Improving Safe Sleep Environments for Well Newborns in the Hospital Setting

Mason, B.; Ahlers-Schmidt, Carolyn R.; Schunn, Christy

doi:10.1177/0009922813495954

Cited by 50 publications

(64 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most notably, no cribs had complete adherence to SSP. As in other studies, 14,16 implementing room audits demonstrated overall improvements, with larger gains in a subset of practices. Complete adherence remains challenging, probably because of the need for unique solutions for different components of a safe sleep environment.…”

Section: Discussionsupporting

confidence: 76%

“…4,14,15 Previous quality improvement work in other settings demonstrated the value of various approaches to improving SSP: providing nursing education, using visual cues for families and providers, auditing cribs, and surveying parent-reported practices. 14,16 Such strategies were therefore anticipated to provide a framework on which additional improvement activities might be added.…”

Section: Resultsmentioning

confidence: 99%

“…Although we did not reach our aim of 90% adherence within 12 months, we did achieve significant improvement in complete adherence to SSP recommendations. Whereas previous improvement studies have focused on infant SSP in newborn nurseries and NICUs, 14,16,22 this is the first study to our knowledge in a general inpatient setting.…”

Section: Discussionmentioning

confidence: 97%

“…14,23 Previous quality improvement efforts have demonstrated improvement in adherence to individual SSP components 14 or a more limited assessment of complete adherence to SSP guidelines (eg, sleeping alone, supine, and in a crib). 16 We sought to investigate a more comprehensive assessment of adherence to all SSP recommended by the AAP.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Improving Safe Sleep Practices for Hospitalized Infants

et al. 2016

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVES: Adherence to the American Academy of Pediatrics safe sleep practice (SSP) recommendations among hospitalized infants is unknown, but is assumed to be low. This quality improvement study aimed to increase adherence to SSPs for infants admitted to a children’s hospital general care unit between October 2013 and December 2014. METHODS: After development of a hospital policy and redesign of room setup processes, a multidisciplinary team developed intervention strategies based on root cause analysis and implemented changes using iterative Plan–Do–Study–Act cycles. Nurse knowledge was assessed before and after education. SSPs were measured continuously with room audits during sleeping episodes. Statistical process control and run charts identified improvements and sustainability in hospital SSPs. Caregiver home practices after discharge were assessed via structured questionnaires before and after intervention. RESULTS: Nursing knowledge of SSPs increased significantly for each item (P ≤ .001) except avoidance of bed sharing. Audits were completed for 316 sleep episodes. Simultaneous adherence to all SSP recommendations improved significantly from 0% to 26.9% after intervention. Significant improvements were noted in individual practices, including maintaining a flat, empty crib, with an appropriately bundled infant. The largest gains were noted in the proportion of empty cribs (from 3.4% to 60.3% after intervention, P < .001). Improvements in caregiver home practices after discharge were not statistically significant. CONCLUSIONS: Sustained improvements in hospital SSPs were achieved through this quality improvement initiative, with opportunity for continued improvement. Nurse knowledge increased during the intervention. It is uncertain whether these findings translate to changes in caregiver home practices after discharge.

show abstract

Section: Discussionsupporting

confidence: 76%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Improving Safe Sleep Practices for Hospitalized Infants

et al. 2016

View full text Add to dashboard Cite

show abstract

“…[14][15][16][17][18] More studies exploring the effects of poor sleep in infants spending many days or months of their lives in neonatal intensive care are needed to identify best treatment approaches to optimize neurobehavioral outcomes. …”

mentioning

confidence: 99%

Infants Sleep for Brain

Grigg-Damberger

Wolfe

2017

Journal of Clinical Sleep Medicine

View full text Add to dashboard Cite

Back to sleep: Teaching adults to arrange safe infant sleep environments

Carrow

Vladescu

Reeve

et al. 2020

J of App Behav Analysis

View full text Add to dashboard Cite

There are over 3,000 sleep related infant deaths each year in the United States. Attempts to teach medical personnel and parents safe infant sleep practices in the infant sleep training literature have demonstrated mixed results. Thus, strategies to teach arrangements of safe infant sleep environments warrant further investigation. Behavioral skills training (BST) is an evidence‐based teaching strategy shown to successfully teach various safety skills to children and adults. The current study evaluated the effectiveness of behavioral skills training to teach safe infant sleep practices to typically developing adults. Specifically, differential responding was assessed across multiple environmental arrangements typical of contexts parents may be exposed to when putting an infant to sleep. BST significantly improved appropriate arrangement of a safe sleep environment for infants for all 8 participants.

show abstract

Improving Safe Sleep Environments for Well Newborns in the Hospital Setting

Abstract: Using a multifaceted approach significantly improved infant safe sleep practice in the hospital setting.

Cited by 50 publications

References 15 publications

Improving Safe Sleep Practices for Hospitalized Infants

Improving Safe Sleep Practices for Hospitalized Infants

Infants Sleep for Brain

Back to sleep: Teaching adults to arrange safe infant sleep environments

Contact Info

Product

Resources

About