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Table 2 Capacity Building Elements

From: The Alberta Neonatal Abstinence Syndrome Mother-Baby Care ImprovEmeNT (NASCENT) program: protocol for a stepped wedge cluster randomized trial of a hospital-level Neonatal Abstinence Syndrome rooming-in intervention

Team and leadership

Forming the implementation team; building a strong effective care team; establishing commitment; motivation, joint goals, responsibility, success; developing attentive leadership at units and with site champions

Knowledge

Founding expertise; acquiring contextual knowledge (e.g., addictions and mental health); advancing individual competencies (care providers, families/ mothers); adopting evidence-based practice and care (e.g., ESC, mother & baby-/ family- centered, trauma-informed, culturally safe care)

Ability to change

Changing norms of traditional care; reflecting on attitudes and beliefs; forming a unit climate supportive of learning, reflection, and evaluation

Relationships

Working towards trusting relationships with mothers and families; building connections within the hospital and across sectors; fostering linkages of acute care and community settings who provide care to mothers to support women pre- and post-delivery, to ensure continuum of care; ensuring open on-going channels of communication among implementation team, staff, patients, and administration