A Safety Model for High Risk Mother and Infant Care | SNQ Symbol of National Quality | Taiwan’s Trusted Mark for Safety and Quality

Target Population

Advanced maternal age primiparas (≥34 years).
Women with pregnancy-related complications or exhibiting symptoms of postpartum depression.
Preterm infants (<37 weeks of gestation or birth weight <2,500 g) and newborns with feeding difficulties.

Description

Guided by the core philosophy of “Light of Life, Gentle Guardianship” we developed the L.I.G.H.T. Care Model, a comprehensive framework designed to deliver continuous, safe, and high quality care for high risk mothers and infants across the full care continuum-from antenatal and intrapartum care to postpartum support and early intervention services.
The L.I.G.H.T. Care Model integrates five key dimensions: Linking, strengthening parent–infant bonding and nurse–patient relationships; Innovation, incorporating advanced technologies and innovative care practices; Guardianship, ensuring physical and psychological safety with proactive risk prevention; Holistic, fostering interdisciplinary collaboration and early therapeutic intervention; and Tracking, enabling long term follow up and continuity of care.
A total of 11 innovative initiatives were implemented, including the clinical application of four newly patented and National Innovation Award recognized medical devices-a safety breastfeeding pillow, an improved neonatal identification ankle band, an intravenous catheter protective device, and a quantitative neonatal blood sampling device. These innovations are complemented by structured assessment processes, such as SPARC-T holistic assessment, postpartum depression screening, and evaluations of feeding difficulties in preterm infants, ensuring both precision and human centered care.
To further enhance continuity, LINE Official Accounts (LINE OA) are utilized to track the growth and development of preterm infants up to two years of age, establishing a robust interdisciplinary long term follow up mechanism. Through integrated technology, standardized assessments, and collaborative care pathways, the L.I.G.H.T. Care Model significantly enhances safety, efficiency, and care quality for high risk mother-infant dyads, demonstrating a distinctive nursing innovation that balances clinical excellence, compassion, and patient safety.

Key Highlights

An innovative L.I.G.H.T. integrated care model for high risk mothers and infants was developed, incorporating five core dimensions and 11 targeted initiatives to establish a replicable and sustainable clinical care framework. This model delivers integrated emotional, humanistic, breastfeeding, and developmental support, creating a safe, reassuring, and compassionate mother-infant care environment.
By integrating the Edinburgh Postnatal Depression Scale (EPDS) and SPARC-T holistic assessment, the model effectively reduces the positive screening rate for postpartum depression among high risk mothers.
A LINE based follow up system led by preterm infant case managers improved two-year follow-up rates and enabled early detection and timely intervention through regular clinic visits.