Death management in neonatal intensive care: Psychological Training course for operators of Neonatal Intensive Care

Death management in neonatal intensive care: Psychological Training course for operators of Neonatal Intensive Care

Cacciato, Giovanna (1), Sacco, Paola (1), Lombardo, Paola (2), Carbone, Elisa (2)

(1) Psychologist, S.Anna Turin Hospital, (2) Psychologist, S.Croce Moncalieri Hospital

Introduction
This paper intends to present a training project focused to the Nicu operators of four hospitals in the city of Turin. Perinatal death is a strong event in life, that touches the sensibilities of people, even in a professional dimension, are involved. Death in intensive care is a topic that requires a multidisciplinary confrontation aimed at the search for adequate and sustainable language and behavior – or perhaps that support both the fatigue of the operators and the pain of parents, in the comparison of different roles and positions.

Description
The training, now in its 3rd year, proposes to the Nicu operators to meet 8 times a group of psychologists and compare/experiment themselves, through simulations and mindfulness meditation practices, on the death event of a newborn in Nicu, on shared procedures and the critical issues.
Medical and nursing NICU’s staff need to learn skills and competences necessary to perform this task optimally, and also improve this aspect of assistance to the newborn and his family.

Summary
Through group supervision we focus on the experiences that operators, with different qualifications and professional skills, encounter in NICU putting on the spotlight the person, meaning not only the “patient”. A further goal of supervision must be quality of life improvement, applied both to the doctor and nurse operators, highlighting how the identity of “worker” is consolidated by unity and sharing of emotional and cognitive aspects. Building a protocol for managing NICU death in the 4 participating hospitals, to make a homogeneous pool of interventions and care for families and operators.

Ethics statement
No ethics approval required.


International Stillbirth Alliance, Annual Conference on Perinatal Mortality and Bereavement Care, Madrid, Spain. October 5-6th, 2019.

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