BACKGROUND The mobile-enhanced family-integrated care (mFICare) model addresses inconsistencies in family-centered care (FCC) delivery, with an evidence-based bundle of staff training, parent participation in rounds, parent classes, parent peer mentors, expanded role for parents in infant caregiving, and a parent-designed app. PURPOSE Our aim was to explore the views of neonatal intensive care unit (NICU) nurses and physicians about mFICare implementation, including what worked well and what could be improved. METHODS As part of a larger study to compare mFICare with FCC, we invited registered nurses, nurse practitioners, and fellow and attending physicians at the 3 study sites to participate in a survey about mFICare implementation. Data were analyzed with descriptive statistics and thematic analysis. RESULTS The majority of the 182 respondents with experience delivering mFICare positively rated parent-led rounds, parent classes, parent skills acquisition, and the nurse-family relationship resulting from participation in mFICare. Respondents were less familiar or neutral regarding the parent peer mentor and app components of mFICare. Most respondents agreed that the mFICare program improved parent empowerment, and they shared suggestions for optimizing implementation. Physicians experienced more challenges with parent participation in rounds than nurses. Three themes emerged from the free-text data related to emotional support for parents, communication between staff and parents, and the unique experiences of families receiving mFICare. IMPLICATIONS FOR PRACTICE AND RESEARCH The mFICare program was overall acceptable to nurses and physicians, and areas for improvement were identified. With implementation refinement, mFICare can become a sustainable model to enhance delivery of FCC in NICUs.

中文翻译：

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针对早产儿的移动增强家庭综合护理：护士和医生对实施的看法。

背景 移动增强家庭综合护理 (mFICare) 模式解决了以家庭为中心的护理 (FCC) 提供中的不一致问题，通过基于证据的员工培训、家长参与查房、家长课程、家长同伴导师、扩大了父母照顾婴儿，以及父母设计的应用程序。目的 我们的目的是探讨新生儿重症监护病房 (NICU) 护士和医生对 mFICare 实施的看法，包括哪些方面效果较好，哪些方面可以改进。方法 作为比较 mFICare 与 FCC 的更大规模研究的一部分，我们邀请了 3 个研究中心的注册护士、执业护士以及研究员和主治医生参加有关 mFICare 实施情况的调查。通过描述性统计和主题分析对数据进行分析。结果 在 182 名具有 mFICare 经验的受访者中，大多数人对家长主导的查房、家长课程、家长技能获取以及参与 mFICare 所产生的护士与家庭关系给予积极评价。受访者对 mFICare 的家长同伴导师和应用程序组件不太熟悉或中立。大多数受访者都认为 mFICar 计划改善了家长赋权，并分享了优化实施的建议。与护士相比，医生在家长参与查房方面面临更多挑战。自由文本数据中出现了三个主题，涉及对家长的情感支持、工作人员与家长之间的沟通以及接受 mFICare 的家庭的独特经历。对实践和研究的影响 mFICare 计划总体上为护士和医生所接受，并确定了需要改进的领域。通过实施细化，mFICare 可以成为增强 NICU 中 FCC 服务的可持续模式。