Table 5.

Measures to overcome difficulties to foster FICare during the pilot.

Barriers to implementation	Mitigation strategies
Nursing staff reluctant to work alongside the model.	Periodic newsletter about the progress; FICare workshop for staff in mid-term of pilot.
Knowledge of parents about procedures generates insecurity in the professionals.	Harmonization and adherence to contents/procedures on educational manual.
Resistance to allowing full autonomy to parents in tasks already certified.	Grouping patients in the same ward.
Transition from NICU to intermediate care represents a halt in parent training.	Grouping patients in the same ward.
Knowledge transfer in the change of nursing shift.	Standardized template to address the individualized teaching plan.
Progress is made in tasks that are not registered/certified. Parents not routinely involved in clinical rounds.	Weekly FICare rounds with responsible nurse/doctor to ascertain individual progress and certification by task and logbook registry.
Rotation of nursing staff that hinders the continuity of the program.	Assignment of trained nursing staff to FICare.