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Communicate, don't Confront
Upon seeing the child in distress Miriam should have walked over in 2 minutes, not 15, and started a conversation with the nanny in a non threatening manner. You said she "confronted" the nanny. Confrontation brings on a defense reaction. A suggested opening: "Hi, may I talk to him? I remember when my baby was this age and got fussy in the sun. The sun doesn't bother me so I didn't figure it out. It's so hard to take care of all their needs isn't it - someone helped me out by telling me that 5 minutes in the shade will stop the crying. I don't want you to have to go through what I did so I'm passing this info on. Hey, look he's quiet now - you must be a really good nanny."