Table 1.
Components of Model | Description |
---|---|
Advanced Practice Nurse (APN) support |
All team members contribute to a comprehensive plan for individual discharges, hold consultations, coordinate and collaborate closely with different HCPs so that information flows freely, and they participate in regular interprofessional exchanges. The APN takes a family-centered approach in assessing the needs of the families and in making shared decisions. The APN regularly visits, consults with and educates parents and acts as a continuous partner. After discharge, the APN offers three systematic follow-up calls, telephone support when needed and up to nine follow-up home visits to assess the physical health of infants and parents and the mental health of parents, with a view of evaluating interventions and adapting the care as the family’s needs evolve. |
Psychological support | A psychologist provides psychological support to all families, comprising assessment and at least three follow-up consultations before the infant is discharged. The goal is to re-establish emotional stability, improve parents’ ability to cope, prevent the parents and family from developing adaptive disorders and protect the infant from developmental disorders. |
Lactation consultation | During hospitalization, the lactation consultant responds to the needs of the families, including fathers. The aim is to strengthen parent–child bonds and to show parents how to meet their child’s nutritional needs. |
Physical therapy | The physical therapist provides treatment after an assessment. In a single consultation, the family learns how to handle their premature infant in everyday life, in a manner appropriate to the infant’s developmental stage. |
Support by social worker | Social workers collaborate closely with the APN and are involved with every family. They help families cope with daily life after preterm birth and during and after hospitalization. |
Music therapy | A music therapist offers music therapy during hospitalization to stabilize the child, support its development, reduce parents’ anxiety and enhance their self-efficacy. |
Interprofessional roundtable discussion |
Interprofessional roundtable discussions with involved HCPs and parents are held twice while the preterm infant is hospitalized and once three months after discharge. The meetings seek consensus on the optimal support for families in care. |
1 Table first published in Schuetz Haemmerli et al., 2021 [21].