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Playtime
Why the key person needs to go beyond routines Pages 16-17——| POSITIVE RELATIONSHIPS KEY PERSON APPROACH
Pressure
points
' Some difficulties in implementing the key person approach
| are pinpointed by Julian Grenier as he listens to nursery staff
ih the recent death
} Jof Elinor Gold-
| chmiednowis per
| haps a good time to
focus again on one
of er key achieve-
| ments. in 1993, working with he o-
| author Sonia Jackson, she outlined a
| emo provide ere eae rabies
and todalers in nurseries, which they
tiled the ky person approach
| They defined this as ‘promoting a
| special lationship between the child,
his family anda particular caregiv
| er through specifie work practices,
including the key person undertaking
| sthome visit before the child begins,
| working closely with the child and
| arent to sete the child into the nars-
| erjattending to intimate care routines
Te nappy changing and toileting, and
ongansing a regular small gathering
| ofthe key group which they called the
‘sland of intimacy’.
Tike most attempts to advance
practice and policy, the key person
| approach has generated a good deal
of controversy: Perhaps the strong-
| est recent critics of the approach are
) Gunilla Dahlberg, Peter Moss and
‘Alan Pence, who have urged the aban-
| donmentof'deas of intimacy, lose
nea and cosines in nurseries, and
| propose instead a ‘complex and dense
tweb or network connecting people,
environments and activities.
‘Some research also appears tojndi-
| cate that despite increasing emphasis:
| om the hey peron appro, which is
now alegal requirement with he EYFS,
babies and tddlers frequently do not
getthe sor of loving ply and in
| mate care thatthe approach envisages.
| "For example, Peter Bier, whois
one of the leading exponents ofthe
ey person approach, concuded ina
recent ate co-authored with Kay |
Dearne, consultant child and ado
lesen peychotheapis that ‘even in
sareris nominally commited tthe
ey penon apeoac, terete a aa
of mplsmentation.
Itisalso interesting to note that the |
secearch nto Neighbourhood Nurse
ies ould ntidenify any approaches
that appeared to have anything more
than amodest impact on children!
foci and emotional development
Strangely enough, those Neighbour
hood Wireeries that achieved the
highest ratings in thee personal care
routines hed the children who were
found to be the least co-operative,
Teast sociable, and least confident
eae
eee oes |
eee
nee cess
eee
Se eae |
key person very much as Elinor | Practitioners
Goldschmied and Sonia Jackson orig- | are made
Pore epeerned foe
Sees eas | FEE ie
ermaraiecramea” | forachile's
For example, Marcia and julie(not | CMOtlonal
therreal names) talked bouta toddler | Well-being,
they were working with who settled | In nursery
| happily when she arrived, butas theday
went on became tied and distressed.
As Marcia pit, One day Tsetup2 bed
‘with her own pillow from home. [said
“sleep here she suid “OK” bur dit
| Around 3pm she started to ery. I said
“are you tired?” She said “no” but she
fell asleep on my lap, though not for
Jong? Julie added that ‘itis hard forher.
‘They were aware that they could not
| reaiy‘mect the nee’ ofthe chil.
‘While che EYFS is full of videos
and examples of practitioners making
everything allright, real practice in
nurseresis often about trying to offer
| ‘good enough’ care and aceepting that
sometimes a cild’s unhappiness can
berecognised and responded to, butit
cannot necessarily be solved.
T noticed the members ofthe group
| rarely tale about pay a8 pat ofthe
role of the key person. Their emphasis
‘was almast always on care rorines, and
‘managing difficult and upsetting inci-
dents ~ which they did with great kil
Since conducting the group discus
sions, [have wondered whether this
‘way of looking atthe key person role
| might place a great deal of stress on
the individual practitioner, making her
‘or him feel largely responsible forthe
hil'semocional well-being in nursery
Play can be a tremendously pow-
erful medium in which children ean
work through emotional difficul
ties, confliets, anger and disappoint-
| ment. Yet there was no discussion of
| practitioners may feel that the role
TGNURSERY WORLD25,UNE2009how; for example, an observation of@ When things gotdfficltin this wax,
chil’s difficulties might prompt the they appeared to respond by becoming
staff team to plan or resource playin abitdistanced and withdrawing fom.
particular way, an aspect of the key their closeness to the ehildren, For
person role whieh is considered in example, discussion stare up about
Julia Manning-Morton and Maggie parents who stayed to lng wen they
“Thorp’s Key Times for Pay. Gropped their chilren off One nurs-
ry nurse commented, ‘Sometimes I
HARSHER TONE feel ke there's parents who want their
‘The group generally talked abou: children to ery before they leave the
the children in their cave with grea> nursery, and then some parents get
‘understanding and sympathy. Butjus: upset when they see they've got their
oceasionallijaratherharshtonewould ite baby who runs to theirkey person
take aver, When [looked closely atmy and docsnt say goodbye?
‘wanccriptofthediscussions,Ithought Here, the parentisonly talked about
[could identify a pattern: when the asa disruption tothe smooth running
tone became a bit harsh itwas almos: ofthe da. Later the nursery nurse said
always when practitioners were take chat nursery is ‘kind ofa big step for
ing about events in the nursery tha: the parents ike your child is growing
‘wererunning outofheircontol. up, you'renotthe main person in their
of the key personis focusedon careroutinesrather than play
ie
REFERENCES:
‘eReport on
neighbourhood
surestart.govuk/_
doc/PO002388.pot
‘eGoldechmied, Eand
Jackson, 5 (2005)
People Under Three:
‘young children nday
care. Routiedge
‘eElfer,P andDearniay,
(2007) Nurseries
‘and emotional wel
being: Evaluating
anemotionally
containing model
of continuing
professional
development,
‘nearly Years: An
Intemational oust
ofResearchand
Development, 2713).
‘@Dehiberg.G,Moss,P
‘and Pence, A(2007)
Beyond Quality in
Early Childhood
Equcationand
Care:Lanauages
of Evaluation.
Routledge
‘eManning-Morton.J
‘and Thorp, M (2003)
‘Key Times for Play:
the fst three years
(Open University
Press
life any more’ which suggests rivalry
besween the two.
PICKING UP THEPIECES
Te may seem hyper-ritical for me to
take the words spoken ard analyse
‘hem ike his Tht snot mote,
Iwas struckby the great professional
{sm and sensitivity of the members of
the group. And it is undoubtedly very
ificultwhen events happea ike par-
ent seeming to linge in theroom until,
child gees upset. Iris nursery nurses
‘who have to pick up the pieces and
manage diicultsituations ike tis,
Itis inevitable that workin murser-
{sw sometimes rn outaf the con-
‘rol of staff, but there didnot seem to
be opportunities for staf to talk over
‘things like difficulties with parents. Ie
seemed as if staff were often left with
distressing and complex problems to
solve on their own, They responded
by distancing themselves comewha,
by taking on harsh attitudes: inthis
instance, there is no consideration of
the mixed feelings a parent may have
about leaving a baby in nursery,
‘SUPPORT
‘This leads me to suggest that one of
the reasons for difficulties in imple-
‘menting the key person approach is
that individual members of staf - the
people who must, afer all, implement
the system ~ feel that they have a
great responsibility for theemotional
‘well-being of each child. Bu they do
not seem to fel, ether, hot there are
‘other ways top children’ emotion=
al development (for exanple, play)
‘which do noe fall so squarely on them,
‘Attimes what the pracitoners said
suggested that they felt that when
events run out of dir contol there is
no-one to liste to them, support ther
and help to think through problems,
‘When staff feel under presure, they
‘may respond by withdrawing some of
their care and taking on hersher ati-
tudes. Thisunderminesthe whole point
ofthe key person approach nthe frst
place. It may explain in pan, why itis
stil proving so dificult to implement
the key person approach more than a
decade afer twas frst outined,
(On the other hand, the careful lov-
ing descriptions that memoers ofthe
group gave ofthe intimate care they
offered the children illusirated just
how powerful and effective the key
‘person approach can be.
Julian Grenier is head of Kare
‘Greenaway Nursery School und
(Children's Centrein Islington, London
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