Infant Journal
for neonatal and paediatric healthcare professionals

Navigating between technological and relational practice in neonatal care

As innovations in neonatal practice require clinicians to engage with increasingly technological medicine, staff must also prioritise family-integrated and relationship-centred care. These two modes of practice can compete for clinicians’ psychological resources. In this article I explore the implications of this dilemma and identify some ideas that might be useful in navigating the intersection of technological and relational practice.

Davy Evans
Clinical Psychologist Birmingham Women’s and Children’s NHS Foundation Trust
davy.evans@nhs.net

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Keywords
medical technology; neonatal; family-integrated care; relationships; clinical psychology
Key points
  1. Recent innovations in care present neonatal clinicians with a dilemma between technological and relational practice.
  2. These modes of practice can compete for clinicians’ psychological resources, impacting on quality and safety of care.
  3. Finding ways to reconcile and navigate these domains is important for protecting babies, families and healthcare professionals.
  4. Clinical psychologists are well placed to facilitate the proposed solutions.

Also published in Infant:

VOLUME 17/ISSUE 6, NOVEMBER 2021
Stuck inside a hall of mirrors: facets of mum guilt on the SCBU
This paper provides a parent perspective of guilt on the special care baby unit (SCBU) through the voice of a mother of a premature baby, Arthur, born at 29+1 weeks’ gestation. The focus of this piece is on the experience of having a ‘healthy’ preterm baby (defined by a stable condition and no complex medical or intervention needs) and what ‘guilt’ looks like from this view. There is an urgent need for future research to work more with fathers and the wider family to examine their roles better. The paper will incorporate evidence from previous literature to delineate facets of guilt and how an understanding of this can help clinicians to better support the individual needs of families. Recommendations will be made for how a knowledge of parent guilt could shape practice on the neonatal intensive care unit.

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