Scaling Up the Family Integrated Care Model in a Level IIIC Neonatal Intensive Care Unit: A Systematic Approach to...

Area of Science:

• Neonatal Intensive Care Unit (NICU) care
• Family-centered medical interventions
• Healthcare system adaptation

Background:

• Family Integrated Care (FICare) involves parents in infant care, with healthcare professionals as guides.
• Existing FICare models primarily focus on stable preterm infants in NICUs.
• Adaptation is needed for level IIIC NICUs caring for extreme prematurity and complex conditions.

Purpose of the Study:

• To scale up and adapt the FICare model for level IIIC NICUs.
• To develop a protocol suitable for complex neonatal cases and diverse clinical contexts.
• To evaluate the feasibility and effectiveness of the adapted FICare model.

Main Methods:

• Established a FICare implementation team (FICare-IT) and conducted a baseline analysis.
• Developed a tailored protocol and educational materials for staff and families.
• Piloted the program with 76 families and 91 infants over 2.5 years, including during the COVID-19 pandemic.

Main Results:

• A flexible FICare protocol and dual curricula (for staff and families) were created.
• High acceptance rate (86.4%) observed, with no difference pre- or post-COVID-19.
• Parents found training essential; 70% of tasks reached proficiency within expected time; 100% would repeat the program.

Conclusions:

• The FICare model's principles are applicable across all NICU care levels.
• Successful implementation requires strong leadership and continuous evaluation.
• Adaptation of FICare is feasible and beneficial for families with critically ill neonates.