Neonatal Intensive Care Units (NICUs) are complex environments in which caregivers from different disciplines work together under continuous stress.1,2Nurses, social workers, house officers, and attending neonatologists are forced to develop sensitivity to and awareness of one another's problems if optimal patient care is to be achieved. However, there is little systematic information available in the current literature about how any one group within the neonatal team perceives its stresses and develops coping strategies for remaining productive within the NICU.3,4The purpose of this report is to describe stresses experienced and coping strategies utilized by staff nurses in an academic NICU. Furthermore, we wish to report ways in which the information obtained in the investigation has been utilized to improve the environment of the NICU.