ArticleJournal of perinatology : official journal of the California Perinatal Association2026
Neonatal nurse practitioners' perspective on fatigue, safety, and collaboration during 24-hour shifts in the neonatal intensive care unit.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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Authors and funding
5 authors.
Funding
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Abstract
objectiveTo explore neonatal nurse practitioners' (NNPs) perspectives on prolonged shift-length, fatigue, and strategies to support well-being and workforce sustainability. STUDY
designThis qualitative study examined open-ended responses from a national mixed-methods survey of U.S. NNPs conducted between November 2024 and January 2025. Participants were board-certified NNPs practicing in neonatal intensive care units nationwide.
resultsAmong 396 respondents, two themes emerged: individual-level and system-level strategies. Individual-level strategies included work-life balance, self-care, and adaptability. Prolonged shifts were viewed positively or neutrally when voluntary and associated with fewer workdays, continuity of care, and reduced commuting. System-level strategies included protected downtime, fatigue monitoring, and scheduling flexibility. Negative perceptions arose when extended shifts were inflexible or imposed, contributing to fatigue and decreased morale.
conclusionProlonged shifts present benefits and risks. Findings suggest that practitioner choice, protected rest, and organizational recognition of fatigue are essential to supporting NNP well-being, workforce sustainability, and safe neonatal care.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.