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To explore the lived experience of neonatal nurses returning to work postpartum, focusing on their adaptation processes and the recalibration of professional readiness under the influence of motherhood. The transition back to work postpartum for nurses, particularly in high-acuity areas like neonatal care, presents multifaceted challenges. While existing literature addresses general nurses' return-to-work experiences, a significant gap exists in understanding the specific lived experience of neonatal nurses. Moreover, the potential for maternal identity to reshape professional practice remains underexplored. A descriptive phenomenological study was conducted. Using a purposive sampling strategy, seventeen neonatal nurses who returned to work within 1-12 months postpartum in China were recruited. Data were collected through individual in-depth, semistructured interviews and analyzed using Colaizzi's seven-step method. Four interconnected themes emerged revealing a dynamic process of \"readiness recalibration\" that demonstrates how \"a mother makes a better nurse\": (1) establishment of maternal identity fundamentally reoriented life priorities and emotional frameworks; (2) multifaceted adaptation challenges encompassed prereturn anxiety, physiological and psychological impacts, skill readjustment, and breastfeeding-work integration difficulties; (3) maternal identity-enhanced empathetic capacity, transformed care behaviors, and strengthened family-centered care philosophy while creating dual role conflicts; and (4) ecosystem factors either facilitated or constrained successful transition with significant institutional support gaps identified. The postpartum return for neonatal nurses represents a profound journey of professional enhancement, not merely recovery. Maternal experience serves as an informal education that enriches neonatal care, but this transition requires robust institutional support to mitigate unique challenges and optimize nurse well-being. Healthcare organizations should implement comprehensive support strategies, including structured re-entry programs, robust breastfeeding accommodation, and flexible scheduling, to harness the enhanced capacity motherhood brings while addressing the unique vulnerabilities and adaptation challenges of returning neonatal nurses.

Neonatal intensive care units (NICUs) emerge as one of the areas where palliative care is most needed. This study was conducted to examine the attitudes and compassion fatigue levels of NICUs nurses working in Şanlıurfa, where the fertility rate and infant mortality are highest in Turkey, toward palliative care. This study was conducted in descriptive type. The research was carried out with 204 (85%) nurses who agreed to participate in the research between October 2022 and February 2023, out of 240 neonatal intensive care nurses working in the NICU of 2 training and research hospitals and a university hospital in Şanlıurfa. The data of the study were collected using an Introductory Information Form, the Neonatal Palliative Care Attitude Scale, and the Compassion Fatigue Short Scale. Nurses; compassion fatigue scale mean score was 61.46 ± 26.64, palliative care scale mean score was 3.13 ± 0.74 for organization subdimension, 2.85 ± 0.73 for resources subdimension, and 3.08 ± 0.89 for clinician subdimension. In the results of the study, 8 barriers (parents do not participate in decisions, there is not enough staff, lack of time to spend with the family, lack of policies/rules in institutions for palliative care, lack of education and communication, society's beliefs, nurses' personal attitudes toward death, and lack of appreciation of past experiences with palliative care) and 6 facilitators (Nurses' ability to express their perceptions, views and beliefs about palliative care, to participate and support palliative care, to inform parents, to provide counseling, adequate physical conditions) for palliative care were determined. While it was determined that nurses had a slightly below moderate level of compassion fatigue and a close attitude toward organization and resources toward palliative care, it was determined that ethical conflict toward palliative care was high in clinical subdimension scores. It is recommended that all nurses working in the NICU obtain certificates, improvements in resources such as personnel and equipment, improvements in the shift work system and development of policies/rules in institutions for palliative care.

Purpose Neonatal palliative care becomes an option for critically ill neonates when death is inevitable. Assessing nurses’ attitudes towards, barriers to, and facilitators of neonatal palliative care is essential to delivering effective nursing care. Methods This study was conducted from January to September 2015 and involved Italian nurses employed in Level III neonatal intensive care units in 14 hospitals in northern, central, and southern Italy. A modified version of the Neonatal Palliative Care Attitudes Scale (NiPCAS) was adopted to assess nurses’ attitudes. Findings A total of 347 neonatal nurses filled out the questionnaire. The majority were female (87.6%), with a mean age of 40.38 (±8.3) years. The mean score in the “organization” factor was 2.71 (±0.96). The “resources” factor had a mean score of 2.44 (±1.00), while the “clinician” factor had a mean score of 3.36 (±0.90), indicating the main barriers to and facilitators of implementing palliative nursing care. Conclusions Italian neonatal nurses may face different obstacles to delivering neonatal palliative care and to improve their attitudes in this field. In the Italian context, no facilitators of, only barriers to, palliative care delivery were identified. Clinical Relevance Nurses’ attitudes towards neonatal palliative care are essential to supporting nurses, who are constantly exposed to the emotional and moral distress connected with this field of end‐of‐life nursing care.

To design and evaluate a multimodal learning approach with hybrid simulation, combining metaverse-based and real-world elements to strengthen the family-centered partnership competencies of neonatal intensive care unit (NICU) nurses. NICU nurses encounter considerable difficulties in establishing and sustaining strong collaborations with parents, which are crucial for caring for high-risk infants. Therefore, it is important for NICU nurses to develop higher-level partnership competencies to support family-centered care. This study describes the development, implementation and evaluation of a multimodal learning program with hybrid simulation intended to improve NICU nurses’ competency in promoting family-centered partnerships. This study used a pre-post quasi-experimental design. This study involved 46 NICU nurses employed at a university hospital in South Korea, assigned to either an experimental or control group. The experimental group participated in a multimodal program combining metaverse-based and real-world simulation sessions aimed at enhancing nurse-parent partnerships, emotional intelligence, problem-solving skills and learning realism. The experimental group showed greater learning realism than the control group (t = 3.73, p = 0.001). However, there were no statistically significant differences between the groups regarding parent-nurse partnership competency, problem-solving skills, or emotional intelligence. This program has the innovative potential to enhance nurses’ learning experiences through mulitmdal learning with hybrid simulations combining metaverse. This approach could replace or strengthen existing education methods with comparable efficiency to traditional methods. •A multimodal, family-centered partnership enhancement program was developed for NICU nurses.•Partnership care was simulated for high-risk infants with NICU parents using metaverse.•The experimental group experienced significantly higher learning immersion.•Metaverse technology is an innovative and engaging educational tool.

Background Neonatal mortality accounts for nearly three quarters of all infant deaths in Vietnam. The nursing team are the largest professional group working with newborns, however do not routinely receive neonatal training and there is a lack of research into the impact of educational provision. This study explored changes in nursing perceptions towards their role following a neonatal educational intervention. Parents perceptions of nursing care were explored to determine any changes as nurses gained more experience. Method Semi-Structured qualitative interviews were conducted every 6 months over an 18 month period with 16 nurses. At each time point, parents whose infant was resident on the neonatal unit were invited to participate in an interview to explore their experiences of nursing care. A total of 67 parents participated over 18 months. Interviews were conducted and transcribed in Vietnamese before translation into English for manifest content analysis facilitated by NVivo V14. Results Analysis of nursing transcripts identified 14 basic categories which could be grouped (23) into 3 themes: (1) perceptions of the role of the neonatal nurse, (2) perception of the parental role and (3) professional recollections. Analysis of parent transcripts identified 14 basic categories which could be grouped into 3 themes: (1) information sharing, (2) participation in care, and (3) personal experience. Conclusions Qualitative interviews highlighted the short term effect that the introduction of an educational intervention can have on both nursing attitudes towards and parental experience of care in one neonatal unit in central Vietnam. Nurses shared a growing awareness of their role along with its ethical issues and challenges, whilst parents discussed their overall desire for more participation in their infants care. Further research is required to determine the long term impact of the intervention, the ability of nurses to translate knowledge into clinical practice through assessment of nursing knowledge and competence, and the impact and needs of parents. A greater understanding will allow us to continue to improve the experiences of nurses and parents, and highlight how these areas may contribute towards the reduction of infant mortality and morbidity in Vietnam.

The birth of an extremely premature baby is a tragedy, and it is only natural that the parents will rely on the spiritual and religious beliefs that guide the rest of their lives. At this difficult time, parents with strong religious beliefs will hope for divine intervention and pray for a miracle. This paper outlines the difficulties experienced by neonatal nurses when caring for an extremely premature baby whose parents hold on to hope and their belief in divine intervention and a miracle. Data were collected via a questionnaire to Australian neonatal nurses and semi-structured interviews with 24 neonatal nurses in NSW, Australia. A qualitative approach was used to analyse the data. The theme of \"hoping for a miracle\" was captured by two sub-themes \"praying for a miracle\" and \"oscillating between hope and despair\". For some families, the hope of divine intervention seemed all consuming, and the nurses were witness to the desperation and disappointment of families when a miracle was not forthcoming.

Abstract Neonatal abstinence syndrome (NAS) is a growing public health concern, one that costs the health care system $190-$720 million each year. Recently, state-level perinatal quality collaborative groups have disseminated NAS action plans: customizable frameworks aimed to assist health care systems in identifying, evaluating, treating, and coordinating discharge services for neonates with NAS. Hospital-based neonatal nursing quality improvement teams, including neonatal nurse practitioners (NNPs), neonatal clinical nurse specialists (CNSs), and clinical neonatal nurses, by virtue of their collective academic, administrative, and practical years of experience, are ideally positioned to develop, implement, and evaluate NAS care bundles. The article's purpose is to discuss key elements of an NAS care bundle using the framework of the Perinatal Quality Collaborative of North Carolina NAS action plan as an exemplar. Discussion of evidence-based and nursing-driven metrics will be followed by a discussion of the emerging concept of an inpatient-to-outpatient transitional care NAS management model.

Nurses in the neonatal intensive care unit (NICU) play a crucial role in health communication, yet their voices are often overlooked. This study explores communication challenges from nurses' perspectives to develop a sustainable communication infrastructure. A workshop-based participatory design (WBPD) was used, where NICU nurses worked collaboratively to identify communication barriers. Thematic analysis was conducted using the culture-centered approach (CCA) to ensure context-specific solutions, integrating both researcher insights and NICU-based communication infrastructure design. A multilevel communication infrastructure model was developed to enhance nurse-parent interactions in the NICU. Key findings highlight that effective communication hinges on three interconnected factors: (1) nurses' skills and access to resources, (2) institutional policies supporting standardized protocols and mentorship programs, and (3) systemic mechanisms for fostering shared understanding. Participants advocated for structured training, culturally responsive practices, and language support tools to address diverse needs. The proposed model integrates learner-centered training, interprofessional collaboration, communicative algorithms, and healthy boundaries to establish a cohesive, inclusive framework. Nurse-led, multilevel interventions are essential for improving NICU communication. The proposed model enhances training, policies, and culturally responsive strategies, supporting more effective nurse-parent interactions and improved neonatal care. Beyond the NICU, this framework offers a transferable model for enhancing communication in other high-stress healthcare environments, ensuring more inclusive and structured communication practices across diverse settings.

Background Neonatal nurses should provide timely and high-quality palliative care whenever necessary. It’s necessary to investigate the knowledge, attitude and behavior of palliative care among neonatal nurses, to provide references and evidences for clinical palliative care. Methods Neonatal intensive care unit (NICU) nurses in a tertiary hospital of China were selected from December 1 to 16, 2022. The palliative care knowledge, attitude and behavior questionnaire was used to evaluate the current situation of palliative nursing knowledge, attitude and behavior of NICU nurses. Univariate analysis and multivariate logistic regression analysis were used to analyze the influencing factors. Results 122 nurses were finally included. The average score of knowledge in neonatal nurses was 7.68 ± 2.93, the average score of attitude was 26.24 ± 7.11, the score of behavior was 40.55 ± 8.98, the average total score was 74.03 ± 10.17. Spearman correlation indicated that score of knowledge, attitude and behavior of palliative care in neonatal nurses were correlated with the age( r  = 0.541), year of work experience( r  = 0.622) and professional ranks and titles( r  = 0.576) (all P  < 0.05). Age (OR = 1.515, 95%CI: 1.204 ~ 1.796), year of work experience (OR = 2.488, 95%CI: 2.003 ~ 2.865) and professional ranks and titles (OR = 2.801, 95%CI: 2.434 ~ 3.155) were the influencing factors of score of knowledge, attitude and behavior of palliative care (all P  < 0.05). Public contribution NICU nurses have a positive attitude towards palliative care, but the practical behavior of palliative care is less and lack of relevant knowledge. Targeted training should be carried out combined with the current situation of knowledge, attitude and practice of NICU nurses to improve the palliative care ability and quality of NICU nurses.

ObjectiveTo assess the perspectives of neonatologists, neonatal nurses, and parents on research-related education and communication practices in the neonatal intensive care unit (NICU).Study designQuestionnaire circulated through interest groups and administered using the internet.Results323 respondents responded to the survey. 52 were neonatologists, 188 were neonatal nurses, and 83 were parents of NICU graduates. Analysis was descriptive. Differences were noted between stakeholder groups with respect to whether current medications meet the needs of sick neonates, research as central to the mission of the NICU, availability of appropriate education/training for all members of the research team, and adequacy of information provided to parents before, during, and after a research study is completed.ConclusionEngagement of nurses and parents at all stages of NICU research is currently suboptimal; relevant good practices, including education, should be shared among neonatal units.