Trauma-informed Care in the NICU – Implications for Parents and Staff

Mary Coughlin McNeil

Abstract


“The expectation that we can be immersed in suffering and loss daily and not be touched by it is as unrealistic as expecting to be able to walk on water without getting wet. This sort of denial is no small matter”1

The concept of trauma and traumatic stress emerged in the field of mental health over forty years ago and is a widespread public health concern.  The paradigm of trauma-informed care acknowledges that trauma and traumatic stress overwhelm an individual’s ability to cope while simultaneously changing their biology with both short term and lifelong implications for health and wellbeing. The Substance Abuse and Mental Health Services Administration (SAMHSA) was the first to implement a trauma-informed care framework which “(1) realizes the widespread impact of trauma; (2) recognizes the signs and symptoms of trauma in clients, families, staff, and others; (3) responds by fully integrating knowledge about trauma into policies, procedures, and practices; and (4) actively seeks to resist re-traumatization.”2


Full Text:

 Subscribers Only

References


Remen, N. R. (1996). Kitchen table wisdom: Stories that heal. New York, NY: Riverhead Books.

Trauma-Informed Approach and Trauma-Specific Interventions. SAMHSA.gov. https://www.samhsa.gov/nctic/trauma-interventions. Updated April 27, 2018. Accessed May 18, 2018.

Coughlin, M. (2016). Trauma-Informed Care in the NICU: Evidence-based Practice Guidelines for Neonatal Clinicians. New York, NY: Springer Publishing Company.

D’Agata, A.L., Sanders, M.R., Grasso, D.J., et al. (2017). Unpacking the burden of care for infants in the NICU. Infant Mental Health Journal, 38(2), 306-317.

Shaw, R.J., Bernard, R.S., Storfer-Isser, A., et al. (2013). Parental coping in the neonatal intensive care unit. Journal of Clinical Psychology in Medical Settings, 20(2), 135-142.

Treyvaud, K. (2014). Parent and family outcomes following very preterm or very low birth weight: A review. Seminars in Fetal & Neonatal Medicine, 19(2), 131-135.

Roque, A.T.F., Lasiuk, G.C., Radunz, V., & Hegadoren, K. (2017). Scoping review of the mental health of parents in the NICU. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 46(4), 576-587.

Vanderbilt, D., Bushley, T., Young, R., & Frank, D.A. (2009). Acute posttraumatic stress symptoms among urban mothers with newborns in the neonatal intensive care unit: A preliminary study. Journal of Developmental & Behavioral Pediatrics, 30(1), 50-56.

Lefkowitz, D.S., Baxt, C., & Evans, J.R. (2010). Prevalence and correlates of posttraumatic stress and postpartum depression in parents of infants in the neonatal intensive care unit (NICU). Journal of Clinical Psychology in Medical Settings, 17(3), 230-237.

Shaw, R.J., Deblois, T., Ikuta, L., et al. (2006). Acute stress disorder among parents of infants in the neonatal intensive care nursery. Psychosomatics, 47(3), 206-212.

Jubinville, J., Newburn-Cook, C., Hegadoren, K., & Lacaze-Masmonteil, T. (2012). Symptoms of acute stress disorder in mothers of premature infants. Advances in Neonatal Care, 12(4), 246-253.

Woolf, C., Muscara, F., Anderson, V.A., & McCarthy, M.C. (2016). Early traumatic stress responses in parents following a serious illness in their child: A systematic review. Journal of Clinical Psychology in Medical Settings, 23(1), 53-66.

Coughlin, M. (2014). Transformative Nursing in the NICU: Trauma-informed Age-appropriate Care. New York, NY: Springer Publishing Company.

D’Agata, A.L., Young, E.E., Cong, X., et al (2016). Infant medical trauma in the neonatal intensive care unit (IMTN): A proposed concept for science and practice. Advances in Neonatal Care, 16(4), 289-297.

Greene, M. M., Rossman, B., Patra, K., Kratovil, A. L., Janes, J. E., & Meier, P. P. (2015). Depression, anxiety, and perinatal-specific posttraumatic distress in mothers of very low birth weight infants in the neonatal intensive care unit. Journal of Developmental and Behavioral Pediatrics, 36(5), 362–370.

Hynan, M. T., & Hall, S. L. (2015). Psychosocial program standards for NICU parents. Journal of Perinatology, 35(Suppl. 1), S1–S4.

Sanders, M.R. & Hall, S.L. (2018). Trauma-informed care in the newborn intensive care unit: promoting safety, security and connectedness. Journal of Perinatology, 38, 3-10.

Busse, M., Stromgren, K., Thorngate, L., & Thomas, K. A. (2013). Parents responses to stress in the neonatal intensive care unit. Critical Care Nurse, 33(4), 52–60.

Lasiuk, G. C., Comeau, T., & Newburn-Cook, C. (2013). Unexpected: An interpretive description of parental traumas associated with preterm birth. BMC Pregnancy and Childbirth, 13(Suppl. 1), S13.

Coughlin, M. (2015). The Sobreviver (Survive) Project. Newborn & Infant Nursing Reviews, 15(4), 169-173.

Tessier, K. (2010). Effectiveness of hands-on education for correct child restraint use by parents. Accident; Analysis and Prevention, 42(4), 1041–1047.

Burnham, N., Feeley, N., & Sherrard, K. (2013). Parents perceptions regarding readiness for their infants discharged from the NICU. Neonatal Network, 32(5), 324–334.

Baylis, R., Ewald, U., Gradin, M., Nyqvist, K. H., Rubertsson, C., & Blomqvist, Y. T. (2014). First-time events between parents and preterm infants are affected by the designs and routines of neonatal intensive care units. Acta Paediatrica, 103, 1045–1052.

Flacking, R., Lehtonen, L., Thomson, G., Axelin, A., Ahlqvist, S., Moran, V. H., . . . Dykes, F. (2012). Closeness and separation in neonatal intensive care. Acta Paediatrica, 101(10), 1032–1037.

Craig, J. W., Glick, C., Phillips, R., Hall, S. L., Smith, J., and Browne, J. (2015). Recommendations for involving the family and developmental care of the NICU baby. Journal of Perinatology, 35(Suppl. 1), S5–S8.

Davis, L., Mohay, H., & Edwards, H. (2003). Mothers’ involvement in caring for their premature infants: an historical overview. Journal of Advanced Nursing, 42(6), 578–586.

Moore, K. A., Coker, K., DuBuisson, A. B., Swett, B., & Edwards, W. H. (2003). Implementing potentially better practices for improving family-centered care in neonatal intensive care units: Successes and challenges. Pediatrics, 111(4 Pt 2) e450–e460.

Watson, J. (2003). Love and caring. Ethics of face and hand—An invitation to return to the heart and soul of nursing and our deep humanity. Nursing Administration Quarterly, 27(3), 197–202.

Dill, D., & Gumpert, P. (2012). What is the heart of healthcare? Advocating for and defining the clinical relationship in patient-centered care. Journal of Participatory Medicine, 4, e10 Retrieved from http://www.jopm.org/evidence/reviews/2012/04/25/what-is-the-heart-of-health-care-advocating-for-and-defining-the-clinical-relationship-in-patient-centered-care

Naef, R. (2006). Bearing witness: A moral way of engaging in the nurse–person relationship. Nursing Philosophy: An International Journal for Healthcare Professionals, 7(3), 146–156.

Hall, S. L., Cross, J., Selix, N. W., et al. (2015). Recommendations for enhancing psychosocial support of NICU parents through staff education and support. Journal of Perinatology: Official Journal of the California Perinatal Association, 35(Suppl. 1), S29–S36.

Jasmine, T. (2009). Art, science, or both? Keeping the care in nursing. The Nursing Clinics of North America, 44(4), 415–421.

Turner, M., Chur-Hansen, A., & Winefield, H. (2014). The neonatal nurses’ view of their role in emotional support of parents and its complexities. Journal of Clinical Nursing, 23(21–22), 3156–3165.

Cavaliere, T. A., Daly, B., Dowling, D., & Montgomery, K. (2010). Moral distress in neonatal intensive care unit RNs. Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses, 10(3), 145–156.

Cavinder, C. (2014). The relationship between providing neonatal palliative care and nurses’ moral distress: An integrative review. Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses, 14(5), 322–328.

Hamric, A. B., & Blackhall, L. J. (2007). Nurse-physician perspectives on the care of dying patients in intensive care units: Collaboration, moral distress, and ethical climate. Critical Care Medicine, 35(2), 422–429.

Kain, V. J. (2007). Moral distress and providing care to dying babies in neonatal nursing. International Journal of Palliative Nursing, 13(5), 243–248.

Mukherjee, D., Brashler, R., Savage, T. A., & Kirschner, K. L. (2009). Moral distress in rehabilitation professionals: Results from a hospital ethics survey. PM & R: The Journal of Injury, Function, and Rehabilitation, 1(5), 450–458.

Sannino, P., Giannì, M. L., Re, L. G., & Lusignani, M. (2015). Moral distress in the neonatal intensive care unit: An Italian study. Journal of Perinatology: Official Journal of the California Perinatal Association, 35(3), 214–217.

Whitehead, P. B., Herbertson, R. K., Hamric, A. B., Epstein, E. G., & Fisher, J. M. (2015). Moral distress among healthcare professionals: Report of an institution-wide survey. Journal of Nursing Scholarship: An Official Publication of Sigma Theta Tau International Honor Society of Nursing/Sigma Theta Tau, 47(2), 117–125.

Meadors, P., Lamson, A., Swanson, M., White, M., & Sira, N. (2009). Secondary traumatization in pediatric healthcare providers: Compassion fatigue, burnout, and secondary traumatic stress. Omega, 60(2), 103–128.

Profit, J., Sharek, P. J., Amspoker, A. B., et al. (2014). Burnout in the NICU setting and its relation to safety culture. British Medical Journal Quality & Safety, 23(10), 806–813.

Barker, L. M., & Nussbaum, M. A. (2011). Fatigue, performance and the work environment: A survey of registered nurses. Journal of Advanced Nursing, 67(6), 1370–1382.

Buysse, D. J. (2014). Sleep health: Can we define it? Does it matter? Sleep, 37(1), 9–17.

Smith-Miller, C. A., Shaw-Kokot, J., Curro, B., & Jones, C. B. (2014). An integrative review: Fatigue among nurses in acute care settings. The Journal of Nursing Administration, 44(9), 487–494.

Sakallaris, B.R., MacAllister, L., Voss, M., et al. (2015). Optimal healing environments. Global Advances in Health and Medicine, 4(3), 40-45.


Refbacks

  • There are currently no refbacks.


by The International Association for Music & Medicine