PEC innovation最新文献

{"title":"Taking a step back: Parents' experiences of the decision-making process for elective orthognathic surgery in cleft lip and palate (IPA)","authors":"Jana Safarikova ,&nbsp;Eliane Young ,&nbsp;Kiki Mastroyannopoulou ,&nbsp;Paul Fisher","doi":"10.1016/j.pecinn.2024.100362","DOIUrl":"10.1016/j.pecinn.2024.100362","url":null,"abstract":"<div><h3>Objective</h3><div>This study explored parents' experiences of the transition of responsibility to their child for healthcare decisions relating to their cleft lip and/or palate (CL/P).</div></div><div><h3>Methods</h3><div>Online semi-structured interviews were conducted with 11 participants (six females and five males, aged 41 to 60 years). They were parents of young people who had decided whether to undergo orthognathic surgery. The data were transcribed and analysed using interpretative phenomenological analysis (IPA).</div></div><div><h3>Results</h3><div>A responsibility shift from participants to their children was identified in 2 main themes ‘A natural process <em>(or not)</em>’ and ‘It has to be their decision’.</div></div><div><h3>Conclusion</h3><div>The process of shifting responsibility for decision-making to the child comprised a spectrum of experiences from a relief to a shock and upset. Participants went through sometimes difficult negotiating of their ongoing involvement while supporting their child.</div></div><div><h3>Innovation</h3><div>The importance of addressing psychological aspects of the family system as well as the young person is highlighted here. Addressing the familial complexities of the transition may contribute to the success of the whole process. Clinicians need careful consideration of the potential emotional impact on parents which is not always shared.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100362"},"PeriodicalIF":0.0,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived usability and acceptability of the My-Hip Fracture risk communication tool from the perspective of academic clinicians","authors":"Erin L. Hommel ,&nbsp;James P. Flaherty ,&nbsp;Caitlin R. Aguirre ,&nbsp;Amber S. McIlwain ,&nbsp;Monique R. Pappadis ,&nbsp;Pete Wegier ,&nbsp;Peter Cram","doi":"10.1016/j.pecinn.2024.100360","DOIUrl":"10.1016/j.pecinn.2024.100360","url":null,"abstract":"<div><h3>Objective</h3><div>We evaluated the usability and acceptability of My-Hip Fracture (My-HF), a web application that assists providers in delivering individualized prognostic information to patients hospitalized for hip fracture (HF).</div></div><div><h3>Methods</h3><div>We observed a sample of 16 clinicians as they navigated My-HF. We then administered a structured questionnaire and conducted semi-structured interviews to explore participants' opinions about the app's content and the feasibility of incorporating the app into clinical workflows.</div></div><div><h3>Results</h3><div>Clinicians required a median of 2-min and 45 s to navigate through the app. Nearly all participants indicated that My-HF was easy to use and would be useful for their practice. About half of participants had suggestions for additional useful peri-operative content. A few expressed concerns about communicating mortality risk. About half expressed concerns about how My-HF might be integrated into existing clinical workflows.</div></div><div><h3>Conclusions</h3><div>Though clinicians rated My-HF high on usefulness in a structured usability questionnaire, qualitative interviews identified a number of suggestions for optimizing integration into clinical practice. Creating shared goals, establishing a decision coach, and developing a framework of communication across care settings could facilitate integration of My-HF by the multidisciplinary HF team.</div></div><div><h3>Innovation</h3><div>My-Hip Fracture is a unique web application which provides personalized prognostic information to patients and families after HF. My-HF has potential to facilitate informed decision-making between clinicians and patients, but adaptations will be necessary to enhance its usability.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100360"},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The nursing shared decision making attitude scale: A translation and psychometric evaluation study","authors":"Stefanie van den Broek ,&nbsp;Floor Halvorsen ,&nbsp;Bregje Raap- van Sleuwen ,&nbsp;Rien de Vos","doi":"10.1016/j.pecinn.2024.100361","DOIUrl":"10.1016/j.pecinn.2024.100361","url":null,"abstract":"<div><h3>Background</h3><div>Nurses have an increasingly important role in the ‘shared decision-making’ process. Knowledge about attitudes can facilitate the implementation process of the different roles of nurses in shared decision-making. However, no specific instrument is available in Dutch to assess Dutch nurses' attitudes towards shared decision-making.</div></div><div><h3>Aim</h3><div>This study aims to translate the Nursing Shared Decision Attitude scale into Dutch and evaluate its psychometric properties.</div></div><div><h3>Design</h3><div>Psychometric evaluation study.</div></div><div><h3>Settings</h3><div>A general hospital in the Netherlands.</div></div><div><h3>Participants</h3><div>A random sample of 128 nurses.</div></div><div><h3>Methods</h3><div>The translation was performed using translation and cross-cultural guidelines. Experts assessed content validity. In a cross-sectional study, 128 nurses completed the Dutch Nursing Shared Decision Attitude scale. The factor structure of the Dutch Nursing Shared Decision Attitude scale was determined by principal components analysis. Internal consistency and standard error of measurement (SEM) were assessed. A first and simple hypothesis for construct validity was tested.</div></div><div><h3>Results</h3><div>Experts rated content validity as adequate. The principal components analysis revealed a 2-factor structure as most suitable (Empathic communication and Mastery learning) consistent with the original Nursing Shared Decision Attitude scale. The explained variance was 55 %. The internal consistency was 0.84 and 0.78 for the subscales and the SEM was 1,65. The mean score on the Dutch Nursing Shared Decision Attitude scale was 46,4 (CI: 42.77–49.23). A first and simple hypothesis that more experience in shared decision-making would lead to higher shared decision-making scores on the Dutch Nursing Shared Decision Attitude scale, could not be confirmed.</div></div><div><h3>Conclusion and innovation</h3><div>This study fills in a gap concerning available instruments to assess attitudes towards SDM among nurses since there is no instrument available for the Dutch population.</div><div>The results of this study are a first and somewhat promising step towards further developing the reliability and validity of the Dutch Nursing Shared Decision Attitude scale as a measure of hospital nurses' attitudes towards shared decision-making. Such measurement information is relevant to researchers and nurses involved in the implementation of shared decision-making in nursing practice.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100361"},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142757203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring professionals' attitudes toward persistent somatic symptoms: Development, validation, and reliability of the professionals' Attitude to Persistent Somatic Symptoms Questionnaire (PAPSS)","authors":"Denise J.C. Hanssen ,&nbsp;Charlotte A. Spiertz ,&nbsp;Lineke M. Tak ,&nbsp;Judith G.M. Rosmalen","doi":"10.1016/j.pecinn.2024.100359","DOIUrl":"10.1016/j.pecinn.2024.100359","url":null,"abstract":"<div><h3>Objective</h3><div>The healthcare professional's attitude toward persistent somatic symptoms (PSS) seems to play an important role in access to and quality of care for patients with PSS. To encourage research on PSS attitude, we developed and validated the Professionals' Attitude to Persistent Somatic Symptoms Questionnaire (PAPSS).</div></div><div><h3>Methods</h3><div>A list of items was developed through theory and a focus group with PSS experts, with response categories on a 5-point Likert scale ranging from “strongly disagree” to “strongly agree”. These items were then validated through a sample (<em>N</em> = 411) consisting of medical specialists, general practitioners, and psychologists. Subscales of the PAPSS were constructed using repeated factor analyses and reliability analyses.</div></div><div><h3>Results</h3><div>Exploratory factor analyses resulted in a 15-item questionnaire with four subscales: “Perceived burden” and “Affinity” showed good reliability rates; “Perceived professional competence” and “Openness to patient-centered care” had questionable reliability rates. In general, psychologists had the most pronounced scores on subscales compared to medical specialists and general practitioners.</div></div><div><h3>Innovation</h3><div>The PAPSS is the first questionnaire for exploring the role of the professional's attitude toward PSS; it offers opportunities for further research on the influence of attitude on treatment of PSS.</div></div><div><h3>Conclusions</h3><div>The PAPPS is a relatively short questionnaire that can be used in both quantitative research and clinical care. However, it requires further research on psychometric qualities, including the validation of the translated versions of this questionnaire.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100359"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single-encounter elicitation framework for diagnostic excellence patient-reported measures: SEE-Dx-PRM","authors":"Vadim Dukhanin ,&nbsp;Kathryn M. McDonald ,&nbsp;Susan K. Peterson ,&nbsp;Kelly T. Gleason","doi":"10.1016/j.pecinn.2024.100357","DOIUrl":"10.1016/j.pecinn.2024.100357","url":null,"abstract":"<div><h3>Objective</h3><div>To create a conceptual framework for assessing patient-reported diagnostic excellence of a single diagnostic encounter.</div></div><div><h3>Methods</h3><div>We held multiple expert panel meetings to prioritize a priori identified diagnostically relevant patient-reported experience and outcome domains. We combined and synthesized expert feedback with our experience in measure development and the reflections of a patient focus group. We then developed the framework, SEE-Dx-PRM (Single-Encounter Elicitation Framework for Diagnostic Excellence Patient-Reported Measures).</div></div><div><h3>Results</h3><div>We defined the SEE-Dx-PRM's scope as intended for a single diagnostic encounter in emergency or urgent care, prospective and agnostic of the health condition, and with a timeframe of within several days up to a month from the encounter. The SEE-Dx-PRM's diagnostic excellence outcomes are: (1) accurate diagnosis and (2) either final, or working diagnosis, or specific next steps to establish diagnosis that were communicated and comprehended by patients. SEE-Dx-PRM encompasses 2 domains associated with accurate diagnosis, 5 domains of patient perception of iterative diagnostic process, 5 domains associated with communication and comprehension, and a domain associated with uncertainty.</div></div><div><h3>Conclusion</h3><div>SEE-Dx-PRM-informed measures might support quality improvement, prompt system response, and research on diagnostic excellence.</div></div><div><h3>Innovation</h3><div>SEE-Dx-PRM presents a novel patient-centered framework for the emerging diagnostic excellence construct and its measurement.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100357"},"PeriodicalIF":0.0,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142705579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tech + touch: A pilot study to facilitate access to health information technology for Spanish-speaking parents","authors":"Jennifer C. Gutierrez-Wu ,&nbsp;Jennifer Pilotos McBride ,&nbsp;Allison Pittman ,&nbsp;Yumei Yang ,&nbsp;Feng-Chang Lin ,&nbsp;Kori B. Flower","doi":"10.1016/j.pecinn.2024.100358","DOIUrl":"10.1016/j.pecinn.2024.100358","url":null,"abstract":"<div><h3>Objectives</h3><div>As Spanish-speaking parents face many barriers to care, we sought to: (1) understand HIT experiences and preferences; (2) pilot test a tablet/navigator intervention; (3) understand HIT uses and barriers.</div></div><div><h3>Methods</h3><div>Prospective, uncontrolled, non-randomized, pilot intervention examining facilitated access to a patient portal for Spanish-speaking parents. Parents were recruited from pediatric specialty clinics in an academic center. Parents received an electronic tablet pre-populated with health resources, plus 2 telephone calls from a navigator. Surveys assessed HIT perceptions/use; portal activation was assessed through electronic records.</div></div><div><h3>Results</h3><div>Twenty-five Spanish-speaking parents were enrolled. All parents wished they knew more about their child's health and that doctors knew them better. Most parents endorsed interest in HIT, however only 12% activated portals. Post-intervention, there were non-significant increases in using portals to make appointments, receive reminders, send/receive messages, and view labs/instructions. Uses of study tablets included video visits (56%), health/COVID information (16%), and schoolwork (16%).</div></div><div><h3>Innovation</h3><div>Spanish-speaking parents express high interest in HIT. Provision of tablets may augment electronic capacity and facilitate video visits. Greater Spanish-language support is needed for Spanish-speaking parents to meaningfully use portals.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100358"},"PeriodicalIF":0.0,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142705578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of integrating making every contact count into an undergraduate medical curriculum","authors":"Robyn Fletcher ,&nbsp;Alexander Hammant ,&nbsp;Rebecca Symes ,&nbsp;Andrew Turvey ,&nbsp;Andy Ward ,&nbsp;Ary Mahdzir ,&nbsp;Bharathy Kumaravel","doi":"10.1016/j.pecinn.2024.100356","DOIUrl":"10.1016/j.pecinn.2024.100356","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the feasibility and effectiveness of integrating Making Every Contact Count (MECC) using Healthy Conversation Skills (HCS) into an undergraduate medical curriculum and test the performance of an associated assessment.</div></div><div><h3>Methods</h3><div>Concepts were introduced to second year students through lectures, small group seminars, role-plays and a new Objective Structured Clinical Examination (OSCE).</div><div>station. Students' feedback was gathered and their examination performance was analysed.</div></div><div><h3>Results</h3><div>MECC/HCS was integrated into the undergraduate medical curriculum at Leicester Medical School. Teaching had a positive impact on the students' self-reported confidence in carrying out MECC (7/10 to 9/10, <em>p</em> &gt; 0.001) and in their self-reported likelihood of doing so (7/10 to 9/10, p &gt; 0.001). The MECC OSCE station was good at discriminating between students' abilities (group discrimination metric 4.36–4.44). The small negative alpha differences for the MECC/HCS station (−0.032 and − 0.028) indicated this station positively contributed to the overall reliability of the assessment.</div></div><div><h3>Conclusion</h3><div>It was feasible to integrate MECC/HCS into an undergraduate medical curriculum, with a positive impact on students' confidence.</div></div><div><h3>Innovation</h3><div>In addition to teaching, this study describes the development and testing of OSCE stations to assess students' MECC skills in simulated clinical scenarios.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100356"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142705577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How often are patients recording their healthcare consultations in Australia and why? An online survey","authors":"Megan Prictor ,&nbsp;Glyn Elwyn ,&nbsp;Amelia Hyatt","doi":"10.1016/j.pecinn.2024.100355","DOIUrl":"10.1016/j.pecinn.2024.100355","url":null,"abstract":"<div><h3>Purpose</h3><div>Recording important healthcare consultations can benefit patients. Technological developments enable recordings by patients and health professionals, as well as real-time ‘listening’ by AI scribes. Not enough is known about whether and why patients record their consultations.</div></div><div><h3>Objective</h3><div>To investigate people's experiences and preferences regarding consultation recording in Australia.</div></div><div><h3>Methods</h3><div>A 21-item online survey available for all Australians aged 18+ was distributed via social media and professional networks in 2022. Items explored recording behaviour (past and planned), and reasons for recording and sharing. Quantitative data were analysed descriptively; qualitative content analysis was used to analyse open-text items.</div></div><div><h3>Results</h3><div>A total of 486 responses were received, of which 236 responses were analysed. Of these, 26 % had openly recorded a healthcare consultation, and 15 % had recorded covertly. The majority (71 %) of participants would consider recording a visit and would like their clinic to allow this (56 %). Participants strongly opposed the idea of sharing a recording on social media (84 %). Open-text responses indicated participants valued the health professional's consent, and protecting their own privacy by not oversharing recordings.</div></div><div><h3>Conclusion</h3><div>Recording of consultations in Australia is common, usually to enhance patients' knowledge, understanding, and participation in their care. Patients value the possibility of recording, especially when they are experiencing vulnerability. Recording can help people navigate the impacts of disability and barriers to information access. Privacy and fairness remain paramount.</div></div><div><h3>Innovation</h3><div>This is the first survey of recording practices in Australia and is highly-relevant given recent technological developments. The findings indicate that changes in policy, law and technologies themselves are needed, to clarify parties' rights and responsibilities and to ensure the benefits of consultation recording are realised.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100355"},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving communication to increase uptake of high-risk breast cancer prevention appointments: Building a better letter","authors":"Evan K. Perrault ,&nbsp;Maria K. Venetis ,&nbsp;Tarah J. Ballinger","doi":"10.1016/j.pecinn.2024.100354","DOIUrl":"10.1016/j.pecinn.2024.100354","url":null,"abstract":"<div><h3>Objective</h3><div>Mailed letters to women identified as being at high-risk for developing breast cancer were not having the desired effect for encouraging appointments with prevention-focused providers at a large Midwest healthcare system. A partnership with communication scholars sought to revise the letter to increase awareness, intentions, and appointments.</div></div><div><h3>Methods</h3><div>Guided by the Extended Parallel Process Model, survey responses were collected from letter recipients over the course of two years, both pre and post letter revision. Appointments attributed to letters were also tracked.</div></div><div><h3>Results</h3><div>Recipients of the revised letter had increased knowledge regarding the length of prevention appointments and indicated greater self-efficacy and intentions to make and attend appointments compared to those who received the non-revised letter. A greater percentage who received the revised letter also made appointments.</div></div><div><h3>Conclusion</h3><div>Partnering with communication scholars helped with improving a letter mailed to thousands of patients each year. Finding ways to increase response-efficacy of breast cancer prevention activities within communications may assist in increasing appointments.</div></div><div><h3>Innovation</h3><div>Cross-disciplinary partnerships across the medical and social sciences – while not quick or simple – are essential for finding ways to improve patient wellbeing and hopefully reducing the prevalence of preventable diseases in the future.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100354"},"PeriodicalIF":0.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142653966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors contributing to implementation of a father-friendly neonatal intensive care unit in Denmark","authors":"Betty Noergaard ,&nbsp;Karin Yde Waidtløw ,&nbsp;Poul-Erik Kofoed ,&nbsp;Signe Valkvist","doi":"10.1016/j.pecinn.2024.100353","DOIUrl":"10.1016/j.pecinn.2024.100353","url":null,"abstract":"<div><h3>Objective</h3><div>Although family-centred care (FCC) is recommended in neonatal intensive care units (NICUs), barriers still exist. This study aimed to identify and understand and nurse-related factors contributing to the implementation of a father-friendly NICU (FF-NICU).</div></div><div><h3>Methods</h3><div>Eleven pre- and post-implementation focus groups were conducted with 21 nurses. Data were analysed using meaning condensation.</div></div><div><h3>Results</h3><div>Four pre-implementation themes emerged: 1) fathers' limited presence, 2) worries, vulnerability, and emotions, 3) types of fathers, and 4) involvement of fathers.</div><div>Eight themes contributed to the implementation of FF-NICU: 1) Advantage for the infant/family, 2) Presence of fathers, 3) Less work for the nurses, 4) Daily work routines, 5) Taking something from the mother, 6) Different approaches, 7) Creativity and flexibility, and 8) Implementation process.</div></div><div><h3>Conclusion</h3><div>Important for the implementation of FF-NICU were that the change was necessary, advantageous for the nurses, and beneficial for the families. Still, nurses needed to be flexible and creative in the care of the fathers/families.</div></div><div><h3>Innovation</h3><div>This study focused on fathers - an underexposed target group. Examining key factors for those executing the intervention and discussing the findings using the theoretical framework of John P. Kotter's implementation strategy, we contribute to a better understanding of implementation processes.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100353"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142571271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}