Family and Infant Neurodevelopmental Education – FINE

The FINE program is a three step educational pathway in family centered developmental care that is suitable for all disciplines in any neonatal center.  It is endorsed by the NFI as foundations in NIDCAP education. The program sets six main themes into the context of neuroprotective and relationship based care: infant development, behavioral observation, family participation, reflection, evidence and systems organisation.

Level 1: Foundations

Level 1: Foundations, introduces the scope of family centered developmental care and the evidence that supports it. The clinical implications of early development — brain, motor, sensory, social and feeding are described and discussed. This is usually a one or two day course in a classroom setting with presentations, demonstrations and interactive workshops.

Level 2: Practical Skills

In Level 2: Practical Skills, participants are allocated a NIDCAP experienced mentor who will give feedback on the reflective notes that they complete as they follow weekly assignments. These assignments include observations in the NICU/NNU and encourage engagement with parents and colleagues. There are lesson plans for 12 weeks with up to 5 hours work per week and 2 or 3 group contacts. The first half of the course is devoted to behavioral observations, following the synactive model; the second half integrates behavioral observations into the caregiving context with assignments that evaluate pain management, kangaroo care, daily care activities, medical procedures and feeding practices.

Level 3: Innovations

Level 3: Innovations, is entering a trial phase. At this level there is more emphasis on systems organisation with a choice of projects that have educational and change management goals.

Most FINE courses are organised at the request of individual centers or regional networks of neonatal services. In the UK they are supported by the neonatal charity Bliss; the EFCNI (European Foundation for the Care of Newborn Infants) supports FINE across Europe. Quality control is the responsibility of the authors and NIDCAP Trainers with regional licenses, issued by the FINE consortium based at the Erasmus Medical Centre, Rotterdam, The Netherlands (contact Monique Oude Reimer — van Kilsdonk: m.oudereimer-vankilsdonk@erasmusmc.nl).

 

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