Parental Well-being Research Articles

Comparison of depression, anxiety, perceived stress, and resilience in parents faced with abortion in Iran: a longitudinal study

BackgroundAbortion could impact the mental well-being of parents. Resilience also has a significant effect on the mental health of the family as a factor in coping with abortion. This study aimed to compare depression, anxiety, perceived stress, and resilience in parents after abortion.MethodsThe present longitudinal study was performed on 200 hospitalized women and their spouses in the post-partum department of Shiraz hospitals in 2023. The instruments used in this study included questionnaires of fertility and demographic characteristics, hospital depression and anxiety (HADS), Connor’s resilience, and Cohen’s perceived stress. Data analysis was performed using SPSS 25.ResultsThe mean age of the fathers was 35.37 ± 4.99 and that of mothers was 31.35 ± 6.23. The scores of parents’ anxiety, depression, and perceived stress in the first 24 h after facing abortion were in the highest possible state and decreased in 12 weeks, and their resilience also increased. In all three time periods, the mean scores of the fathers’ anxiety, depression, and perceived stress were lower than those of the mothers, but the mean score of resilience was always higher in fathers. Fathers´ age and mothers’ age, mothers’ age at the time of marriage, fathers’ job, number of children, gender of the last child (boy or girl), and unwanted pregnancy were among the predicting variables of anxiety, depression, perceived stress, and resilience of both parents faced with abortion.ConclusionAlthough mental disorders in fathers were fewer than mothers compared to post-abortion resilience, identifying and managing these issues promptly is crucial for enhancing post-abortion mental well-being in both parents. How parents navigate the challenges of pregnancy, childbirth, and abortion can significantly impact the couple’s health.

Mental Health Outcomes of Parents with Children Enrolled in the Competence-Based Curriculum in Public Day Primary Schools in Nairobi County, Kenya

Involvement in their children's education through the Competency-Based Curriculum (CBC) significantly impacts the mental health outcomes of parents, necessitating a deeper understanding of how these educational demands influence parental well-being. This study examines the mental health outcomes of parents with children enrolled in the CBC in primary schools in Nairobi County, Kenya. Utilizing Cognitive Behavioral Theory (CBT), the research employed a quantitative approach with a cross-sectional survey design targeting parents with children enrolled in the CBC in primary schools. A multi-stage sampling technique resulted in a sample size of 376 parents. Data were collected using structured questionnaires, including the Parenting Sense of Competence (PSOC) scale, Multidimensional Fatigue Inventory (MFI), Parental Stress Scale, and New General Self-Efficacy Scale. Statistical analysis using SPSS Version 25 involved descriptive methods. The findings revealed generally positive mental health outcomes, with high levels of parenting satisfaction and self-efficacy, alongside moderate levels of mental fatigue and stress. These results align with CBT, emphasizing the role of positive beliefs and effective coping strategies in maintaining mental health. The study concludes that while CBC aims to enhance learning, it also creates challenges for parents that impact their mental health.

Over-employment and the success of combining work and parenthood

Purpose: is to determine the impact of working week length on satisfaction with work-children balance in a gender context.Methods: the empirical data are based on a structured survey of employed Russians raising children under 14 (N = 1449), the final sample size of 826 respondents. The authors’ online survey technology was used. The success of work-children balance was rated on a 10-point scale. Mean satisfaction with work-children balance as a function of parents' working hours was analysed using Mann-Whitney U-test and z-test.Results: sociological assessments show high overemployment among parents of minor children: 56.5% of working fathers and 33.1% of working mothers work over 40 hours a week. The statistical significance of the average estimates of the differentiation of "time for children" satisfaction between overemployed, underemployed and standardly employed parents by working hours revealed gender specificity. Working fathers show no significant difference in the estimated proportions, although overemployed male respondents are 1.6 times less likely to rate the success of their work-children balance as high. Among women, there is a direct correlation: the longer the working week, the lower the average assessment of the success of work-children balance. Women with two or more children of different ages (0–6; 7–14) are the least satisfied with their work-children balance.Conclusions and Relevance: working hours exceeding the normative standards of the RF Labour Code negatively impact women's parental well-being and impede the multi-child parenting as a national demographic goal. It is important to develop mechanisms to encourage employers to reduce overtime for women raising children under 14.

The Effect of 5Q Parental Education on Children's Emotion through Healing of Inner Child among Parents

The research aim of this study is to understand the relationship between parental emotional well-being and child outcome. This study delves into the profound impact of 5Q parental education on children's emotional well-being through the intricate process of healing the inner child among parents. The 5Q framework, encompassing Intelligence Quotient (IQ), Emotional Quotient (EQ), Adversity Quotient (AQ), Social Quotient (SQ), and the innovative "You Quotient" (UQ), serves as the cornerstone of this transformative educational program. By intertwining principles of personal growth, self-awareness, and effective communication, the 5Q approach aims to empower parents to navigate the complex landscape of parenthood with confidence and competence. Central to this study is the concept of the inner child, deeply rooted in psychological theory, which symbolizes unresolved emotions and experiences from childhood that continue to influence adult behaviours and familial dynamics. Through a qualitative research methodology, this study rigorously examines the experiences of a diverse sample of 100 participants engaged in a comprehensive 6-month 5Q parental education program. Results from the qualitative analysis revealed a profound impact of the 5Q parental education program on participants' emotional well-being and parenting practices. An overwhelming majority of 82 out of 100 participants reported significant enhancements in their emotional intelligence (EQ) following the healing of their inner child. This transformation was characterized by heightened self-awareness, improved emotional regulation, improved parenting skills and strategies, strengthened parent-child relationship that foster suitability relationship. This study underscores the transformative potential of 5Q parental education in fostering nurturing family environments conducive to holistic child development. The understanding of the relationship between parental emotional well-being and child outcome is emphasized. By addressing the emotional needs of parents and facilitating the healing of their inner child, this program not only empowers individuals but also lays the foundation for resilient, empathetic, and emotionally intelligent generations to come, laying the foundation for their optimal development.

Parenting stress and child behavior problems: Developmental psychopathology perspectives.

The growing base of research on parenting stress and its relation to child behavior problems has largely paralleled the emergence of developmental psychopathology as a field of inquiry. Specifically, the focus on mechanism rather than main effects has begun to elevate explanatory models in the connection between parenting stress and a variety of adverse child and parent conditions. Still, work on parenting stress is limited by conceptual confusion, the absence of attention to developmental differentiation, a focus on child-specific rather than system influences. Recent research on these parenting stress issues is briefly reviewed, highlighting studies that have illustrated developmental psychopathology perspectives. A conceptual model is offered to illustrate the complex recursive nature of connections between parenting stress, parenting behavior, parent well-being, and children's adjustment, and I make a case for the adoption of a more systemic perspective to influence the next generation of developmental psychopathology research on parenting stress.

Behavioral observation and assessment protocol for language and social-emotional development study in children aged 0–6: the Chinese baby connectome project

BackgroundThe global rise in developmental delays underscores the critical need for a thorough understanding and timely interventions during early childhood. Addressing this issue, the Chinese Baby Connectome Project (CBCP)’s behavior branch is dedicated to examining language acquisition, social-emotional development, and environmental factors affecting Chinese children. The research framework is built around three primary objectives: developing a 0–6 Child Development Assessment Toolkit, implementing an Intelligent Coding System, and investigating environmental influence.MethodsUtilizing an accelerated longitudinal design, the CBCP aims to enlist a minimum of 1000 typically developing Chinese children aged 0–6. The data collected in this branch constitutes parental questionnaires, behavioral assessments, and observational experiments to capture their developmental milestones and environmental influences holistically. The parental questionnaires will gauge children’s developmental levels in language and social-emotional domains, alongside parental mental well-being, life events, parenting stress, parenting styles, and family relationships. Behavioral assessments will involve neurofunctional developmental evaluations using tools such as the Griffiths Development Scales and Wechsler Preschool and Primary Scale of Intelligence. Additionally, the assessments will encompass measuring children’s executive functions (e.g., Head-Toe-Knee-Shoulder), social cognitive abilities (e.g., theory of mind), and language development (e.g., Early Chinese Vocabulary Test). A series of behavior observation. experiments will be conducted targeting children of different age groups, focusing primarily on aspects such as behavioral inhibition, compliance, self-control, and social-emotional regulation. To achieve the objectives, established international questionnaires will be adapted to suit local contexts and devise customized metrics for evaluating children’s language and social-emotional development; deep learning algorithms will be developed in the observational experiments to enable automated behavioral analysis; and statistical models will be built to factor in various environmental variables to comprehensively outline developmental trajectories and relationships.DiscussionThis study’s integration of diverse assessments and AI technology will offer a detailed analysis of early childhood development in China, particularly in the realms of language acquisition and social-emotional skills. The development of a comprehensive assessment toolkit and coding system will enhance our ability to understand and support the development of Chinese children, contributing significantly to the field of early childhood development research.Trial registrationThis study was registered with clinicaltrials.gov NCT05040542 on September 10, 2021.

Parental unemployment and children's well-being at school: The role of duration, reemployment, and socioeconomic status

Parental unemployment and children's well-being at school: The role of duration, reemployment, and socioeconomic status

"Grief Explodes all Relationships": Experiences of Grief and Coping Among Parents and Siblings Following the Death of a Child.

The death of a child is an intense loss for families, which impacts the wellbeing of parents, surviving siblings, and the family as a whole. This study expanded on existing literature by collecting qualitative accounts from bereaved parents and siblings about their experiences before, during, and after the death of a child in their family. In total, 15 participants from 9 families completed semi-structured interviews. Findings highlighted three periods of the grieving process, which were not linear but rather ongoing and often happening simultaneously: (1) Crisis; (2) Learning to cope; and (3) Establishment of a new equilibrium. Parents and siblings reported experiences unique to their role in the family and developmental stage, as well as shared experiences within the family system. Findings have implications for palliative care and bereavement professionals in terms of supporting parent, sibling, and family coping before, during, and after the death of a child.

The indirect effect of parents’ work-family conflict on students’ psychosocial well-being

ABSTRACT This study aims to investigate the cascading impact of parents’ work-family conflict (WFC) on students’ psychosocial well-being. This study examines the sequential mediation effect of parents’ well-being and positive discipline using the conservation of resources (COR) theory and emotional contagion theory. Data were collected using an online survey platform where every participant received a concern form and unique code. The analysis used data from 351 parent–child dyads after removing 76 participants who failed the attention check items or did not complete the three phases of data collection. Data were analysed using a sequential mediation regression model six proposed by Hayes. The results confirmed a sequential mediation model where the parent's WFC indirectly impacted the student's psychosocial well-being through the mediating role of the parent's well-being and positive discipline. This study also discovered that WFC directly impacted parents’ well-being, positive discipline, and students’ psychosocial well-being. Organisations must provide parents with psychological services to reduce WFC and maintain their well-being. On the other hand, schools should communicate with parents and encourage positive discipline for students. This current study has advanced the literature by examining the link between parents’ WFC and students’ psychosocial well-being.

A two-institution pilot study on the psychological burden and distress of parents caring for children with shunted hydrocephalus.

Little is known about the emotional health of parents caring for children with shunted hydrocephalus. The aim of this pilot study was to find out whether parents caring for shunt-treated hydrocephalic children experience serious psychological problems and psychosocial distress and whether these problems are related to the sociodemographic background of the caregivers, the clinical characteristics of their children, and parents' illness-related concerns and perceived burden of their children's illness. This pilot study was performed in an outpatient setting at two German hospitals. The following questionnaires were handed out to parents of children with shunted hydrocephalus (< 21 years of age): the Patient Health Questionnaire (PHQ-9) for depression, the Generalized Anxiety Disorder Scale (GAD-7) for anxiety, the Distress Thermometer (DT) for psychosocial distress, the Hydrocephalus Concerns Questionnaire (HCQ) for assessment of parents' illness-related concerns, and the Hydrocephalus Outcome Questionnaire (HOQ) for assessment of perceived children's disease burden. Clinical data of the respective children were collected from electronic charts. Parents' demographic data were evaluated via questionnaires. Parents' psychological variables were correlated with demographic and clinical data and HCQ and HOQ scores. Regression analyses of HCQ and HOQ scores with psychological items were performed. Sixty-three parents were included in this study. Of these, 60% reported clinically relevant levels of either depression (11%), anxiety (10%), and/or psychosocial distress (57%). There were no associations between parental sociodemographic or children's clinical characteristics with parents' psychosocial well-being or psychosocial distress. Depression, anxiety, and DT scores were highly intercorrelated and significantly correlated with HCQ scores (r = 0.508, r = 0.516, r = 0.442; p < 0.01). Thereby, worries about shunt-related complications were the most reported concern in the HCQ. Depression and anxiety correlated with the scores of some HOQ subcategories. In preliminary regression analyses, higher illness-related concerns predicted occurrence of parents' anxiety. The authors' results support the notion that there is a need for psychosocial support for a proportion of parents who care for shunted hydrocephalic children. Perceived child symptom burden and parental illness concerns were identified as relevant correlates of parental psychological well-being. Thus, concerns specific to shunt-related problems could be a first starting point for the development of individual support measures.

Quantifying the impact of centralised neonatal care following interhospital transfer of preterm infants on families.

Evaluate the additional burden of centralised neonatal care on families of extremely preterm infants cared for away from their planned hospital of birth. Retrospective cohort study using national data for infants 23+0 to 27+6 weeks of gestation admitted for neonatal care from 2011 to 2016. The number of transfers on the first day of life (potential maternal-infant separation), time away from the maternal booking hospital (BH) and distance from the maternal residence were quantified. Of 14 719 included infants, 2803 (19%) underwent postnatal transfer on the first day of life. A total of 8622 (59%) infants were cared for away from their BH for a median of 39 days (interquartile range [IQR] 15-69), 30% spending >60 days away over a median of two episodes (range 1-12). Median return road travelling distances for parents to their local BH was 13 km (IQR 8-26), but this increased to 74 km (IQR 32-148) for those cared for in a non-BH. Centralised neonatal care improves infant outcomes but introduces additional burdens on the families of extremely preterm infants cared for away from their BH. Additional support, including accommodation and financial aid, could help minimise the impact on these families, facilitate family integrated care and improve parental wellbeing.

SOCIAL NETWORKS OF CHILDREN AND PARENTS IN SINGLE-PARENT FAMILIES

This paper examines the social networks of children and parents of single-parent households, focusing on the special challenges and resources that characterize these families. Single-parent households face a specific set of challenges like financial stress and social isolation that can powerfully influence the well-being of both children and parents. We explore these questions using a mixed-methods approach that combines in-depth qualitative interviews and surveys to understand the structure and functioning of these networks in terms of emotional, social, and practical support. The great majority of children in single-parent families rely on relationships within peer groups, which are essential for children both as sources of emotional resilience and as reflecting their growing sense of social development. On the other hand, other networks for parents exist, such as extended family, friends, and community organizations, that are significant in reducing their levels of stress and sense of belonging. The study outlines how social support through community resources—the availability of local support groups, educational programs, and the like—can help fortify these social connections and family relationships. Ultimately, the study is looking to inform policymakers and practitioners about specific services single-parent families need, so that these can be leveraged in developing targeted interventions to strengthen familial and community relationships. Because we recognize and foster the social networks that are accessible to these families, we can be contributing to better outcomes for children and their parents.

Subjective Well-Being of Parents and Childless People in Older Age in Germany

AbstractThe growing number of older childless individuals in Western societies has raised concerns about their subjective well-being. In this study, we scrutinize the subjective well-being of parents and childless individuals aged 60 years and older. We examine subjective well-being as a multi-dimensional construct encompassing life satisfaction, positive affect, and negative affect. Based on the value-of-children approach, we hypothesize that childless individuals experience lower subjective well-being than parents and that the disparity in well-being differs with age, gender, and the quality of the parent-child relationship. For our analysis, we use data from a nationally representative sample of adults aged 60 years and older (n = 10,682) drawn from the German Ageing Survey. Our findings from random effects regression models show that childless individuals report lower life satisfaction, less positive affect, and more negative affect than parents. These associations are larger for men than for women but do not vary significantly across age groups. Furthermore, our results suggest that the benefits of parenthood strongly depend on the quality of the parent-child relationship. Childless people report lower subjective well-being than parents with a close emotional bond with their children, but similar or even higher subjective well-being than parents with an emotionally distant parent-child relationship. In sum, our study indicates that childless people experience, on average, lower well-being across all three dimensions of subjective well-being in older age. However, under specific circumstances, childless individuals may fare better than parents.

Validation of the Dutch Infant Crying and Parent Well-Being Screening Tool in Parents of Infants Less than 12 Months of Age

To evaluate reliability and validity of the Dutch version of the Infant Crying and Parent Well-Being (ICPW) tool in identifying parents struggling with infant crying in the first year of life. The original ICPW tool was translated into Dutch following established guidelines. The internal consistency and criterion validity of the Dutch ICPW tool were evaluated using a cross-sectional design. The translated ICPW tool and validated questionnaires on parental depression, stress, anxiety, and parenting balance were presented to parents of infants under 12months during child health care visits and online. The survey was completed by 488 parents, 400 mothers and 88 fathers. Of these, 172 participated after a child health care visit and 316 via online platforms. The Dutch ICPW showed satisfactory internal consistency (α=0.69) and excellent criterion validity with parental mental health measures (r=0.53-0.85). ICPW scores demonstrated positive correlations with parental depression, stress, and anxiety levels, and a negative correlation with parenting balance. Both mothers and fathers with a positive ICPW screen (≥3) reported significantly higher levels of parental mental health issues compared with those with a negative screen (P<.001). The ICPW was positive in 32% of the parents (n=155), with consistent total scores regardless of the infant's increasing age (r=-0.024, P=.59). The ICPW tool exhibited a strong negative predictive value (93%) for diagnosing postpartum depression. The Dutch ICPW tool is a reliable and valid screening instrument for identifying parents struggling with infant crying.

Challenges of preterm families: parenthood and participation in the Neonatal Intensive Care Unit in Northern Italy

ABSTRACT Prematurity can disrupt the psychological transition to parenthood, with the unfamiliar environment of the Neonatal Intensive Care Unit (NICU) often exacerbating parental concerns about their baby’s health and survival. This study explores factors influencing parental coping mechanisms during their NICU stay, focusing on gender differences and parental perceptions of staff support. Sixteen Italian parents of preterm infants (born before 37 weeks of gestation and hospitalized for at least 10 days) participated in remote narrative interviews. Thematic analysis revealed key differences in the emotional experiences and care participation between mothers and fathers, shaped by traditional Italian gender norms and further impacted by COVID-19 restrictions limiting fathers’ access to the NICU. Additionally, parents who were more involved in their infant’s recovery through interactions with doctors reported higher levels of personal well-being. These findings highlight the importance of fostering parent-staff communication and support, particularly during times of crisis, to promote positive outcomes in the parent-infant relationship and enhance parental well-being. Recommendations include tailored interventions to ensure mothers and fathers are actively engaged in their infant’s care.

Prevention and Reduction of Anxiety in Autistic Preschoolers Through an Autism-Specific Parent-Mediated Intervention: A Pilot Randomised Controlled Trial Evaluating Short and Longer Term Outcomes.

Anxiety is a common co-occurring condition for autistic preschoolers. Whilst there has been extensive research evaluating anxiety prevention/reduction interventions for neurotypical preschoolers, such research is limited for autistic children. Fifty-seven parents of autistic 4-5-year olds, with varying levels of anxiety, participated in a randomised controlled trial of an autism-specific, parent-mediated intervention (CLK-CUES) to prevent or reduce anxiety in autistic preschoolers. Baseline, short-term (post-intervention) and longer term (12 months follow-up) assessments included child anxiety (ASC-ASD-P and PAS-R), intolerance of uncertainty, and parent well-being. (Trial registration ACTRN12620001322921). There were no reports of harmful effects of the intervention or trial. Linear mixed models show a significant group x time interaction for ASC-ASD-P Total score and the Uncertainty subscale with medium and large effect sizes. Post-hoc analyses show a significant decline for only the intervention group in anxiety (specifically, anxiety around uncertainty) from pre-post intervention, maintained at one year follow-up. There was no change on the PAS-R or other ASC-ASD-P subscales. CLK-CUES shows promise as a way to prevent and reduce anxiety in young autistic children, specifically anxiety related to uncertainty. Trials with larger samples are warranted. Findings also highlight the importance of using measures designed for autistic children.

Age and Psychological Well-being as Predictors of Male Child Parenting among Married Adults

Age is a critical factor in parenting, as parenting styles and attitudes can vary significantly across different age groups. Psychological well-being encompasses an individual's emotional health, life satisfaction, and overall mental state. The study examined age and psychological well-being as predictors of Male Child Parenting among married adults in Kwara State. A descriptive survey was used. The study was conducted on 384 married adults in Kwara Central Senatorial District, Kwara State, using a self-designed questionnaire called "Age and Psychological Wellbeing as Predictors of Male Child Parenting Questionnaire (APWDMCPQ). The questionnaire was validated by experts and its reliability was established through pilot testing using the Split-half method. The results were correlated using Spearman-Brown Correlation Coefficient Statistics (PBCCS) with a reliability index of 0.76. The study used mean and standard deviation to present answers to research questions, and Analysis of Variance (ANOVA) statistics to test hypotheses at a 0.05 level of significance. The study show that there is a significant effect of age on male child parenting (F.cal.=25.60, p.&lt;0.05). The study found that there is no significant effect of psychological well-being on male child parenting (F.cal.=3.34, p.&gt;0.05). The study found that age significantly impacts male-child parenting, but parental psychological well-being doesn't significantly affect it. It recommended that married adults aged 25-35 and 36-45 should seek counselling to develop appropriate parenting skills. Additionally, they should be educated on coping mechanisms to withstand the pressure of parenting male children, improving their psychological well-being and enabling effective male child parenting.

A structural equation model of parenting and child's resilience after the earthquake in Türkiye.

This study investigated the relationship between parental psychological wellbeing, parenting, children's psychological difficulties, and prosocial behavior in Kahramanmaraş earthquake-affected families living in Türkiye in 2023. To this end, a mediation model was proposed for parental psychological distress that was hypothesized to exert an indirect effect on a child's psychological difficulties and prosocial behavior through parenting. Participants were 358 preschoolers between 4 and 6 years old and their one parent (father or mother) who completed a set of validated self-report surveys in a cross-sectional design study. Results showed positive associations between parental psychological distress and child's psychological difficulties but negative association with child's prosocial behavior. Furthermore, quality of parenting mediated the association between parental psychological distress and child's psychological difficulties and prosocial behavior. Our findings suggest that positive parenting may serve as a protective mechanism that mediates the association between parental psychological distress and a child's psychological difficulties and prosocial behaviors among families displaced by a natural disaster like an earthquake. These findings point to the need for supporting positive parent-child relationships in addition to decreasing the psychological distress of parents when exposed to potentially traumatizing events like this.

Emotional regulation, self-compassion and adaptive functioning in parents: a comparative study in families of neurodevelopmental disorder and typically developing children

PurposeThis study aims to investigate the associations between emotional regulation strategies, self-compassion and adaptive functioning in families of children with neurodevelopmental disorders (NDD) in comparison to families with typically developing (TD) children.Design/methodology/approachThis cross-sectional study used a comprehensive set of validated measures to assess emotional regulation strategies, self-compassion and adaptive functioning. The study cohort consisted of 116 parents; 58 parents of children with NDD and 58 parents of TD children. The mean age of the children was 6.40 years (SD = 1.82).FindingsThe findings indicate that higher self-compassion is associated with improved adaptive functioning, evidenced by reduced levels of internalizing (depression, anxiety, withdrawal, somatic complaints) and externalizing (aggressive behaviors) problems. Parents of children with NDD reported greater levels of depression, anxiety and withdrawal compared to parents of TD children. Parents of TD children used cognitive reappraisal more frequently and exhibited higher levels of self-compassion, whereas the use of expressive suppression was more prevalent among parents of children with NDD.Practical implicationsThese findings highlight the need for family-centered and tailored interventions that promote self-compassion and adaptive emotional regulation strategies to reduce internalizing and externalizing problems among parents of children with NDD. By providing comprehensive psychological support and accessible community resources, parental ability to cope with stress may be improved, fostering adaptive functioning that benefits both parents and children with NDD.Originality/valueThis study introduces a novel perspective on the importance of self-compassion and emotional regulation strategies in protecting and improving the mental well-being of parents with neurodevelopmental disorder children. It provides valuable insights for targeted interventions in NDD families, focusing on reducing the risk of mental health deterioration while promoting emotional resilience.

Development and Feasibility Evaluation of a Family-Centred Neonatal End-of-Life Care Protocol.

To develop a family-centred end-of-life care protocol and evaluate its feasibility. The draft protocol was created by integrating literature review results and existing protocols and interviewing bereaved parents. A Delphi study and an experts' review were conducted to refine the draft, followed by feasibility testing with neonatal intensive care unit nurses. A 71-item protocol based on an integrated end-of-life care model and the family-centred care concept was developed, comprising three sections: principal guidelines, communication during end-of-life care and five substeps (4, 17 and 71 items, respectively) according to changes in an infant's condition. The feasibility was confirmed by an increase in competency and a positive attitude towards infant end-of-life care participants who completed the protocol education. The protocol was feasible and improved nurses' competency and attitude in providing end-of-life care for infants and parents requiring support due to the loss of their infants. It can positively impact the well-being of parents who have experienced the loss of their infants in neonatal intensive care units and enhance family-centred care within the units. Application of the family-cantered end-of-life care could support infants' dying process and improve bereaved parents' quality of life in neonatal intensive care units. This study increased neonatal end-of-life nursing needs' awareness among nurses and parents during bereavement. It offered preliminary evidence regarding the feasibility of a neonatal end-of-life care protocol developed in this study. AGREE Reporting Checklist 2016. We interviewed bereaved parents to develop the draft protocol and involved neonatal care experts for the Delphi study and neonatal nurses (who would use the protocol) as feasibility test subjects. This was a doctoral dissertation and did not require protocol registration as the feasibility test involved a single neonatal intensive care unit.