a NICU nurse looking into the eyes of a parent

The Ripple Series | Post 2: Micro-Moments of Presence

June 15, 20253 min read

“Healing doesn’t always announce itself. Sometimes it just sits beside you in silence.”
– Mary Coughlin

We tend to think of healing as something that happens in big, sweeping breakthroughs.
The turning point. The a-ha moment. The grand apology. The perfect plan.

But the nervous system doesn’t work that way.
And neither does the heart.

Healing is cumulative.
It builds slowly, moment by moment—through consistent, attuned, micro-presences that tell the body and soul:

“You matter. You’re safe. You’re not alone.”

What Is a Micro-Moment of Presence?

It’s:

  • A nurse brushing a mother’s shoulder with reassurance—without saying a word.

  • A colleague making eye contact before a difficult conversation.

  • A pause before reacting.

  • A breath before touching.

  • A “me too” in the middle of a vulnerable share.

These moments take seconds—and they change everything.

They don’t just fill time. They change the meaning of time.

TIDC: The Science of Small

In Trauma-Informed Developmental Care, micro-moments of presence help:

  • Regulate immature nervous systems

  • Build trust with parents navigating trauma

  • Create consistency and safety among overstretched teams

Think about it:

  • A hand placed gently during an IV start

  • A name spoken with care in a family meeting

  • A pause at bedside, even when there’s nothing new to say

These aren’t protocol.
They’re presence.
And their impact is biological, not just emotional.

Caring Science: The Sacred Within the Small

Jean Watson reminds us that caring is often transpersonal—it happens beyond words and beneath awareness.
It is energy.
A micro-moment of presence holds that energy.

It says:

“Even when I cannot fix this, I will not leave you alone in it.”

That kind of presence lingers.

BUFFER: Where Micro-Moments Live

Every BUFFER element can be felt in a micro-moment:

  • Belonging: “You’re not invisible to me.”

  • Understanding: “I see what’s unspoken.”

  • Forgiveness: “You get a fresh start.”

  • Frameworks: “There’s structure here—even if it’s just my steady presence.”

  • Equanimity: “I’m not swept away by this moment.”

  • Respect: “Your dignity is non-negotiable.”

A Reflection to Carry With You

What’s one micro-moment from the past week that stayed with you?
How might you offer a healing micro-moment today—with a baby, a parent, a colleague, or even yourself?

Call to Action: Share the Moment

Want to go one ripple further?

I’d love to hear about one micro-moment that mattered to you—whether it was offered, received, or witnessed.
Just hit reply, or tag me on social with your story.
Use the hashtag #RippleOfPresence so we can gather and amplify these healing glimmers.

You never know who your moment might ripple toward.

Keep tending the sacred,
Mary

P.S.: If this post stirred something in you—if you’re starting to notice the quiet power of presence and wondering what it means to live that more fully in your practice—then you might be ready for the next step.

The Trauma-Informed Professional (TIP) Certificate Program is where presence becomes practice.

Grounded in science, soul, and skill, TIP 2.0 offers a structured path to integrate trauma-informed developmental care, the BUFFER framework, and your own healing presence into everything you do.

🔗 Click here to learn more about TIP 2.0

Mary Coughlin, BSN, MS, NNP, is a globally recognized leader in Trauma-Informed Developmental Care and the founder of Caring Essentials Collaborative. With over 35 years of clinical experience and a deep passion for nurturing the tiniest and most vulnerable among us, Mary’s work bridges the art and science of neonatal care. She is the creator of the Trauma-Informed Professional (TIP) Assessment-Based Certificate Program, a transformative initiative designed to empower clinicians with the knowledge, skills, and support to deliver exceptional, relationship-based care.

Mary is also an award-winning author, sought-after speaker, and compassionate educator who inspires healthcare professionals worldwide to transform their practice through empathy, connection, and evidence-based care. As the visionary behind the B.U.F.F.E.R. framework, Mary helps clinicians integrate love, trust, and respect into every interaction.

Through her blog, Mary invites readers to explore meaningful insights, practical tools, and heartfelt reflections that honor the delicate balance of science and soul in healthcare. Whether you’re a seasoned clinician, a passionate advocate, or simply curious about the profound impact of compassionate care, Mary’s words will leave you inspired and empowered.

Mary Coughlin

Mary Coughlin, BSN, MS, NNP, is a globally recognized leader in Trauma-Informed Developmental Care and the founder of Caring Essentials Collaborative. With over 35 years of clinical experience and a deep passion for nurturing the tiniest and most vulnerable among us, Mary’s work bridges the art and science of neonatal care. She is the creator of the Trauma-Informed Professional (TIP) Assessment-Based Certificate Program, a transformative initiative designed to empower clinicians with the knowledge, skills, and support to deliver exceptional, relationship-based care. Mary is also an award-winning author, sought-after speaker, and compassionate educator who inspires healthcare professionals worldwide to transform their practice through empathy, connection, and evidence-based care. As the visionary behind the B.U.F.F.E.R. framework, Mary helps clinicians integrate love, trust, and respect into every interaction. Through her blog, Mary invites readers to explore meaningful insights, practical tools, and heartfelt reflections that honor the delicate balance of science and soul in healthcare. Whether you’re a seasoned clinician, a passionate advocate, or simply curious about the profound impact of compassionate care, Mary’s words will leave you inspired and empowered.

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