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Updated: Aug 11, 2025

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit

Published on: January 7, 2020

[Caregivers' experiences with extreme prematurity].

Isabelle Caillaud¹, Héloïse Torchin², Aurélie Basset³

¹Service de médecine et réanimation néonatales de Port-Royal, AP-HP, Université Paris Cité, Site Cochin, 123 boulevard de Port-Royal, 75014 Paris, France.

Soins. Psychiatrie

|February 2, 2023

Summary

Caregivers in neonatal intensive care units face moral distress caring for premature infants. Training and psychological support can improve their experience in these high-tech environments.

Keywords:

caregiver experience neonatal care unit neonatal resuscitation prematurity prématurité psychologist psychologue réanimation néonatale unité de soin néonatal vécu du soignant

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Area of Science:

Neonatal Medicine
Healthcare Professional Well-being
Medical Ethics

Context:

Neonatal intensive care units (NICUs) manage extremely premature infants, a population with high mortality and morbidity.
Caregivers in NICUs, including healthcare professionals and parents, can experience significant moral distress.
Existing research on caregiver experiences in NICU settings is limited.

Purpose:

To explore the experiences of caregivers working with extremely premature newborns in NICUs.
To identify factors contributing to moral distress among these caregivers.
To propose strategies for mitigating moral distress and improving caregiver well-being.

Summary:

Caregivers in neonatal intensive care units (NICUs) frequently encounter situations leading to moral distress due to the high mortality and morbidity of extremely premature infants.
The study highlights a lack of research into the specific experiences of these frontline caregivers.
Interventions such as enhanced training, optimized service architecture, and facilitated peer support with psychologists are suggested to improve caregiver experiences.

Impact:

Findings can inform the development of targeted support programs for NICU staff.
Improved caregiver well-being may indirectly enhance the quality of care provided to premature infants and their families.
This research can contribute to a better understanding of the ethical challenges in high-acuity neonatal care settings.