Objective The objective of this study is to evaluate associations between webcam use in the neonatal intensive care unit (NICU) with parental stress and nursing work-related stress and burnout. Design Prospective validated and de novo questionnaires administered to NICU parents and nurses during two observation periods: (1) no webcam access (off webcam) and (2) webcam access (on webcam). Results Seventy-nine "off webcam" parents, 80 "on webcam" parents, and 35 nurses were included. Parental stress levels were significantly lower "on webcam" and perceptions of the technology were overwhelmingly positive. There were no significant differences in nursing stress levels and burnout between periods. Only 14% of nurses believed that webcam use improves infant's quality of care. Majority nurses felt that webcams increase parental and nursing stress. Conclusions Webcam use in the NICU is associated with lower parental stress levels and has no effect on nursing stress levels or work-related burnout. These findings contradict nurses' beliefs that webcams increase parent and nurse stress.

Objectives (1) Assess effects of a modified Family Integrated Care (FICare) model on U.S. Neonatal Intensive Care Unit (NICU) parents; (2) Evaluate NICU nurses’ perspectives. Design Case -control design with parental stress assessed before and after NICU-wide FICare implementation using Parent Stressor Scale: NICU (PSS:NICU) questionnaire. In addition, stratification by degree of participation evaluated associations with parental stress, parental-staff communication and discharge readiness. Questionnaires captured nursing perspectives on FICare. Results 79 parents (88%) participated prior to FICare; 90 (90%) after. Parent stress was lower ( p < 0.001) with FICare. Parents learning 5–15 infant-care skills had lower stress compared to those learning <5 ( p = 0.008). Parent utilization of an educational app was associated with improved communication frequency ( p = 0.007) and quality ( p = 0.012). Bedside NICU nurses reported multiple positive associations of FICare for parents and staff. Conclusions Any degree of FICare participation decreases parental stress; increased participation has multiple positive associations.