Trauma-Informed Self-Efficacy and Practice Behaviors of Neonatal Intensive Care Unit Providers Caring for Mother–Infant Dyads Exposed to Opioids.

Trauma-informed care (TIC) in medical settings, such as neonatal intensive care units (NICUs), is recommended but not widespread. This article examines trauma-informed (TI) perspectives and beliefs, previous training, self-efficacy, and practice behaviors of nurses and social workers who serve infan...

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Publicado en:Social Work Research Vol. 50; no. 2; pp. 119 - 132
Autores principales: Cain, Shannon M, Held, Mary Lehman
Formato: Artículo
Publicado: Oxford University Press / USA Jun2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        atl: Trauma-Informed Self-Efficacy and Practice Behaviors of Neonatal Intensive Care Unit Providers Caring for Mother–Infant Dyads Exposed to Opioids.
      aug:
        au:
          Cain, Shannon M
          Held, Mary Lehman
        affil:
          Shannon M. Cain, PhD, LCSW, is part-time faculty, School of Social Work, University of North Carolina at Charlotte, CHHS 492, 9201 University City Boulevard, Charlotte, NC 28223, USA
          Mary Lehman Held, PhD, LCSW, is associate professor, College of Social Work, University of Tennessee Knoxville, Knoxville, TN, USA
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        United States
        Treatment of emotional trauma
        Substance abuse
        Cross-sectional method
        Social workers
        Self-efficacy
        Health attitudes
        Social work education
        Mother-infant relationship
        Analysis of variance
        Judgment (Psychology)
        Pearson correlation (Statistics)
        Scale analysis (Psychology)
        Prenatal exposure delayed effects
        Professional practice
        Data analysis
        T-test (Statistics)
        Neonatal intensive care units
        Multiple regression analysis
        Kruskal-Wallis Test
        Questionnaires
        Neonatal intensive care
        Descriptive statistics
        Nursing education
        Mann Whitney U Test
        Surveys
        Attitudes of medical personnel
        Statistics
        Substance abuse in pregnancy
        Data analysis software
        Psychology of nurses
        Professional competence
      sug:
        subj:
          Treatment of emotional trauma
          Substance abuse
          Cross-sectional method
          Social workers
          Self-efficacy
          Health attitudes
          Social work education
          Mother-infant relationship
          Analysis of variance
          Judgment (Psychology)
          United States
          Other Individual and Family Services
          All Other Outpatient Care Centers
          Pearson correlation (Statistics)
          Scale analysis (Psychology)
          Prenatal exposure delayed effects
          Professional practice
          Data analysis
          T-test (Statistics)
          Neonatal intensive care units
          Multiple regression analysis
          Kruskal-Wallis Test
          Questionnaires
          Neonatal intensive care
          Descriptive statistics
          Nursing education
          Mann Whitney U Test
          Surveys
          Attitudes of medical personnel
          Statistics
          Substance abuse in pregnancy
          Data analysis software
          Psychology of nurses
          Professional competence
      ab: Trauma-informed care (TIC) in medical settings, such as neonatal intensive care units (NICUs), is recommended but not widespread. This article examines trauma-informed (TI) perspectives and beliefs, previous training, self-efficacy, and practice behaviors of nurses and social workers who serve infants exposed in utero to opioids/opiates in Level III and IV NICUs in the United States. An online anonymous survey was conducted with NICU nurses and social workers (N = 69). Relationships between perspectives, beliefs and previous training, and self-efficacy and practice behaviors were examined using multiple regression. Results suggest that trauma awareness positively influences whereas judgment of maternal substance abuse negatively influences providers' level of TI practice behaviors; training in TIC and years of practice experience both positively influence providers' TIC self-efficacy. Implications exist for social work education and nursing education as well as practicing nurses and social workers in the NICU setting. Specifically, trainings in TIC and trainings that increase trauma awareness and decrease judgmental attitudes are needed. Additionally, increasing support for current NICU unit staff is recommended.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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