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Norway

A brief report by Nina Cheetham - July 2017  

In August the Norway group will have a NBO network meeting at Unni Tranaas Vannebo’s home on the island Jøa in the middle of Norway. Nina Cheetham has conducted her first NBO training group of 10 health workers. They were very dedicated and happy users of the NBO.

The network Spedbarn og småbarn (Infants and Toddlers) is a E- platform launched in November 2016 for health workers in the northernmost region of Norway. Jorunn Tunby, Inger Pauline Landsem and Nina Cheetham are editing the site, which is supported financially by Helse Nord (Health region of northern Norway).  The network now has approx. 110 members from many professions working with infants and toddlers across the northern region of Norway. A network meeting will be arranged in the city of Bodø in October 2017. Here is the Link to network :  http://deminste.helsekompetanse.no/

A brief report on NBO Training in June 2017 in western Norway and in Oslo by NBO Trainer Unni Tranaas Vannebo:

NBO training in Norway is in high demand.  Recently, training took place in western Norway, led by NBO trainers, Unni Tranaas Vannebo and by Nina CheethamAnother new group of health care professionals were certificated as NBO observers in Oslo by Unni Tranaas Vannebo and Rakel Greve. Most trainees came from a Public Health Unit in a section of Oslo and mainly consisted of public health nurses and physiotherapists.  In addition, two Swedish trainees from a Child Protection Center in Sweden participated.  They were all very satisfied and found the training very meaningful. There seems to be "an NBO fever" in Norway at the moment.   Below are photo of the groups:





In September Unni has been invited to deliver a speech on the NBO at a Congress for 800 Public Health Nurses in Oslo.

Report on 2016 by the Norway NBO trainer team Kari Slinning, Unni Tranaas Vannebo, Inger-Pauline Landsem, Nina Cheetham Bøhle, Hege Sandtrø & Rakel Aasheim Greve.

About 90 people were trained on the NBO this year. Trainees included Public health nurses, midwifes, physical therapists, clinical child psychologists, doctors and other professionals who meet families early after birth. The trainees mainly use the NBO in their daily work. Those working In NICUs integrate the two clinical windows into the child when they do daily bedside observations together with parents. Based on these training experiences this year, we are now trying to shorten the training and supervision program the 9 months to about 6 months. We will evaluate how this works out.

As we look towards 2017, the following are our plans:

  • We have one ongoing NBO training in the Mid-west part of Norway with about 50 participants divided into two supervision-groups (multi-professionals).
  • We will start a new training in Oslo shortly with all PHNs from one large Well-baby clinic in Oslo. Another training starts hopefully in March with staff from the NICU at one of Oslo’s University hospitals.
  • Additionally, two other trainings start in the early autumn; one in Bærum municipality and the other in Sandnes municipality. We are especially excited to do the training in Bærum because it involves PHNs from all well-baby clinics in Bærum and we have already trained the staff at the maternity ward at the local hospital. This has been part of our dream for the future to ensure that new parents engage with NBO trained health practitioners at all levels; maternity ward and well-baby clinic.
  • This year we will spend more time to concentrate our efforts to ensure sustainability of NBO in the work places where we have provided training. To achieve this, we will visit well-baby clinics and hospitals (NICUs and maternity wards) and meet with the leaders to learn how they facilitate the routine use of NBO with new families and we will provide some coaching of NBO certified trainees at their work places. In addition, we will arrange regional maintenance seminars for NBO certified trainees.
  • We are having meetings with universities and colleges that provide post-graduate training programs for public health nurses and nursery nurses and discuss how we might integrate NBO training as part of their curriculum.
  • We will finalize an e-learning platform that will be used as part of the training program for NBO.

NBO Training at Haugesund

Conferences and Publications: During the past year, we have presented NBO at several conferences, among these are the WAIMH conference in Prague, The first Nordic conference for Homebased Hospitals in Oslo. We all presented short lectures about the NBO to health practitioners and to undergraduate and post graduate students (nurses, psychologists, physiotherapists, doctors).

We also plan to translate the NBO handbook into Norwegian and hope to add some minor revisions and adaptations relevant to the Norwegian culture.

Inger Pauline Landsem’s book (“En bedre start”/”A better start”) will be translated into Russian and Inger Pauline will be involved in a project in the northwestern part of Russia, where she will share her knowledge of premature infant development and the use of the NBO and NBAS.

Inger Pauline, Nina Cheetham and Jorun Tunby have developed a website with information about infant mental health, sharing theory, methods and trainings avaliable in the Northern region of Norway. The aims are to inform and make new collaboration networks in the region: http://diminste.no

In addition, an article about the NBO was published in a Norwegian Journal for Gestalt psychotherapists where Kari Slinning was interviewed.

Research:

We plan to revise our research protocol (aim: to prevent PPD among pregnant women at risk for PPD). We also plan to write up a paper on the pilot study we have completed. Further, we will evaluate the training we are going to do at the NICU in one of the university hospitals in Oslo this year.

There is an ongoing universal NBO-intervention study in Tromsø led by professor Catharina Wang (collaborators from our team are Inger Pauline Landsem and Kari Slinning). They use a non-randomized cluster controlled design, since neither cluster randomization, nor randomization at the individual level is feasible in the routine practice setting in Tromsø which is a small city. The intervention group receive 3 NBOs: 1) Routine care plus the NBO at the hospital within two days post-delivery; 2) Routine home visit plus the NBO by a public health nurse when the infant is 7-10 days old; and 3) NBO at the well-baby clinic when the infant is about 4 weeks old. Main outcome measures are EPDS, PSI, EAS (same as we have in our research protocol)

Report from Tromsø on NBAS training in Norway 2016

by Jorunn Tunby

As stated in the 2015 review A Year of Firsts, Gunn Kristin Øberg was certified as a NBAS trainer in September 2015. Cathrine Labori was also certified in September and uses the NBAS in her work as a physiotherapist for newborn children. She is participating in an intervention research study inspired by the NBAS, which is being conducted by Gunn Kristin Øberg. Two out of four trainees completed the NBAS training and graduated in April 2016, Hege Syversen Smerud and Heidi Fjeldheim, both of whom are working with children of mothers that need help the crucial first months of their children’s life. Both stated that NBAS had given them a language to communicate their concerns.

2016 also was the year when our group launched a new website containing useful, quality-assured information for professionals working with newborn children and toddlers and their families: http://deminste.helsekompetanse.no/. This website is in Norwegian, but it includes four movies from Zero-to-Three, which we translated and gave them a Norwegian voice-over. (You can find them under Filmer with English or Norwegian subtitles.) Under Føde/Barsel (childbirth/maternity) the NBO is promoted. The people behind this website are familiar to the NBAS/NBOInternational network - Inger Pauline Landsem, Nina Cheetham, Gunn Kristin Øberg and (myself) Jorunn Tunby. This year the Pediatric Nursing students will learn the NBAS. Our hope is that our university in the not too distant future can offer an interdisciplinary educational module in NBAS. Time will tell.

Report from Aline Muncipal Clinic

by Kristin G. Furuholmen

The five psychologists working at Aline use the NBO on all clients falling within the method’s age spectrum, as well as some above, if they are: premature; have been exposed to drugs during pregnancy; or if there are any other reasons to use parts of the examination. In total this entails between 45 and 50 babies per year (examined 5-8 times). The parents of the children have large psychosocial difficulties; have had problems with drugs; or have psychiatric disorders. Other parent groups are short-term foster parents; long-term foster parents; as well as newly adoptive parents. New co-workers practice the method under supervision before they are sent to get formal training in the method. At our workplace we film the examination. This is because the children are often hypersensitive when it comes to noise, which makes it impossible to talk during the examination. Vulnerable parents might also be in need of dwelling over the child’s capabilities through watching the movie several times; stopping and rewinding etc.

Several of our co-workers working in the environment at the centre in 24-hour shifts are getting training in the method. We think that if the people working closest to the most vulnerable families can use the method in everyday situations, our practice will be strengthened. The method was mentioned in several courses we held in 2015 and 2016, with clinical examples. In the autumn of 2015 it was mentioned in a book about babies and children at risk, written at our workplace. The method is used in connection with “Behandlingsomsorg” (every-day-treatment care)”, a method for early help and support within the family, that we have developed.

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