A neonatal psychology programme has been launched with the aim of supporting better outcomes for babies, families and staff on neonatal units. We spoke to Dr Rebecca Chilvers and Dr Ruth Butterworth from NeoLeaP (Neonatal Leads for Psychological Practice) in England to find out more about the new training.
The importance of considering the psychological impact of the neonatal unit has been highlighted in recent years within a number of reports, including the Ockenden report, the Kirkup report and the new three-year plan for joint working across maternity and neonatal settings.
As a result of these findings, a new e-learning programme has been developed by NHS England in partnership with NeoLeaP, the Association of Clinical Psychologists (ACP-UK), and neonatal networks. The programme, the first of its kind, has been written by group of Consultant Clinical Psychologists who have worked with Experts by Experience and other psychological professionals working in the neonatal field. It aims to equip everyone working on a neonatal unit with foundational skills and knowledge to support the psychological needs of babies, families and each other within a framework of Psychologically Informed Neonatal Care (PINC).
There are four modules in the programme, each of which takes approximately 30 minutes to complete. These modules include:
- Psychologically-Informed Neonatal Care (PINC): This module outlines a framework that helps staff understand the psychological impact on everyone within the neonatal system, and what part everyone can play in providing psychologically-informed care.
- Infant wellbeing on the neonatal unit: This module explores in detail the impact of the neonatal experience on the baby, including guidance on buffering the effects of stress and supporting the parent-infant relationship.
- Family wellbeing on the neonatal unit: The third module takes an in-depth look at the impact of a neonatal admission on parents, including guidance on identifying and addressing parent needs, and how to talk to parents during a distressing time.
- Staff wellbeing on the neonatal unit: This module explores the impact that working in neonatal care can have on staff, including the potential consequences of continuous exposure to stress and the approaches ways that staff can take care of themselves and each other.
The programme has been designed to provide practical guidance that can be easily implemented into the daily schedules of neonatal staff, enabling them to manage their own wellbeing and the wellbeing of those around them. It has been developed to be used by everyone who works within a neonatal setting, including those working within the community (such as GPs and health visitors) as well as the wider workforce supporting babies and their families in the long term.
The e-learning also hopes to provide leaders with the tools they need to support their team to complete the modules, as well as to consider how their learning can be integrated into their practice. This could include group learning, discussion and reflective practice, or any creative method that may work best for your team. Commenting on the implementation of the learning, Dr Angela Marsh ( NeoLeaP) added:
“In our experience as psychological professionals we have seen how giving people the language and frameworks to make sense of their experiences can be a light bulb moment. The understanding and empathy that follows, gives them the clarity and motivation to help themselves, their patients, their teams and systems they work in.”
“We hope that staff undertaking this training, no matter their contribution to the baby and family’s journey, will feel empowered to use their skills to deliver neonatal care and support each other in a psychologically informed way.”
The team have already received positive feedback from neonatal staff who have had the opportunity to experience the e-learning firsthand.
“The neonatal psychology module is a fantastic training resource for all neonatal staff. It explains key psychological models in a clear, engaging, and accessible way.”
Principal Neonatal Psychologist, Derbyshire
“The neonatal e-learning is fabulous. I really valued the stop and think questions in the first module encouraging you to think in depth about how this relates to your practice, unit and knowledge. I also liked the explanation of the overlap between the different AHP and psychological professionals which was clear, and the module was a good length that would easily fit around the commitments of a clinical caseload”.
Physiotherapy Lead for the EOE Neonatal ODN
To find out more about the e-learning, please visit https://www.e-lfh.org.uk/programmes/psychologically-informed-neonatal-care/