Brittany Kyle, Neonatal Intensive Care Unit, IU Health Ball Memorial Hospital, USA

Written in March 2020: I am a NICU nurse and, as such, I am not on the front lines of this pandemic (yet). There is a lot of acknowledgement for healthcare workers, especially nurses, and I feel guilty for not being on the front lines. I feel guilt, and relief, and then even more guilt for feeling relief. But I also feel fear. It is always present, always looming. There is not much data on how this virus affects newborns and the virus is constantly evolving. It feels inevitable that we will be faced with it on our unit and in our population. I fear that first patient. I fear we won’t know how to help them. I fear we might not even recognize it before it’s too late. I fear what this might mean for our most vulnerable patients – the patients born so early and so frail, with no immune system to speak of and already fighting the greatest battle of their lives. I also fear the added trauma my patients will experience by having their earliest days, weeks, and months of life with caregivers whose faces are half covered. I fear what not having the experience of seeing facial expressions of human emotions will do to their development. I fear that they will feel and embody the pervasive anxiety that is felt by every healthcare worker. Stay home. Stop the spread. The babies I take care of fight so hard every day. Do your part in keeping them from having to fight even harder.
Written later in May 2020: As a NICU nurse in the pandemic, I continue to worry for my patients. I feel less fear, but I still have concerns. The fear has decreased, not because the risk to our immunocompromised patients has decreased, but rather because I recognize that this is the scenario; we’ve trained for during our entire NICU career. Anyone who has ever been in a NICU knows about strict hand hygiene and screening for early signs of illness. We have existed on the frontlines of every illness that could affect our neonatal patients for the past 100+ years.
I am concerned for the increased stress that parents of babies in the NICU feel. Having a child in the NICU is already an extremely stressful situation. If parents are allowed to visit, it is only one at a time. This creates an extremely isolating experience. The stress of the NICU is made even more traumatic in this time of uncertainty. I continue to be concerned for what seeing only half a face in a baby’s earliest experience might mean for their development. I see looks of confusion on my patients’ faces, but I know that the care I provide and the tone of my voice and compassion through touch is felt by my patients. I still see smiles from the babies and that gives me hope.
I have taken care of an infant with a COVID-19 swab pending. I’ve spent shifts being mindful of donning PPE in response to my patient. I’ve heard the mantra of “there is no emergency in a pandemic.” This does not feel possible when you see a baby with a decreased heart rate and oxygen saturation, which is why you become as efficient as possible in the donning of PPE. As has every other healthcare professional, I’ve experienced the effects of carbon dioxide retention. Nobody feels good at the end of a 12-hour shift spent in a face mask, but we step up to the occasion when an emergency arises. This is Nurses’ Week and some restrictions are beginning to lift. I just want to encourage everyone to continue to be mindful, compassionate, and conscientious when beginning to reintegrate into the public. Wear the masks when you are out, maintain

I’m Lora Alexander, one of the Quality Improvement coaches in a busy Level 3 NICU. QI is all about understanding problems, thinking of solutions, implementing ideas and analysing the results.
My name is Adedoyin Yissau, also known as Dee. I am the Education and Workforce Lead for the London Operational Delivery Network. I came into post as a Network Educator in 2019 and have since developed nursing education region wide, with the current focus on developing a nursing career pathway for London.
Neonatal Network Nurse Educator
My name is Dr. Julia Petty, and I am a nurse lecturer specialising in children’s nursing with a particular interest in neonatal care. My nursing career in paediatric and neonatal clinical nursing practice began after a BSc Hons degree in Psychology at Warwick University, when I moved to Great Ormond Street Hospital, London. Here, I trained in children’s and adult nursing before working there for many years in children’s and neonatal surgical care. I then gained my neonatal nursing qualification at St George’s NHS Trust London and worked at the Whittington NHS Trust NICU before moving back to Great Ormond Street for a senior education role on NICU where I worked until 2001. I then worked as Senior Lecturer at City University, London for 12 years leading the neonatal nursing education portfolio. I studied for a MSc, a PGCE and MA in academic practice during this time, In 2013, I moved to the University of Hertfordshire where my role is Associate Professor (learning and teaching) and Senior lecturer child nursing. I teach on the BSc Hons nursing and master’s degree programmes including leadership of modules, face-to-face/online teaching, assessing and supervision of students at all levels up to doctorate level. I am also research active and have completed a Doctorate in Education. As a nurse, educator and post-doctorate researcher, my interests focus on parents’ premature birth experiences, supporting parents in the transition home from NICU, exploring communication needs of neonates and their carers and studying the educational value of digital storytelling. This combination and variety of roles enriches my working life and brings together my experience as a child / neonatal nurse, educator and researcher. My role and related activities enable me to engage in both education and research while supporting students on their nursing career and education pathway, which is a privilege to be part of.
Hello my name is Claire Richards and I’m the Lead Nurse for the Wales Maternity and Neonatal Strategic Network. This covers nursing leadership but also Neonatal transport. I also have a clinical honorary contract in one Health Board.
Hello, my name is Kim Edwards, and I am a Neonatal Nurse. I am currently the Lead Nurse and Workforce, Education Lead for the Thames Valley and Wessex Neonatal Operational Delivery Network (ODN)
Hello, my name is Jean and I am a registered children’s nurse with 27 years experience. I qualified with a DipHE after struggling academically due to dyslexia. Over my career I have worked mainly in PICU, NICU and children’s cardiac critical care. I am dual qualified in speciality (QIS) for both Neonatal and Paediatrics. The QIS program is a post graduate modular course completed at level 6/7. To be considered QIS you must successfully complete 4 separate modules, each have an academic and practical component. Only on completion of the QIS course can you apply for a band 6 role. In addition to the above qualifications it is expected you would have several years proven experience in speciality at Band 6 and 7 prior to applying for a Matron’s role.
My name is Lisa Baker, I’m a Ward Manager on a Level 2 Special Care Baby Unit in South Wales and I’ve been in this role since 2020.
Hello, my name is Wesell, and I am currently a trainee Advanced Neonatal Nurse Practitioner (ANNP) at Great Western Hospital, which is a Local Neonatal Unit (LNU). Prior to this, I gained substantial experience in a tertiary neonatal unit where I completed my QIS course at master’s level. This course, alongside my role as a senior nurse, provided me with the expertise required to develop my career further in neonatal care.
My name is Hannah Wells, and I am a Neonatal Surgical Clinical Nurse Specialist (CNS).
Hi, I am Amanda and work as the Neonatal Infant Feeding Coordinator for a NICU and a SCBU within one service. While the role is not standardised, many neonatal units now have dedicated posts.
Hello, my name is Daniela Machado, and I am proud to be a Developmental Care Specialist/Lead Nurse and a sister/charge nurse, working across two different trusts. I am originally from Porto, Portugal, and have spent 14 years building my nursing career in the UK. My role involves applying and advancing neuroprotective/developmental care practices for our preterm and neonatal patients/families.
Hello! I am Renjita Raju , a Neonatal Junior Sister working in London. After completing my BSc nursing degree in India, I moved to UK, and completed NMC OSCE to get registered and QIS course to become specialised in neonatal care. I recently qualified as an NLS instructor with the support from NNA scholarship programme. My role involves caring for premature and critically ill newborns, ensuring their safety and health with a highly collaborative multidisciplinary team. I also teach in NLS courses as an instructor following my passion in neonatal resuscitation. I love witnessing infants grow stronger each day and supporting their families through this journey. I’m grateful for the opportunity to provide meaningful compassionate care to the tiniest, most vulnerable patients.