Facilitators and Barriers to the Implementation of Family Integrated Care in Ontario Level II Neonatal Intensive Care Units.
Highlights: What are the main findings? • CFIR was a useful framework for the identification of facilitators and barriers to implementing FICare in Ontario's Level II NICUs. • There is variability in the readiness of Level II NICUs to implement FICare based on NICU preparedness, capacity, population...
| Publicado en: | Children Vol. 12; no. 11; pp. 1548 - 1560 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
MDPI
Nov2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189652581&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189652581 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 22279067 LW6K jtl: Children issn: 22279067 maglogo: N pubinfo: dt: Nov2025 vid: 12 iid: 11 pid: 97109 pub: MDPI artinfo: ui: 189652581 189652581 189652581 10.3390/children12111548 189652581 ppf: 1548 ppct: 12 formats: tig: atl: Facilitators and Barriers to the Implementation of Family Integrated Care in Ontario Level II Neonatal Intensive Care Units. aug: au: Al Bizri, Ayah Bueno, Mariana Shah, Vibhuti Bacchini, Fabiana Campbell, Douglas M. Benzies, Karen M. O'Brien, Karel affil: Department of Paediatrics, Mount Sinai Hospital, 600 University Avenue, Toronto, ON M5G 1X5, Canada sug: subj: Family Centered Care Administration Program Implementation Methods Intensive Care Units, Neonatal Ontario Childbirth, Premature Health Services Needs and Demand Needs Assessment Health Services Research Human Ontario Funding Source Male Female Infant, Newborn Infant, Premature Cross Sectional Studies Questionnaires Conceptual Framework Implementation Science Diffusion of Innovation Leadership Health Labor Supply Workforce Volunteer Workers Health Policy Support, Psychosocial Socioeconomic Factors Parents Education Multidisciplinary Care Team Health Services Accessibility Parent-Child Relations Organizational Culture Personnel Staffing and Scheduling Hospital Design and Construction Patient Centered Care Financial Management Pediatric Care Infant, Newborn: birth-1 month Male Female ab: Highlights: What are the main findings? • CFIR was a useful framework for the identification of facilitators and barriers to implementing FICare in Ontario's Level II NICUs. • There is variability in the readiness of Level II NICUs to implement FICare based on NICU preparedness, capacity, population served, and geographical distribution. What is the implication of the main finding? • The knowledge gained using the CFIR framework will guide the implementation of FICare in Ontario. • Implementation of FICare will require specific attention to the context of NICUs in the province, such as the population served and the geographical situation. Background/Objectives: In Ontario, approximately 8% (11,000) of infants are born preterm (22–<37 weeks gestation) each year. Many of these infants are cared for in a Level II Neonatal Intensive Care Unit (NICU). Family Integrated Care (FICare), an innovative model of care, aims to facilitate the involvement of parents in the care of their infants in NICUs. The aim of this study was to gain a better understanding of the general and specific needs of Level II NICUs in Ontario prior to implementation of FICare. Methods: Using a cross-sectional study design, two surveys (leadership and site resources) were developed using the Consolidated Framework for Implementation Science Research's innovation, inner setting, and outer setting constructs and distributed to Level II NICUs medical and nursing leaders. Results: The surveys were sent to 44 Level II NICUs in Ontario, of which 24 hospitals (55%) responded. Key facilitators to implementation of FICare in Level II hospitals in Ontario were leadership interest, availability of staff and parent volunteers, and existing policies to support implementation. The identified barriers were lack of financial resources for new initiatives, skepticism in FICare's ability to save costs, need for tailored implementation due to variability in NICU characteristics, and the lack of environmental support for prolonged parental presence. Conclusions: This study has confirmed the interest of many Ontario level II NICUs in implementing FICare and variability in their readiness for implementation based on the identified facilitators and barriers. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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