of how prisoners of war used music as a means of keeping up their morale to stave off feelings of ‘mouldiness,’ later identified as barbed wire disease.
Examines the role of music in religious worship and pastoral care on the fighting fronts. It will show how the singing of hymns was a central feature of several organizations’ work in drawing men towards their religious services and pastoral care, and of how they were deployed in times of great stress. It will show how many of the voluntary-aid organisations combined their own brands of practical Christian philanthropy and pastoral care to servicemen as a ‘counter-attraction’ to keep men away from less salubrious pursuits, as well as to educate and civilize servicemen and labourers fighting for Britain
Provides an overview of the ways in which music was used in medical settings during the war. It will outline how the British Red Cross, which was tasked by the War Office to coordinate the organisation and supply of British hospitals, ensured that provision was made for live and recorded music in the majority of their facilities. This chapter will also consider how the medical profession came to recognise that music was an aid to servicemen’s recovery and convalescence. The experiences of civilian entertainers in military medical settings will also be examined.
The introduction of advanced practitioner roles has challenged the traditional boundaries of health care. While studies have been undertaken to understand the role of physicians in respect of mass-gathering medicine, the role of advanced nurse practitioners (ANPs) has not been investigated.
Problem
Does the presence of an ANP reduce the referral rates of patients presenting for medical care at mass-gathering events to external health care resources?
Methods
A prospective observational study was undertaken to determine whether the presence of an ANP would reduce the patient referral rate to external health care services by first aiders and paramedics working within an event medical team. Patients identified as requiring referral were reviewed by an ANP as part of the on-site medical provision for four mass-gathering events in the south of England. Additionally, information was gathered identifying which patients would have been transported to hospital by ambulance compared to those actually transported following ANP review. Statistical analysis was undertaken for three key measures (referrals to all local health resources, referrals to hospital-based acute services, and transfers to hospital by ambulance).
Results
A rounded total of 842,000 people attended four mass-gathering events held over 14 days. Of these, 652 presented for medical care, many self-referring.
Using a one-tailed Fisher’s Exact Test and Phi analysis, this study demonstrated statistically significant reductions in the overall referral of patients to all external health care resources (P<.001; φ=0.44), to the emergency department (ED; P<.001; φ=0.43), and a reduction in ambulance transport (P<.001; φ=0.42). Effect size analysis demonstrated a medium-sized effect evident for all of the above, which was also demonstrated in economic terms.
The event medical team would have referred 105 (16.3%) of the 652 patient presentations to external health care services; 47 (7.2%) would have been transported by ambulance. In comparison, the ANP referred 23 patients (3.5%) with 11 (1.7%) being transported by ambulance. It also was noted that the first aiders and paramedics could be more selective in their referral habits that were focused primarily on the ED.
Conclusions
Appropriately trained and experienced ANPs working within event medical teams have a positive impact on referral rates from mass-gathering events.
KempAE. Mass-gathering Events: The Role of Advanced Nurse Practitioners in Reducing Referrals to Local Health Care Agencies. Prehosp Disaster Med. 2016;31(1):58–63.
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