Trauma - Informed Care in the NICU Evidenced - Based Practice Guidelines for Neonatal Clinicians 2017(1).pdf

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As a neonatal nurse and educator for more than 30 years I have seen ﬁrsthand the

impact our neonatal intensive care units (NICUs) have on infants and their fami-

lies. While not a new concept, few health professionals understand or necessarily

like the term “trauma-informed care,” yet that is what our neonates and families

need. This book addresses the most important issues that impact neonatal care.

Using evidence to support the interventions may lead more health professionals to

support the implementation. Use of a competency model will assist supervisors in

measuring outcomes for both the health professional’s own performance and the

care provided. Trauma-informed care supports family-centered integrative, trans-

disciplinary care, which is vital to the provision of safe, high-quality neonatal care.

Carole Kenner, PhD, NNP, RN, FAAN

Carol Kuser Loser Dean and Professor

School of Nursing, Health, and Exercise Science

The College of New Jersey

Mary Coughlin’s new book,

Trauma-Informed Care in the NICU: Evidence-Based

Practice Guidelines for Neonatal Clinicians,

draws on the growing evidence regard-

ing the effectiveness of strength-based, individualized, developmentally support-

ive and relationship-based care delivery in the neonatal intensive care unit (NICU)

setting. Much of this evidence has accumulated over the last three decades due

to the international Newborn Individualized Developmental Care and Assessment

Program (NIDCAP) research trials, which demonstrate, enduring into school age,

improved brain development and overall health and developmental outcomes, as

well as enhanced parent competence and lowered stress. Ms. Coughlin’s sensitive

and thoughtful work emphasizes the signiﬁcant trauma that parents and infants,

as well as staff, experience in the face of intensive newborn medical care. It will

give pause to even the most hardened intensivists, who may attempt to wall off

the feelings that come from recognizing the traumatizing events they must deliver

repeatedly in the course of a NICU day, thus denying the humanity of infants and

families, as well as their own. Coughlin’s text supports clinicians in recapturing

their true caring personhoods and reenergizes their emotional attunement to caring

with compassion

and

technical excellence for the infants and families entrusted to

them. This book is a must for every clinician and caregiver in newborn intensive

care nurseries everywhere.

Heidelise Als, PhD

Professor of Psychology (Department of Psychiatry)

Harvard Medical School

Director, Neurobehavioral Infant and Child Studies

Boston Children’s Hospital

Founder, NIDCAP Federation International

Ms. Coughlin’s work on trauma-informed care in the neonatal intensive care unit

(NICU) provides the neonatal (and health care) community with a sound and reli-

able resource for providing excellent age-appropriate care. She articulates and sub-

stantiates the necessity for improved and consistent practices to positively affect

both short- and long-term outcomes for premature infants. Because of the innate

link between neonatal therapy and trauma-informed care, Ms. Coughlin has deliv-

ered the keynote speech on this topic at our national conference and I have per-

sonally recommended her ﬁrst book time and time again—to our membership, to

health care leaders, and to parents of premature infants.

Sue Ludwig, OTR/L

President and Founder

National Association of Neonatal Therapists (NANT)

This important new book by an experienced and knowledgeable neonatal clini-

cian provides a practical and evidence-based approach to apply the Institute of

Medicine’s six aims for health care improvement to the care of medically fragile

neonatal intensive care unit (NICU) patients. A clear message is the central role

of the neonatal nurse as a member of the transdisciplinary team in providing the

optimal environment for age-appropriate care and family engagement to ensure the

best possible outcomes.

Ann R. Stark, MD, FAAP

Professor of Pediatrics

Division of Neonatology

Vanderbilt University School of Medicine

Trauma-Informed Care in the NICU

Mary E. Coughlin, MS, NNP, RNC-E,

is an inspirational speaker, motivational

coach, and transformational consultant. With a clinical background that spans more

than 30 years, Ms. Coughlin is the internationally recognized expert in the ﬁeld of

trauma-informed, age-appropriate care in the neonatal intensive care unit (NICU).

Ms. Coughlin is a graduate of Northeastern University, Boston, Massachusetts,

where she received her baccalaureate and master’s degrees in nursing. Following

7 years of active duty service in the U.S. Air Force Nurses Corps, Ms. Coughlin tran-

sitioned to civilian practice at the Brigham and Women’s Hospital NICU in Boston,

assuming roles as staff nurse, charge nurse, and neonatal nurse practitioner. After

a 1-year interim faculty position, Ms. Coughlin realized her passion for education

and currently provides multimodal continuing professional education for interdis-

ciplinary neonatal clinicians aimed at translating evidence-based research into clin-

ical practice for measurable results. She is a published author and keynote speaker

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