{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T17:04:33Z","timestamp":1781802273838,"version":"3.54.5"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Newborn infants represent a significant percentage of childhood deaths (&gt;60%) with over 90% of newborn end\u2010of\u2010life care taking place in an acute hospital setting. This is in direct contrast to adults and children where specialised hospital or hospice care is used during their palliative care experience. To support family choice, a neonatal retrieval service developed a new model of care to transfer babies from a hospital to a hospice, a hospital closer to home or a private residence for palliative care while being cuddled by a parent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Identify and evaluate (i) service workflows, (ii) clinical characteristics of babies, (iii) safe and effective experiences, (iv) processes required and (v) personnel for kangaroo cuddle transport for end\u2010of\u2010life care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Service evaluation utilising the Plan\u2010Do\u2010Study\u2010Act (PDSA) cycle with outcomes grouped in five pragmatic domains: (i) workflow establishment, (ii) service population (clinical characteristics), (iii) safe and effective experiences, (iv) process and equipment and (v) personnel. Safety measures were assessed with individual PDSA cycles after each transfer, including referring and receiving service acceptability. Outcomes were reported in descriptive frequency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 21 cases, 13 families elected to cuddle for transfer. Most neonates were term gestation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099, 69%) and were greater than 1200\u2009g (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200913, 100%). Care provided included Paediatric Acute Resuscitation Plans (100%), mechanical ventilation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097, 54%), oxygen supplementation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094, 31%) and subcutaneous vascular access devices (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099, 69%). No adverse events occurred. Qualitative staff feedback was universally positive. Median preparation time was 0.5\u2009h (range: 0.25\u20131.4), and transport time was 4\u2009h (range: 2.75\u201312).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Babies being transferred for palliative care can be safely managed while receiving kangaroo cuddle, with the support of an experienced neonatal transfer team.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>This model of transport demonstrates an effective and meaningful additional service for neonatal patients requiring end\u2010of\u2010life care. Further evaluation is required for more preterm neonates, as transport and service requirements may be increasingly complex for this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70143","type":"journal-article","created":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T00:44:10Z","timestamp":1756860250000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Kangaroo Cuddle Transport for Neonatal Palliative Care: A Service Evaluation"],"prefix":"10.1111","volume":"30","author":[{"given":"Jacqueline","family":"Plazina","sequence":"first","affiliation":[{"name":"NeoRESQ, Royal Brisbane and Women's Hospital  Herston Queensland Australia"},{"name":"Grantley Stable Neonatal Unit, Royal Brisbane and Women's Hospital  Herston Queensland Australia"},{"name":"University of Queensland School of Nursing, Midwifery and Social Work; University of Queensland  St Lucia Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Melville","sequence":"additional","affiliation":[{"name":"NeoRESQ, Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li\u2010An","family":"Collie","sequence":"additional","affiliation":[{"name":"NeoRESQ, Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy","family":"Cooke","sequence":"additional","affiliation":[{"name":"NeoRESQ, Royal Brisbane and Women's Hospital  Herston Queensland Australia"},{"name":"Grantley Stable Neonatal Unit, Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7204-7065","authenticated-orcid":false,"given":"Deanne","family":"August","sequence":"additional","affiliation":[{"name":"Grantley Stable Neonatal Unit, Royal Brisbane and Women's Hospital  Herston Queensland Australia"},{"name":"University of Queensland School of Nursing, Midwifery and Social Work; University of Queensland  St Lucia Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,2]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000729"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12681"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40746-018-0110-7"},{"key":"e_1_2_13_5_1","volume-title":"Australia's Mothers and Babies","author":"Australian Institute of Health and Welfare","year":"2024"},{"key":"e_1_2_13_6_1","volume-title":"Australian Child Death Statistics 2020","author":"Queensland Family and Child Commision","year":"2023"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216316634246"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2021.597519"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-31877-2_17"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000596"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.14071"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2024.1379763"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12169"},{"issue":"1","key":"e_1_2_13_14_1","first-page":"30","article-title":"The Implication of End\u2010Of\u2010Life Transfers on a Transport Service","volume":"9","author":"Hands S.","year":"2013","journal-title":"Infant"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-31877-2"},{"key":"e_1_2_13_16_1","unstructured":"Welfare AIoHa \u201cSpecialist Paediatric Palliative Care Delivered to Children Who Died in 2021 \u201dCatalogue Number HWI 137 AIHW Australian Government Australian Government 2420."},{"key":"e_1_2_13_17_1","volume-title":"The Quality Solution: The Stakeholder's Guide to Improving Health Care","author":"Nash D. 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