Rhian Hughes, Clinical Education Lead, NICU, Birmingham Women’s Hospital, UK

My Split personalities of COVID-19 and 40 minutes.
During the last few months, my career as a Nurse has tested every final inch of patience and strength. Being a Nurse in a Neonatal Unit had always been challenging with the emotional roller-coaster that you follow and support new parents through. With the joy of new birth, life and unconditional love, comes anger, pain and the unanswerable questions.
As a Clinical Education Lead my role is to support, belt in and brace the NQN staff joining this rollercoaster.
On March 17th, during a Study day, each and every plan that I had made for structured support and education was cancelled. The Trust was now responding to a Major incident. I was immediately given a tasks and jobs that was my priority. I sat to discuss this frustrated and angry, with the group I was teaching and sent them home. I had to provide reassurance and comfort to those that were new to role but were now being asked so much more than any job description. Now, more than ever, my leadership skills and strength were tested. Whilst I have always retained a positive outlook and optimistic persona, it was difficult to retain this and support the team around me.
Staff who were redeployed from areas were ‘fish out of water’ and whilst every hand helped, people struggled to cope with the physical and mental demands of an Intensive Care unit, that they had never worked in before. Education had to go into over-drive to provide additional learning, new resources and whilst using new virtual learning platforms.
This was it- this is what I needed to do, if there was ever a time to show the strong leader that I am, it was now. All the training had done, the theory had some to this. Very quickly the expectations of me from my manager had risen sharply. The fire in me did not question, did not cry, but started to plan and rise to everything asked of me.
Whilst my work is inbuilt and part of me. I am a mum and a wife. I have two children in First school who were both told that they may not return to school.
5 hours of schoolwork, per day, for 2 children, in two different year group, whilst working a 40-hour week. Summer holidays were usually difficult to navigate, but this was something different. The expectations I had to be a primary school teacher, whilst juggling the washing, cleaning, food shopping, guinea pigs, gardening and lunches and dinners. Food bills creeping up for £20 more per week! My husband, also in the care sector, also felt the stress of his workload and frequently worked a fourteen day straight. His workload often became my workload as he would relay all the issues he had dealt with during the day in an attempt to relax.
For my children, the emotional effects that this had on them has been profound. Whilst physically they have been safe and loved, they have become guarded. From opened armed to face masks and crossed arms. My daughter who skipped into school now cries hysterically into the late night worried about who will care for her the following day and how much she will miss us.
I particularly found this heart breaking. I can provide her with the reassurance her of the careful planning to ensure childcare, but when you can clearly see them distraught, exhausted and broken, the only reassurance she wants is my attention and me to staff off work. What can I say to her?
I worry what their future will be and how they will build relationships with friends, people and feel ready to breakdown these all apparent emotional walls.
40 minutes….40 minutes this is the time that I drive to and from work.
This is the only time where I am solely me. Me and my own thoughts, my own mind and my own worries. The recent few months have been draining and these 40 minutes are the slight moment that I have to try to rest from the different roles I have to play, but also allow myself to be worried to be scared. One of these initial worries was over buying food, what if there was nothing in the supermarkets. There and then I swore to listen to my Grandmother advice and get a full store cupboard of food! Whilst this seems a distant memory and things have moved forward at the time this was a real worry.
What if I caught COVID? What if I couldn’t be the Nurse/ Mum/ Wife they needed me to be? ‘What if’ was a familiar thought during these drives and it allowed me to explore the disorganised thoughts in my head. It was only though this that I was able to gain some kind of sense of this new world and what I could be in it.
This test of my emotional, physical and clinical nursing ability has tested me past my limits and though this journey, I have found, the limits that I perceived are just smoke. I can do this, and I can do it amazingly. I don’t know what the future holds and what a ‘normal’ life will be like, but I know whatever the challenge, whatever the ask, as a mum, Nurse or wife, this will not beat me.

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.