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Background <p>Pediatric palliative care (PPC) in neonatal intensive care units (NICU) presents ethical and emotional challenges for healthcare professionals. This study explores perceptions, experiences, and needs of NICU staff concerning PPC in the context of implementing collaboration with a pediatric palliative care reference center (PPCRC).</p> Methods <p>A qualitative descriptive study using a semi-structured questionnaire was conducted among NICU professionals. Among 91 staff, 26 complete responses were thematically analyzed. Results were compared with international literature.</p> Results <p>Respondents highlighted emotional distress, communication challenges, need for ethical guidance, training gaps, and a desire for stronger integration of PPC teams. The collaboration with PPCRC was perceived as helpful by many, although underutilized by some.</p> Conclusion <p>NICU professionals face significant moral and emotional burdens in PPC. Strengthening training, enhancing team cohesion, and promoting earlier PPC integration may improve both care quality and staff well-being.</p>

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Perceptions and needs of NICU professionals regarding pediatric palliative care: a qualitative study compared with international literature

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年10月15日

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  • Bénédicte Brichard,
  • Manon Le Roux,
  • Brigitte de Terwangne,
  • Dominique Bellis,
  • Nathalie Crasselts,
  • Marie Cécile Nassogne,
  • Catheline Hocq

摘要

Background

Pediatric palliative care (PPC) in neonatal intensive care units (NICU) presents ethical and emotional challenges for healthcare professionals. This study explores perceptions, experiences, and needs of NICU staff concerning PPC in the context of implementing collaboration with a pediatric palliative care reference center (PPCRC).

Methods

A qualitative descriptive study using a semi-structured questionnaire was conducted among NICU professionals. Among 91 staff, 26 complete responses were thematically analyzed. Results were compared with international literature.

Results

Respondents highlighted emotional distress, communication challenges, need for ethical guidance, training gaps, and a desire for stronger integration of PPC teams. The collaboration with PPCRC was perceived as helpful by many, although underutilized by some.

Conclusion

NICU professionals face significant moral and emotional burdens in PPC. Strengthening training, enhancing team cohesion, and promoting earlier PPC integration may improve both care quality and staff well-being.