Nicole Gustafsson Valderrama, New Karolinska University Hospital, Stockholm, Sweden

Since the beginning of Covid-19 the routines about how to approach the parents if they are positive and/or have any related symptoms has changed a lot. Sometimes It feels like we have new routines each and every week which builds up a frustration because there is not always time to learn the new routines. But we all try our best. For the most part, life at the NICU continues a lot like it did before Covid-19. Parents are still encouraged to be with their children as much as possible and be a part of the daily routines that we have (rounds, diaper change etc.). That is if the parents have NOT tested positive or to have shown any symptoms correlating with Covid-19. Other visitors such as grandparents or siblings are not allowed at the ward (nor in the hospital).
About kangaroo care there are no restrictions as long as the parent is tested negative. Today the routine is that if the parent was to be tested positive but does not showcase any symptoms they can still take care of the child but not to kiss or perform kangaroo care, and the health care staff needs to use face shields when caring for the child with the parents.
The child is never seen as infected unless a test is done and comes back positive. We only screen the children if they need surgery (before) or if we have a child that comes from another hospital. This has created a bit of insecurities amongst the staff because we feel that we are not given the chance to fully protect ourselves and also what guarantees us that the parent does not have an active infection and just don’t have any symptoms? Or just in an early stage of the infection? Where should we draw the line between what is ethical for the children and their families and our safety? Since we work with the idea of a family centered care it is normal for us that the parents are a part of the daily routine, but now they can travel from their homes to the hospital, be accompanied with whomever they choose (because we don’t have any restrictions in Sweden, only recommendations) and then coming back to the hospital to be taking care of the children with us standing only centimetres apart from them. So, there are some concerns on how to approach this situation properly since we want to continue the family centered care but still have our health as a priority as well as not risking bringing home the infection to our loved ones.
I have been distancing myself from everyone except my closest family whom I live with because I don’t want to spread the infection to others nor be infected. If I am sick it will affect the whole unit because we already have a lot of staff that are sick (not necessarily in Covid-19). We try to make ends meet but it is taking a toll on our mental health because a lot of Swedish people don’t understand the severity of this infection. We are next to a ward where the sickest people that have been infected are getting treated and we can see the staff with all the protective gear whilst the infected sick people just lay there with all the machines surrounding them. It is scary and it makes me mad that a lot of Swedish people just go along with their lives as if nothing is happening, especially a lot of people my age (I’m 24 y/o) because they don’t believe they can get infected. But we can all get infected and it is my fellow colleagues who work at the frontline that get affected the most. And when they
can’t take it anymore it will probably be our turn to go to the adult units and treat the Covid-19 patients. It takes a toll on my mental health not knowing if I will get my vacation this summer because I want to spend time with my family as well, but I don’t because I need to put the safety of my small patients, my colleagues and the society before my own needs. And we all need to think like that so that we can see the light at the end of the tunnel and hug our loved ones.

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.