Davut AÇAR
Health Sciences Quarterly - 2026;6(3):585-600
This study was conducted to explore in depth the knowledge, experiences, and communication strategies of nurses working in neonatal and pediatric units regarding child development and care. A qualitative research design was employed, and the study was structured within a phenomenological framework. The participants consisted of 16 nurses working in neonatal and pediatric services. Data were collected through a semi-structured interview form developed by the researchers and analyzed using thematic analysis. The findings revealed that nurses used a combination of physical contact, verbal and emotional communication, play-based and developmentally supportive approaches, and professional caregiving attitudes while interacting with children. Professional competence appeared to emerge from undergraduate education and to be further strengthened through in-service training and clinical experience. Although current care approaches were generally perceived as beneficial, the findings also indicated a need for more systematic support for their implementation in clinical settings. Developmental characteristics of children, communication difficulties, and family-related factors were identified as major challenges affecting the care process. In contrast, empathetic, clear, and feedback-oriented communication with parents was found to strengthen the quality of care. Overall, the study highlights that developmental sensitivity, family-centered care, and effective communication constitute core components of nursing practice in neonatal and pediatric settings.