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Background: Neonatology has made significant advances in the last 30 years. Despite the advances in treatment, not all neonates survive and a palliative care model is required within the neonatal context. Palliative care is an approach by which healthcare providers support both dying neonates and their families in order to improve the quality of life. Aim: this study aimed to identify the facilitators and barriers for delivery of palliative care practices among nurses in neonatal intensive care unit. Design: A descriptive correlational study design was adopted to carry out this study. Setting: the study was conducted at the Neonatal Intensive Care Unit (NICU) in Alexandria University Children's Hospital (AUCH) in El Shatby. Subjects: The total number of the purposively selected nurses was 130 worked at neonatal intensive care unit Tools: data were collected using two tools; tool (I) entitled Nurses’ Knowledge Structured Questionnaire about Palliative care: tool (II) Neonatal Palliative Care Attitude Scale (NIPCAS). Results: Detected that 62% of the studied nurses had moderate level of barriers of palliative care, and 22% of them had high level, while 16% of them had low level. In addition to this, it was observed that there was highly positive correlation between insufficient resources and use of technology, personal & social attitude and organizational culture, also according to linear regression model it was observed that there was significantly higher frequencies effect of gender and professional degree as predictors on palliative care (p = <0.01). While, religion was not predicted by relation to palliative care (p = 0.065). Recommendations: Neonatal nurses should have adequate training regarding the delivery of palliative care. In addition, standard palliative care guidelines should be available at the NICU to assist in the delivery of such care.

Facilitators and Barriers for Delivery of Palliative Care Practices among Nurses in Neonatal Intensive Care Unit