Facilitators and Barriers to the Implementation of Family Integrated Care in Ontario Level II Neonatal Intensive Care Units
Bibliographic Data
| ID | 15715212 |
|---|---|
| Authors | Ayah Al Bizri (0000-0002-0677-7879, Mount Sinai Hospital), Mariana Bueno (0000-0002-1470-1321, University of Toronto), Vibhuti Shah (0000-0001-8685-2447, Mount Sinai Hospital), Fabiana Bacchini (0000-0003-4343-774X, Canadian Foundation for Healthcare Improvement), Douglas M Campbell (0000-0001-7046-0959, St. Michael's Hospital), Karen M Benzies (0000-0002-9090-2395, University of Calgary), Karel O’brien (0000-0002-1566-7364, Mount Sinai Hospital, corresponding author) |
| Year | 2025 |
| Volume | 12 |
| Issue | 11 |
| Pages | 1548-1548 |
| Publication date | 2025-11-16 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Children (JOURNAL) |
| Journal identifiers | ISSN: 2227-9067 • E-ISSN: 2227-9067 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/children12111548 |
| PMID | 41300664 |
| OpenAlex | W4416295986 |
| Language | EN |
| References cited | 19 |
Background/Objectives : In Ontario, approximately 8% (11,000) of infants are born preterm (22- 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
Integrated care · Intensive care · Intensive care unit · MEDLINE · Neonatal intensive care unit · Family and Patient Care in Intensive Care Units · Infant Development and Preterm Care · Neonatal Respiratory Health Research
| Citation velocity | historical |
|---|---|
| Highly cited | No |