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Peer-reviewedCC BY 4.0Journal of Perinatology

Addressing neonatal intensive care unit clinicians’ distress via interprofessional meetings

  • Katharine Press Callahan1,2
  • Katie Behringer1
  • Douglas Hill1
  • Kimberly Mason1
  • Jennifer Walter1,2
  • Lara Lechtenberg1
  • David Munson1
  • Chris Feudtner1,2
  1. 1The Children’s Hospital of Philadelphia, Philadelphia, PA USA
  2. 2Department of Medical Ethics and Health Policy, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA USA
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Abstract

Objective: Our primary objective was to determine whether brief, as-needed interprofessional meetings reduced distress related to specific patient cases for interprofessional clinicians in the neonatal intensive care unit.

Study design: We collected pre- and post-meeting surveys to quantify clinicians’ distress.

Result: We collected 416 paired responses (80% participation rate) from 192 unique clinicians.

Results: After meetings, clinicians reported reduced intensity of most distressing thoughts; they were more likely to feel their perspective was heard (1.51 to 1.17, SD 0.82, p < 0.001), the team was united (1.56 to 1.22, SD 0.84, p < 0.001), they could provide good care (1.76 to 1.62, SD 0.98, p < 0.001), and that the rationale for care was reasonable (1.93 to 1.52, SD 0.93, p < 0.001). Moral distress was also lower on post assessments (5.47 to 5.27, SD 2.55, p = 0.005).

Conclusions: Brief, as-needed interprofessional meetings decreased distressing thoughts about challenging cases, particularly for those experiencing the greatest distress.

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Cite

BibTeXRIS
BibTeX
@article{callahan2026addressing,
  title = {{Addressing neonatal intensive care unit clinicians’ distress via interprofessional meetings}},
  author = {Katharine Press Callahan and Katie Behringer and Douglas Hill and Kimberly Mason and Jennifer Walter and Lara Lechtenberg and David Munson and Chris Feudtner},
  journal = {Journal of Perinatology},
  year = {2026},
  month = jun,
  doi = {10.1038/s41372-026-02763-1},
  url = {https://doi.org/10.1038/s41372-026-02763-1},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Addressing neonatal intensive care unit clinicians’ distress via interprofessional meetings
AU  - Katharine Press Callahan
AU  - Katie Behringer
AU  - Douglas Hill
AU  - Kimberly Mason
AU  - Jennifer Walter
AU  - Lara Lechtenberg
AU  - David Munson
AU  - Chris Feudtner
PY  - 2026
DA  - 2026/06/22
JO  - Journal of Perinatology
DO  - 10.1038/s41372-026-02763-1
UR  - https://doi.org/10.1038/s41372-026-02763-1
AB  - Objective: Our primary objective was to determine whether brief, as-needed interprofessional meetings reduced distress related to specific patient cases for interprofessional clinicians in the neonatal intensive care unit.  Study design: We collected pre- and post-meeting surveys to quantify clinicians’ distress.  Result: We collected 416 paired responses (80% participation rate) from 192 unique clinicians.  Results: After meetings, clinicians reported reduced intensity of most distressing thoughts; they were more likely to feel their perspective was heard (1.51 to 1.17, SD 0.82, p < 0.001), the team was united (1.56 to 1.22, SD 0.84, p < 0.001), they could provide good care (1.76 to 1.62, SD 0.98, p < 0.001), and that the rationale for care was reasonable (1.93 to 1.52, SD 0.93, p < 0.001). Moral distress was also lower on post assessments (5.47 to 5.27, SD 2.55, p = 0.005).  Conclusions: Brief, as-needed interprofessional meetings decreased distressing thoughts about challenging cases, particularly for those experiencing the greatest distress.
SN  - 0743-8346
SN  - 1476-5543
ER  -