{
  "abstract": "Background Family integrated care (FiCare) is a model of neonatal care promoting partnership between parents and staff 1 2 which is shown to improve neonatal and parental outcomes.3 The project aimed to introduce FiCare into a surgical neonatal intensive care unit (NICU) by promoting use of the family care book, staff education and parent involved anthropometric measurements of their baby and monitor changes following implementation. BAPM and BLISS have published frameworks and recommendations regarding implementation for all NICU’s. Once threshold met, an application for Bliss Silver accreditation will be submitted.2 Method Outcomes were measured using parent and staff surveys conducted pre, mid and post implementation. Weekly anthropometric measurements and family care book usage were audited to assess compliance.Results Response rate of the mid implementation staff survey was 51%, 77.7% comprised nursing staff and 22.2% allied health professionals (AHP’s) compared with 70.7% and 29.3% respectively pre implementation. The post implementation survey comprised of 85.7% nursing staff and 14.3% medical staff ( figure 1). Attendance of the hour FiCare training session increased from 36.2% pre to 51.4% post implementation (figure 2). Staff knowledge of the family care book increased to 77.1% post implementation compared with 29% pre (figure 3). Similarly, staff reported their knowledge to impart to parents increased from 65.5% either agreeing or strongly agreeing to 97% post implementation while 92% of staff responded positively to NICU being a family friendly unit mid implementation (figures 4 and 5). An application for Bliss Silver accreditation was submitted August 2025.Conclusion FiCare has been well accepted by the NICU staff and wider multi-disciplinary team. Results are promising and highlight that staff FiCare education has helped to increase knowledge and confidence while changing our NICU culture by fostering a greater partnership with parents. Sustained development of this project is contingent upon ongoing input and collaboration from staff and family.Acknowledgements for Funding or Support This work is funded by the GOSH Charity. The views expressed are those of the authors and not necessarily those of the Charity, NHS or the Department of Health.References NHS England and NHS Improvement (2019) Implementing the Recommendations of the Neonatal Critical Care Transformation Review.BLISS Baby Charter 2021. [internet]. [cited 2025 Jun 29]. Available at https://www.bliss.org.uk/health-professionals/bliss-baby-charterBrien K, Robson K, Bracht M, Cruz M, Lui K, Alvaro R, da Silva O, Monterrosa L, Narvey M, Ng E, Soraisham A, Ye XY, Mirea L, Tarnow-Mordi W, Lee SK, O’Brien K, Lee S, Bracht M, Caouette G, Ng E. Effectiveness of family integrated care in neonatal intensive care units on infant and parent outcomes: a multicentre, multinational, cluster-randomised controlled trial. The Lancet Child & Adolescent Health 2018;2(4):245–254.BAPM (2021). Family Integrated Care A Framework for Practice. [internet]. [cited 2025 Jun 29]. Available at https://www.bapm.org/resources/ficare-framework-for-practiceAbstract 133 Figure 1Abstract 133 Figure 2Abstract 133 Figure 3Abstract 133 Figure 4Abstract 133 Figure 5",
  "authors": [
    {
      "affiliations": [
        "Great Ormond Street Hospital for Children NHS Foundation Trust, UK"
      ],
      "name": "Tara O’Regan"
    },
    {
      "affiliations": [
        "Great Ormond Street Hospital for Children NHS Foundation Trust, UK"
      ],
      "name": "Glenn Tamiroy"
    },
    {
      "affiliations": [
        "Great Ormond Street Hospital for Children NHS Foundation Trust, UK"
      ],
      "name": "Rhiannon Jones"
    }
  ],
  "title": "133 Family Integrated Care implementation on a Level 3 surgical NICU",
  "uid": "1e82f00f-9fec-5380-9df8-24afeae1ffa0"
}