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Table 2 The theoretical phases, the aimed clinical practices, and implementation strategies of the training program

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

Intervention Effect on clinical practices Strategy of implementation
General features   Targeted to the whole multiprofessional NICU healthcare team
 0. Pre intervention   Negotiation with leadership
• timing
• engagement
• resources
Audit of current practices
 1. Phase I: Observation of infant behavior The staff learn to observe infant behavior to identify each infant’s individual features and preferences; Staff learn to communicate about infants’ individuality Theoretical education
• Lectures
• Demonstrations
• Learning material (manual)
Individual experiential learning
• Mentoring: Bed-side observation practices with a mentor
• Reflecting on the observation experiences
Unit level experiential learning
• Reflecting on new understanding or discoveries with colleagues
 2. Phase II: Joint observation Staff learn to actively listen to parents’ perceptions about their infant through joint observations; Collaborative planning of infant care based on joint observations ➔ supporting partnership between staff members and parents Theoretical education
• Lectures
• Demonstrations
• Learning material (manual)
Individual experiential learning
• Mentoring: Bed-side joint observation practices with a mentor using ‘See Me Develop’a
• Reflection on the observation experiences
Unit level experiential learning
• Reflecting on new understanding or discoveries with colleagues
 3. Phase III: Individual story of the family Getting to know the individual story of the family and their infant; Developing empathy; Individualized plan about the parental participation in the care of their infant
➔ supporting partnership between staff members and parents
Theoretical education
• Lectures
• Demonstrations
• Learning material (manual)
Individual experiential learning
• Mentoring: Bed-side semi-structured discussion practices using a modified version of the Clinical Interview for Parents of High-Risk Infants CLIP-Ia
• Reflecting on the discussion practice with a mentor
Unit level experiential learning
• Reflecting on new understanding or discoveries with colleagues
 4. Phase IV: Family centered transition to home Collaborative planning of transition to home; Shared decision-making; Including the parents in the healthcare team ➔ supporting the partnership between staff members and parents Theoretical education
• Lectures
• Demonstrations
• Learning material (manual), ‘Step toward home’a
Healthcare team level experiential learning
• Medical round observation practices
• Reflection of the medical round observation with healthcare team
  1. aTools provided to the staff to practice collaboration with parents during the bedside practices