In certain fanfic concepts, Naruto could have found a special relic or artifact. This relic might have the power to reverse death. Since Naruto is always on adventures and exploring different places, he might stumble upon such an item and use it to revive Kushina. It could also be related to the Uzumaki clan's secrets that he uncovers which enables him to bring his mother back.
Another possibility is that Naruto makes a deal with some sort of god - like figure. In the Naruto universe, there are many powerful beings. Naruto, with his strong will and determination, could convince one of these beings to help him revive Kushina. He might offer something in return, like using his power to protect a certain place or fulfill a prophecy for that being.
Perhaps Naruto finds a way to travel back in time and prevent Kushina's death in the first place. He could use his Sage Mode or some other special ability to manipulate time. And then, by changing the past, he effectively'revives' her in the present. In the Naruto universe, there are all kinds of crazy powers, so time - travel isn't completely out of the question.
In certain fanfiction concepts, Naruto might make a deal with some sort of spiritual entity. He sacrifices something of his own, like a part of his power or his future, in order to bring Kushina and Minato back. Or he could have harnessed the power of the tailed beasts in a new and unique way. The tailed beasts are extremely powerful, and if he could combine their power with his own in a specific way, it might be enough to revive his parents.
In some fanfictions, Naruto might use a powerful jutsu. Maybe he discovers an ancient sealing technique that can bring back the dead for a short time. He could also have found some rare chakra-infused artifact that has the power to revive the First Hokage.
In some fanfictions, Naruto might use some super powerful jutsu he created or mastered. Maybe it's a new form of Sage Mode that can reverse time on a small scale. Another possibility is that he found some ancient forbidden technique hidden in the Uzumaki clan's secrets.
She could use her Uzumaki chakra chains to break through any barriers or enemies in their way. Maybe she also has some secret teleportation jutsu that she uses to quickly get away with Naruto.
Well, in some versions, Naruto might use his powerful jutsu. Maybe he uses his Rasengan to fight off the Kumo ninjas who are after Kushina. He could also use his speed and agility to outmaneuver them and get Kushina to safety.
In some fanfictions, Naruto might use a powerful jutsu he discovers or masters. For example, he could find a forbidden jutsu that has the power to bring the dead back to life. Maybe it's a jutsu that requires a great sacrifice on his part, like giving up some of his own chakra permanently.
In certain fanfic ideas, Naruto could have made a deal with some sort of otherworldly being. He might have sacrificed something of great value, like a part of his own chakra or a future ability, in exchange for Kushina's life. Another possibility is that he finds a way to reverse the very nature of death by using some unique properties of the tailed beasts' chakra that he has access to.
One big impact would be on Naruto himself. Having his mother back would give him the family love he always longed for. He would have someone to share his problems and joys with on a more personal level.
It could change the power balance in the ninja world. Other villages might see Konoha as a much greater threat with Minato and Kushina back. On the other hand, it could also lead to more cooperation as they might be seen as a symbol of hope. Emotionally, for Naruto, he would be able to learn more about his family, his heritage, and maybe even get some long - awaited parental guidance which would further develop his character.