99: “Family Integrated Care” in Level II NICUs: Perspectives of Administrators, Healthcare Personnel, and Parents Regarding Implementation
Bibliographic record
Abstract
In the Family Integrated Care (FICare) model of level III NICU care, parents are the primary caregivers for their infants. Components of this model include parent education, nursing staff education, and provision of physical and psychosocial support, which enable parents to be active partners in the care team. What is unknown is how best to translate this model to level II NICUs. Capture the perspectives of administrators, healthcare personnel, and parents in four level II NICUs in Ontario regarding FICare implementation. Focus groups were conducted separately for administrators and allied healthcare personnel, nurses, and parents (veteran and current) at each site using a semi-structured interview guide. Each focus group had 6–8 members; lasted for 1–1.5 hours; and was audio-recorded, transcribed, and analyzed using thematic content analysis. Perceptions of facilitators and barriers varied among the three participant groups. The overall perception of administrators and healthcare personnel was that elements of family-centered care were already being practiced including engaging parents in the care of their infant, providing written educational materials with some verbal reinforcement, and promoting discharge planning early in the clinical course. The administrators were interested in expanding on what was currently in place. Lack of physical space and amenities for families, different medical and nursing staffing models, and the wide variation in socio-cultural context of families were perceived as challenges to the FICare model. Nurses expressed concern around loss of control, safety, and legal consequences if parents were to take a more active role in infant care. In contrast, although parents were appreciative of the care provided, responses regarding education, communication, and support ranged from very satisfied to dissatisfied. Even though all three groups recognize the importance of engaging families in the care of their infant, there are unique challenges to the implementation of FICare in the level II NICU environment. To ensure the parent experience is incorporated, veteran parents should be actively involved with the healthcare team during translation (design and implementation) of the model.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.011 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.007 | 0.002 |
| Scholarly communication | 0.003 | 0.002 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".