Dove Press



Supplementary table 1: Semi-structured interview guide – focus groups health care professionals (HCP)Type of questionQuestionsOpening questionWhat was your motivation to work on the project, with its new form of interprofessional collaboration (IPC)?How have you been involved in the project?How did you feel about your participation in the study?Transition question How did you experience the collaboration with the families in the pilot study?Where were your touchpoints with the families? Key questionSatisfactionWhich aspects of the collaboration with project parents did you find enriching?What would you do differently?What changes/improvements would you like to see?What would constitute ideal parental support?Key questionInterprofessional collaboration (IPC)Different healthcare professionals (HCP) help care for preterm children and their families,How did you feel about your collaboration with other HCP?How did you feel about your collaboration with the APN?What was challenging about collaborating with other HCP?How could these challenges in IPC have been avoided?What must happen for IPC to be successful in the in- and outpatient setting?What are the differences between IPC before and after the he TtH-model was implemented?Key questionFeasibilityHow did you feel about the pilot phase, generally?Which processes ran smoothly and why?Which components of the TtH-model do you think are very feasible and effective, and why?Which challenges did you face, in general?What future challenges do you expect if the model is permanently implemented?How could these challenges be prevented?What additional conditions would need to be met for the model to be implemented throughout Switzerland?Final questionWhat do you think care of families with preterm children will look ten years from now?What are your desires and visions for future implementation of the TtH-model?Would you like to add something we did not discuss?Summary The facilitator summarizes the discussion in about 2 minutes.Participants are invited to comment, correct, and adapt the contents of the summary of their reflections.Supplementary table 2: Summary of recommendations to further implement the TtH – modelRecommendations to further implement the Transition to Home - Model (TtH)Improve collaboration with familiesThe Advanced Practice Nurse (APN) should identify and differentiate the risk of parental overwhelm and oversupply and introduce appropriate interventions to prevent it.Include families with low health competence and a poor family support system.Develop and provide module-based services.APN should be introduced and establish a relationship before the birth of the child.Involve only as many Health Care Professionals (HCP) as necessary in interventions provided to families.Improve interprofessional collaboration (IPC)Support the institution’s paradigm shift toward a network IPCEstablish structures that foster network IPC, e.g., weekly interprofessional anize interprofessional activities, meetings, and trainings.Optimize communicationTrain HCP in effective communication strategies; an independent instructor should teach structured information transfer and conflict management.Establish and use a standardized cross-institutional electronic patient record systemImprove cooperation and clarify rolesClearly define the APN’s scope of practice so it differs from other HCPs’, especially nurses. In case of overlap, the hospital's internal and external HCPs should together define individual stakeholders’ areas of responsibility.Document the scope of practice in a role description and incorporate into guidelines the role descriptions for all HCP in the TtH-model.The APN should take a transformational leadership approach to IPC.APN’s should hold a masters’ degree. The APN with a master’s degree ensures training of staff without masters’ degree. Increase the APN’s employment level and clinical presence to ensure they are available Monday to Friday and for on-call support on weekends.Roundtable discussionsStructure the roundtable discussions with a checklist and standardized protocol.Develop the documents in an interprofessional team of hospital internal and external stakeholders.Specifications for short- and long-term treatment objectives should be binding.Schedule a specific day of the week for holding interprofessional roundtable discussions.Institutional support for implementing and updating the modelProvide sufficient human resources and structures to ensure parents will be better supported and IPC will be optimal.Optimize use and coordination of existing human resources. Deploy internal and external stakeholders according to their expertise. ................
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