Key factors supporting implementation of a training program for neonatal family- centered care – a qualitative study

Abstract

Background Traditionally, the care of infants in neonatal care units has been professionally centered, paying less attention to family support. In recent years, many interventions have been developed to improve family-centered care and thereby parent and infant outcomes. Understanding the key factors of implementation of these interventions would help improve clinical practice. The aim of this study was to describe the staff’s perceptions of the implementation of the Close Collaboration with Parents Training Program and to identify the barriers and facilitators of the implementation. Methods A descriptive qualitative interview study was conducted in eight neonatal intensive care units in Finland. Nineteen unit managers and 32 nurses were interviewed after their unit had finished the 1.5-year training program. Data were analyzed using thematic content analysis. Results Key factors facilitating the implementation of the training program were multidisciplinary commitment and the staff’s motivation to change their professional role to work as the parents’ facilitator. Observable benefits promoted the implementation, as well as experiential learning as a facilitation method. The role of mentor was remarkable as a facilitator. In addition, contextual elements such as support from leadership and proper timing were important. Conclusions Implementation of family-centered care is facilitated by staff who is prepared to accept parents as partners and adopt a new professional role. Enough time for preparation, readiness for the change, solid support from the leadership, and a multidisciplinary approach are needed as well. Mentoring was found to be one of the key factors facilitating the change. Electronic supplementary material The online version of this article (10.1186/s12913-019-4256-1) contains supplementary material, which is available to authorized users.

Effectiveness of the Close Collaboration with Parents intervention on parent-infant closeness in NICU

“…2 .) [ 22 , 25 ]. The content and implementation strategies of the intervention are described in the Appendix.…”

Nursing Perspective of the Humanized Care of the Neonate and Family: A Systematic Review

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The barriers and facilitators to implementing dementia education and training in health and social care services: a mixed-methods study

“…However, strong management support and robust dementia leadership were almost globally identified as essential components for creating the opportunity for widespread uptake of dementia training and its implementation in practice in this study. The important role that management support, organisational culture and leadership play in implementation of training is highlighted throughout the health and social care research literature [41][42][43][44] and should be considered a priority for organisations investing in dementia training. Support needs to be visible at all levels of the organisation, with service leaders and managers encouraged to prioritise and champion dementia training and its implementation.…”