Table 3 Behaviour Change Components for NASCENT
Practice change Individuals, units, and hospitals | - Establish referral processes - Admit NAS babies to rooming-in program instead of NICU - Use ESC or other methods to minimize the use of pharmacological interventions - Provide care for NAS babies and support mothers for longer period in hospital than usually provided for delivering mothers - Support mothers and families in breastfeeding and caring for the baby while in hospital - Ensure supports are in place in the community upon discharge |
Culture change Individuals | - Health care providers provide trauma-informed care reflected as behaviours that support women to take care of their babies: e.g., listening, encouraging mothers, providing care with respect and compassion - Individuals’ behaviours that are NOT based on stigma and bias - Providing care that demonstrates cultural safety - Optimal care, equity based for perinatal women using substances - Health care providers provide hopeful care (supporting the patient’s goals and capacity to achieve their goals, and care providers’ belief in the possibility of the patient living their desired future) |