Principal Investigator: Karen Benzies RN, PhD
Khalid Aziz MBBS, MA, MEd (IT), FRCPC, FRCPCH, FAAP
Vibhuti Shah MD, DCH, MBBS, MRCP, FRCPC
Abhay Lodha MBBS, MD, DM, MSc
Harish Amin MD
Radha Chari MD
Kelly Mrklas PhD(c)
Jeffrey S. Hoch MD, PhD
Christopher Naugler MD, CCFP, FCFP, FRCPC
Tom Stelfox MD, FRCPC, PhD
Esther Suter PhD, MSW
Jill Larcoque NNP
Jeanne Scotland NNP
Sandra Walker-Kendall NNP
Alberta FICare™ reduced infant hospital length of stay by 2.55 days, without a concomitant increase in readmissions or emergency department visits. Read the clinical trial results published in BMC Paediatrics. Click HERE to discover how your NICU can adopt this positive practice change.
Implementation of family-centred care initiatives is often challenging due to a poor understanding of contextual factors of the implementing organization. We identified many facilitators to implementation of Alberta FICare™ including (1) the capacity for change, (2) compatibility of Alberta FICare™ with existing family centred care practices, (3) available resources and access to knowledge for neonatal care providers, (4) engagement of key stakeholders at all levels of the organization, including families, and (5) evaluation. Notable barriers included the design and delivery of staff training, relative priority against competing initiatives, and the learning climate of the implementing organization. Future implementation of Alberta FICare™ should be purposefully planned to assess and manage the influence of contextual factors.
Additional study data is currently being analyzed and results will be shared as they become available.
Facilitators and barriers to implementation of Alberta family integrated care (FICare) in level II neonatal intensive care units: a qualitative process evaluation substudy of a multicentre cluster-randomised controlled trial using the consolidated framework for implementation research