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Integrated neonatal care: vital topics that complement neonatal nursing.

It is a pleasure to have been asked to dedicate this edition of Seminars in Neonatology to themes that complement nursing care. This focus highlights the increasing demand for integration between the highly technological medical management and a psychological, emotional and humane philosophy in neonatal health care. Taking responsibility, as a nation, for the physical and mental health of our children is becoming more of a priority today, with numerous early start programmes being promoted by government initiatives. In the UK, however, family focused neonatal funding/management, is at present, typically generated by charities, and often fulfilled by staff on a voluntary basis. Family centred care is an attitude, not merely a protocol. Attitudes can be difficult to change and in order to introduce a new way of working we primarily need to convince the clinicians who are at the helm of neonatal management. Like other neonatal colleagues, most nurses and midwives have not had any formal training in developmental care or family psychology, and are doing their best to provide exceptional care in difficult circumstances. This edition presents the concept of family centred, developmentally supportive neonatal care, and is promoted as a philosophy of neonatal management. Gretchen Lawhon describes modern day nursing issues and implementation of care based on the NIDCAP model, which is considered the gold standard in developmental care. She considers the art and science of caring and the importance of individualized patient care and suggests that the traditional nursing model ‘of stepping in as the expert’, is outmoded, and proposes working in