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The Power of Belonging in the NICU: Nurturing Connections for Healing

August 11, 20243 min read

"Creating a sense of belonging in the NICU nurtures connections that transform healing into a shared journey." - Mary Coughlin

Following up from my post about the B.U.F.F.E.R. approach, I want to talk about a fundamental yet often overlooked aspect of Trauma-Informed Developmental Care (TIDC)—the profound importance of a sense of belonging in the Neonatal Intensive Care Unit (NICU). Belonging is more than just a feeling; it's a critical component of healing and development for babies, families, and clinicians.

Why Belonging Matters for Babies

For our tiniest patients, a sense of belonging starts with creating a nurturing environment where they feel safe and connected. Newborns, especially those in the NICU, are incredibly sensitive to their surroundings. When they are surrounded by consistent, loving care, they thrive. A sense of belonging can reduce stress and promote neurological and emotional development. It’s about more than just medical care—it’s about creating a space where babies can feel secure and cherished.

The Role of Families

Families play a crucial role in the NICU experience, and fostering a sense of belonging for them is equally important. When families feel they belong, they are more engaged and empowered in their baby’s care. This involvement not only supports the baby’s well-being but also helps families cope with and adapt to the emotional challenges of having a baby in the NICU. Providing families with clear communication, involving them in care decisions, and creating a welcoming environment all contribute to a strong sense of belonging. When families feel included and valued, they can better support their baby’s journey to health.

Belonging Among Clinicians

Clinicians, too, need to feel a sense of belonging within the NICU. A connected and supportive team is crucial for delivering the best care possible. When clinicians feel that they belong, they are more likely to collaborate effectively, support one another, and provide compassionate care. This sense of belonging reduces burnout and enhances job satisfaction, creating a more positive work environment. For clinicians, knowing they are part of a cohesive, caring team can make all the difference in how they experience their work and engage with patients and families.

Creating a Culture of Belonging

Building a sense of belonging in the NICU requires intentionality and commitment. Here are some ways we can foster this crucial aspect of TIDC:

1. Foster Open Communication: Encourage open, honest communication among the care team and with families. Transparency builds trust and helps everyone feel included and valued.

2. Create a Welcoming Environment: From the physical layout of the NICU to the way we greet families and colleagues, every detail matters. A welcoming environment is one where everyone feels they belong.

3. Encourage Family Involvement: Involve families in care decisions and daily routines. Empower them with knowledge and support, so they feel like integral members the truly are within the care team.

4. Support Each Other: Foster a culture of mutual support among clinicians. Recognize each other’s contributions, provide emotional support, and celebrate successes together.

5. Embrace Diversity: Recognize and respect the diverse backgrounds of babies, families, and clinicians. An inclusive approach ensures that everyone feels seen, heard, and valued.

The Ripple Effect of Belonging

When we prioritize belonging in the NICU, the positive effects ripple outwards. Babies experience better developmental outcomes, families feel more supported and empowered, and clinicians find greater fulfillment in their work. Belonging is the glue that holds us together, enabling us to provide the compassionate, trauma-informed care that every baby and family deserves.

Let’s continue to cultivate a sense of belonging in every aspect of our work. Together, we can create a NICU environment where everyone—babies, families, and clinicians—feels they truly belong.

With deep appreciation and commitment,

Mary Coughlin


Please share your thoughts and experiences about fostering a sense of belonging in the NICU. Your insights are invaluable as we work together to enhance our practice and support the health and well-being of our tiniest patients and their families.

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