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Recognizing Communication as a Procedural Skill in Neonatology.
Shannon Y Adams1,2, Natalia Henner1,2,3, Shayna D Hibbs1,2
1Division of Neonatology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
Neoreviews
|January 31, 2026
Summary
Effective communication in the neonatal intensive care unit (NICU) is crucial for parents experiencing stress and trauma. Improving clinician communication skills can enhance family-centered care and shared decision-making.
Area of Science:
- Neonatal Intensive Care Unit (NICU) care
- Clinical communication strategies
- Trauma-informed care
Background:
- Ethical challenges in the NICU often stem from communication barriers between families and clinicians.
- Parents in the NICU experience significant stress, including infant separation, outcome uncertainty, and fear.
- Clear, compassionate communication is vital for building trust and enabling shared decision-making.
Purpose of the Study:
- To explore how parental trauma in the NICU influences communication needs.
- To examine the role of communication in delivering trauma-informed care.
- To describe essential communication competencies for neonatal clinicians and review training models.
Main Methods:
- Literature review on communication in the NICU.
- Analysis of parental experiences and trauma.
- Identification of communication competencies and training approaches.
Main Results:
- Parental trauma significantly shapes communication requirements in the NICU.
- Effective communication is a cornerstone of trauma-informed care.
- Specific competencies and training models are needed for neonatal clinicians.
Conclusions:
- Communication is a core clinical skill for neonatologists, akin to procedural skills.
- Dedicated training and practice are essential to enhance clinician communication.
- Improving communication can lead to better ethical care and family engagement in the NICU.
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