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. 2017 Aug 17;38(1):3–10. doi: 10.1038/jp.2017.124

Table 1. SAMHSA’s six key principles of a trauma-informed approach 10 adapted for a NICU setting.

Principle Application in the NICUa
1.Safety (physical and psychological) for parents and staff • Privacy is afforded (best done in single family rooms). • Confidentiality is maintained. • Mutual respect is demonstrated. • Providers are caring, empathic, and validate parents’ experiences.
2.Trustworthiness and transparency • Communication, free of medical jargon, is frequent and regular. • Parents’ concerns and questions are respected. • Parents have access to their baby’s medical records. • Parents’ presence on rounds and during shift change is encouraged.
3.Peer support • Every NICU should offer peer support to every NICU parent within 72 h of admission. • Peer support can be provided one-on-one, in a group setting, by telephone or internet.
4.Collaboration and mutuality • Parents are partners with the NICU team. • Nurses take the role of mentor and coach to parents. • Parents are involved in the care of their baby as early and as often as possible. • Family-integrated care is a promising new model. • Shared decision-making for baby’s care plans is standard. • Nurse–physician collaboration is practiced.
5.Empowerment, voice and choice for parents and staff • Parents are provided emotional and psychosocial support to foster their resilience. • Parents are encouraged and supported in taking on their roles as parents and caregivers. • Parents’ presence on rounds and during shift change is encouraged. • Staff are supported with appropriate assignments, mentoring, and self scheduling.
6.Cultural, historical and gender issues • All parents are welcomed and treated equally. • Culturally effective care is provided to all.

Abbreviations: NICU, newborn intensive care unit; SAMHSA, Substance Abuse and Mental Health Services Administration.

a

The applications were derived from the ‘Interdisciplinary Recommendations for Psychosocial Support of NICU Parents’60 and from ‘Trauma-Informed Care in the NICU.’62