Description:

Reflects a dramatic evolution in the concept of trauma-informed care in the NICU

Substantially revised and updated, the new edition of this acclaimed resource for neonatal nurse practitioners and NICU clinicians remains the only book to provide the most current, evidence-based caring strategies for managing current and later-life trauma associated with the NICU experience. This second edition builds on the foundation established in the first: trauma-informed care begins with the clinician. Aimed at transforming NICU practice, the second edition delivers five completely new chapters that reflect state-of-the-art developments in neonatal care and the changing role of the NICU clinician.

Transformative Nursing in the NICU, Second Edition provides an in-depth examination of the biological effects of neonatal trauma, changes to the neuro-endocrine-immune network, and epigenetics, as well as the foundations of caring science in the NICU. Brimming with practical strategies and evidence-based core measures, the book describes protocols proven to mitigate or reduce the profound neonatal morbidities and subsequent challenges afflicting newborns in the NICU. It includes examples of favorable outcomes from practitioners worldwide and presents engaging online learning activities that facilitate the translation of content into clinical practice.

New to This Edition:

• Presents FIVE completely new chapters:

         • Neurologic Consequences of NICU Trauma

         • The Value-Proposition of Trauma-informed Care in the NICU

         • The Science of Trauma-informed Care in the NICU

         • The Soul of Trauma-informed Care in the NICU

         • Attributes of the Trauma-Informed Clinician

• Covers the needs and attributes of competent neonatal clinicians including those required for role development, teamwork, and NICU success
• Delivers expanded coverage of the Global Health Care Quality Chasm and the Institute of Health Care Improvement’s Quadruple Aim

• Reframes the concept of developmentally supportive care to trauma-informed, age-appropriate care
• Addresses the foundations of caring science in the NICU
• Underscores the importance of holistic NICU care that encompasses the neonate, the family, and the clinician
• Advances the concept of trauma-informed NICU care from theory to practice and demonstrates how this results in improved outcomes
• Presents current evidence-based best practices in trauma-informed care in the NICU to improve effective practice for interdisciplinary neonatal clinicians

Contents:

Foreword (Carole Kenner, PhD, RN, FAAN, FNAP, ANEF)

Preface

SECTION I. Quality Healthcare: A Global Initiative

Chapter 1. What Is Quality Healthcare? • Value-Based Healthcare • Hospital-Acquired Conditions • Evidence-Based Practice and Closing the Global Quality Chasm • Summary

Chapter 2. Neuroscientific Consequences of NICU Trauma • What Is Neuroscience? • What Is Trauma? • NICU Trauma and Brain Architecture • Consequences of NICU Trauma • Summary

Chapter 3. The Value Proposition of Trauma-Informed Care • What Is the Value Equation? • The Institute for Healthcare Improvement’s Triple Aim • Reducing the Global Burden of Preterm Birth and Neonatal Complications • The Value Proposition of Trauma-Informed Care in the NICU • Summary

SECTION II. The Science and the Soul of Trauma-Informed Care in the NICU

Chapter 4. The Science • The Neuroendocrine–Immune Network • Epigenetics and Early-Life Adversity • The Energy Costs of Traumatic Stress in the NICU • Summary

Chapter 5. The Soul • The Science of Human Caring • Quantum Physics and Consciousness • Spirituality and Quality

Caring

SECTION III. Core Measures for Trauma-Informed, Age-Appropriate Care

Chapter 6. The Healing Environment • What Is the Healing Environment? • The Healing Environment and the Clinician • Evidence-Based Strategies to Support a Healing Environment for Clinicians • The Healing Environment and the Family • Evidence-Based Strategies to Support a Healing Environment for Families • The Healing Environment and the Infant • Evidence-Based Strategies to Support a Healing Environment for Infants

Chapter 7. Compassionate Family Collaborative Care • What Is Compassionate Family Collaborative Care? • Compassionate Family Collaborative Care and the Clinician • Evidence-Based Strategies to Facilitate Compassionate Family Collaborative Care for the Clinician • Compassionate Family Collaborative Care and the Family • Evidence-Based Strategies to Facilitate Compassionate Collaborative Care for the Family • Compassionate Family Collaborative Care and the Infant • Evidence-Based Strategies to Facilitate Compassionate Family Collaborative Care for the Infant

Chapter 8. Protected Sleep • What Is Sleep? • Sleep and the Clinician • Evidence-Based Strategies to Protect Clinician Sleep • Sleep and the NICU Family • Evidence-Based Strategies to Protect Sleep for the NICU Family • Sleep and the Hospitalized Infant • Evidence-Based Strategies to Protect Sleep for the Infant

Chapter 9. Pain and Stress • What Are Pain and Stress? • Pain, Stress, and the Clinician • Evidence-Based Strategies to Reduce Pain and Stress for Clinicians • Pain, Stress, and the NICU Family • Evidence-Based Strategies to Reduce Pain and Stress for Families • Pain, Stress, and the Hospitalized Infant • Evidence-Based Strategies to Reduce Pain and Stress for Infants

Chapter 10. Activities of Daily Living • What Are Activities of Daily Living? • Activities of Daily Living and the Clinician • Evidence-Based Strategies for Activities of Daily Living for the Clinician • Activities of Daily Living and the NICU Family • Evidence-Based Strategies for Activities of Daily Living for the NICU Family • Activities of Daily Living and the Hospitalized Infant • Evidence-Based Strategies for Activities of Daily Living for the Hospitalized Infant

SECTION IV. Application, Outcomes, and Relevance of a Trauma-Informed Paradigm

Chapter 11. Quantum Caring in Action • The Children’s Healthcare of Atlanta Project • The Sobreviver Project • The Quantum Leap Project

Chapter 12. Trauma Stewardship • Embracing Our Story • Self-Compassion and Care • A Return to Passion and Purpose

Chapter 13. Attributes of the Trauma-Informed Professional • Becoming Trauma Informed • Why Focus on Mental Health? • What Are the Attributes and Competencies of a Trauma-Informed Professional?

Index

About the Author:

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 transitioned 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 interdisciplinary neonatal clinicians aimed at translating evidence-based research into clinical practice for measurable results. She is a published author and keynote speaker for national and international conferences.

Target Audience:

Neonatal nurse practitioners and NICU clinicians.