Neonatal nurses have extremely important tasks to perform in order to care properly for infants in the NICU. There are different NICUs levels of care that nurses are assigned to depending on the need of the infant which may range from those less critically ill, advanced care need and the most needed care usually for premature infants. One of the most common ways NICU nurses take care of ill infants in the hospital is using a method called Skin-to-Skin Care also known as SSC. Skin to skin care (SSC) can be defined as the cuddling of a baby dressed only in a nappy on the parent’s naked chest with a sheet covering the baby’s body (DiMenna, 2006, World Health Organization, 2003). Although this method is the most common used the use of it is still inconsistent among various hospitals. STS has proven to help extremely low birth weight infants have a better outcome of survival. Most ELBW infants are usually born between 23 and 27 weeks gestation (Subramanian et al., 2014). Using SSC contact helps parents become closer to their babies and also increases the likelihood of breastfeeding which improves weight gain and the infant will be healthier therefore will get released from the hospital sooner. Nurses play an important role when it comes to SSC because many parents are experiencing a variety of feelings with their preterm infant including fear and anxiety. Since preterm infants are very small many parents are scared to touch their babies due to fear of hurting them, this is when the expertice of an NICU nurse is invaluable. In this study 7 nurses who specialize in the NICU were interviewed about their perception of supportive factors and barriers to the implementation of skin to skin care in extremely low birth weight. All nurses agreed that they would not initiate SSC for any infants who were incubated the first week of life, but would start the second week when incubation is reduced because the humidity levels. Even though NICU nurses know the importance of SSC they also agreed that its very time consuming due to the fact that need to explain, train, and educate parents as well as learn each infants needs in order to provide the best care possible which makes it a barrier for SSC. Another barrier for SSC is the NICU environment, having many infants who need SSC because now nurses need to prioritize each infant’s needs and due to this prioritization SSC might not happen as often as it should, the NICU environment it also comes with noise and restrictions. All nurses agreed that further training and education is needed in SSC for all nurses in order for them to feel more comfortable using this method for infants with extremely low birth weight. With nurses being more confident with the SSC method they are more likely to recommend SSC to parents.