Transformative Nursing in the NICU, Second Edition

Transformative Nursing in the NICU, Second Edition

Trauma-Informed, Age-Appropriate Care

Mary E. Coughlin, RN, MS, NNP


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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

Key Features:

  • 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


Mary E. Coughlin, RN, MS, NNP:

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.