The shortage of neonatal nurse practitioners (NNPs) continues to be a pressing issue in 2025, posing significant challenges to the healthcare system. As demand for specialized neonatal care increases, healthcare organizations must implement proactive strategies to attract, train, and retain NNPs. Here are some key approaches to mitigate the ongoing shortage and promote high-quality care outcomes.

Expand Educational Opportunities

One of the primary barriers to increasing the NNP workforce is the limited availability of specialized training programs. To address this, universities and nursing schools should collaborate with healthcare institutions to establish new programs and expand existing ones. As of 2024, only 42 nursing schools in the U.S. offered NNP education (source: 2024 Ensearch NNP Faculty Survey) . Offering hybrid or online learning options could attract more candidates as well. For healthcare organizations, providing financial incentives such as tuition assistance and student loan forgiveness could help to attract aspiring NNPs.

Enhance Workforce Retention

Retention strategies are critical for keeping experienced NNPs in the field. Key initiatives include:

  • Offering competitive compensation: Healthcare systems must offer NNPs competitive salaries and benefits reflective of their specialized skills and responsibilities.
  • Promoting a work-life balance: Implementing flexible scheduling and mental health support can help prevent burnout and job dissatisfaction.
  • Providing career advancement opportunities: Providing clear pathways for professional growth, such as leadership roles or continuing education, can support job satisfaction and reduce turnover.

Leverage Technology

Telehealth solutions and advanced technology help healthcare organizations bridge the gaps caused by NNP shortages. In underserved areas, for example, NNPs could provide remote telemedicine consultations to neonatal units, expanding their reach without the need for their physical presence. Integrating artificial intelligence (AI) and machine learning tools could also assist NNPs in efficiently diagnosing and managing neonatal conditions. Lastly, simulation-based training could help to accelerate skill development during neonatal care training, thus preparing new NNPs while reducing the demand on veteran NNPs. 

Strengthen Interdisciplinary Collaboration

Maximizing the skills of all neonatal healthcare providers can alleviate pressures on NNPs. For example, encouraging collaboration between neonatologists, registered nurses, and physician assistants can enhance patient care while distributing workloads effectively. Additionally, providing neonatal-specific training to registered nurses can empower them to take on expanded roles, potentially reducing the demand for NNPs in certain areas.

Increase Public Awareness and Advocacy

Raising awareness about the shortage of NNPs can drive policy changes and attract more individuals to the profession. Highlighting the importance of NNPs through media campaigns and community outreach could inspire more nurses to specialize in neonatal care. Engaging with lawmakers to secure funding for NNP education, workforce development, and retention initiatives could support sustainable solutions.

As the shortage of NNPs persists, Ensearch continues to be a trusted leader for healthcare organizations looking to fill open roles with qualified talent. If you’re experiencing NNP vacancies in your NICU, turn to Ensearch to simplify the hiring process. We specialize in filling openings with qualified full time or locum professionals for hospitals looking to expand their workforce. Get started by scheduling a consultation today.