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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
TRAUMA-INFORMED CARE EDUCATION FOR NEONATAL INTENSIVE CARE UNIT PROVIDERS: DEVELOPMENT, IMPLEMENTATION, AND
Hannah Gersch1, Emily Mungovan2, Binny Chokshi3
1Department of Pediatrics, Children's National Hospital, 111 Michigan Ave NE, Washington DC, 20010.
Academic Pediatrics
|July 11, 2026
Summary
Trauma-informed care (TIC) e-modules improved Neonatal Intensive Care Unit (NICU) providers’ knowledge, attitudes, and practices. Long-term impacts on burnout and sustained knowledge remain unclear due to participant drop-off.
Area of Science:
- Neonatal Intensive Care Unit (NICU) care
- Medical education and training
- Trauma-informed care (TIC)
Background:
- Neonatal Intensive Care Unit (NICU) providers require specialized education in trauma-informed care (TIC).
- Existing TIC education may not adequately address the unique needs of NICU settings.
- Burnout is a significant concern among healthcare professionals in high-stress environments like the NICU.
Purpose of the Study:
- To assess the effectiveness of novel, case-based, trauma-informed care (TIC) electronic modules (e-modules).
- To evaluate the impact of these e-modules on NICU providers' knowledge, attitudes, and practices (TIC KAP) of TIC.
- To examine the influence of TIC e-modules on provider burnout over time.
Main Methods:
- Prospective cohort study in two NICUs (2022-2024) with 121 NICU providers.
- Participants completed TIC e-modules and TIC KAP surveys pre-module, post-module, and 30 days later.
- Burnout was assessed using the Mini-Z Burnout Survey pre-module and at 30 days; data analyzed with t-test and ANOVA.
Main Results:
- Baseline assessment revealed perceived importance of TIC but deficits in knowledge and practice among providers.
- TIC e-modules significantly increased knowledge, attitudes, and practices (p < 0.001) immediately post-intervention.
- A substantial participant drop-off occurred by the 30-day follow-up (14%); sustained knowledge gains were observed in this subgroup, with no significant change in burnout.
Conclusions:
- NICU-specific TIC e-modules effectively enhanced NICU providers' knowledge, attitudes, and practices.
- The high dropout rate at 30 days limits conclusions about the long-term effectiveness of e-modules on TIC KAP.
- Further research is needed to understand the sustained impact of TIC e-modules on provider well-being and burnout in the NICU setting.
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