Safe Infant Sleep Interventions: What is the Evidence for Successful Behavior Change?

Moon, Rachel Y.; Hauck, Fern R.; Colson, Eve R.

doi:10.2174/1573396311666151026110148

Cited by 91 publications

(97 citation statements)

References 50 publications

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“…Pediatricians and family practice providers typically have little professional interaction with pregnant women until after the birth of the infant. Nurses, particularly those in nursery and postnatal settings such as Women, Infants, and Children (WIC) programs, have been shown to be trusted sources of information related to newborn care and can influence the infant safe sleep decisions that parents make . Prenatal care providers are also a valuable resource as preparations are being made for the infant's arrival.…”

Section: Introductionmentioning

confidence: 99%

Certified Nurse‐Midwives’ Knowledge, Attitudes, and Behaviors About Infant Safe Sleep

Hodges¹,

Anderson²,

McKenzie³

et al. 2018

J Midwife Womens Health

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Certified nurse-midwives routinely provide guidance on infant care, and it is important that they are familiar with current evidence-based recommendations on infant safe sleep. They should be supported in their desire to provide infant safe sleep education to their prenatal patients. In addition, efforts should be made to improve attitudes and social norms related to providing infant safe sleep education in the prenatal environment.

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Section: Introductionmentioning

confidence: 99%

Certified Nurse‐Midwives’ Knowledge, Attitudes, and Behaviors About Infant Safe Sleep

Hodges¹,

Anderson²,

McKenzie³

et al. 2018

J Midwife Womens Health

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show abstract

“…2 Some of the efforts to reduce deaths have included public service campaigns, 3 community programs and initiatives, safe sleep education and modeling in the hospital setting, and identifying and addressing barriers to safe sleep. 4,5 The direct impact of individual interventions on the overall infant mortality rate, measured as infant deaths per 1000 live births, is difficult to determine.State Child Fatality Review (CFR) teams and Fetal and Infant Mortality Review (FIMR) teams are public health strategies used to understand child and infant deaths at the local level through a multidisciplinary team review. A systematic process is used to collect and analyze data from multiple sources, identify systems-related factors and risks, and make recommendations to improve systematic care, address resource gaps in the community, and reduce preventable deaths.…”

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confidence: 99%

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confidence: 99%

The Use of the Child Fatality Review Committee to Contribute to a Longitudinal Quality Improvement Project on Safe Sleep

Kuhlmann

Ahlers-Schmidt

2018

Hospital Pediatrics

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As sudden unexpected infant death rates have plateaued in the United States over the last decade, the rate of sleeprelated deaths due to accidental suffocation and strangulation in bed has revealed an upward trend. 1 There has been much focus on infant safe sleep over the last few years to reduce these preventable deaths. The American Academy of Pediatrics revised its sudden infant death syndrome reduction recommendations to include safe sleep environments. These recommendations advise that infants sleep on separate sleep surfaces designed for infants to prevent accidental suffocation, strangulation, layover, or entrapment that could occur in the adult bed, chair, or couch. In addition, the sleeping surface should be free of any loose objects, such as blankets, pillows, or toys, that could obstruct an infant' s airway. 2 Some of the efforts to reduce deaths have included public service campaigns, 3 community programs and initiatives, safe sleep education and modeling in the hospital setting, and identifying and addressing barriers to safe sleep. 4,5 The direct impact of individual interventions on the overall infant mortality rate, measured as infant deaths per 1000 live births, is difficult to determine.State Child Fatality Review (CFR) teams and Fetal and Infant Mortality Review (FIMR) teams are public health strategies used to understand child and infant deaths at the local level through a multidisciplinary team review. A systematic process is used to collect and analyze data from multiple sources, identify systems-related factors and risks, and make recommendations to improve systematic care, address resource gaps in the community, and reduce preventable deaths. 6 Krugman and Cumpsty-Fowler 7 have taken a novel approach using infant sleep-related death rates from the local CFR team to target systematic change within their hospital (Medstar Franklin Square Center, Baltimore, MD). Their longitudinal quality-improvement project was focused on creating a culture of safe sleep with consistent messaging and modeling within their institution, and they used sleep-related deaths of infants discharged from their nursery as the primary outcome measure. By collaborating with the local CFR, the hospital was able to receive feedback when infants who had been born at their hospital and discharged from their nursery died of unsafe sleep environments. The infant deaths were considered sentinel events, and each death was reviewed by using root cause analysis. Through the reviews, the hospital was able to identify process changes that needed to be made to the

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“…Unannounced direct observations of infant care practices at a family’s home would be the preferred approach but would be challenging to accomplish. 10 …”

mentioning

confidence: 99%

“…Other studies have shown improvements to safe sleep practices following postpartum nursing education and modeling. 10,11 It could be that the selected hospitals provided safe sleep education that was as effective as the NQI safe sleep intervention. It is also possible that mothers receiving the intervention in the hospital may not have retained the information after they went home.…”

mentioning

confidence: 99%

Interventions to Improve Infant Safe Sleep Practices

Shapiro-Mendoza

2017

JAMA

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In 2013, there were nearly 3500 deaths among infants from sudden infant death syndrome (SIDS) and other sleep-related events (egg, accidental suffocation) in the United States. 1 Although the cause of SIDS is unknown, several modifiable risk factors have been identified, including prone and side sleep position, bed sharing, and use of potentially hazardous soft bedding in the sleep environment. SIDS rates declined by more than 50% following the Back to sleep campaign in the 1990s, 2 but since then, rates of sudden unexpected infant deaths have declined less rapidly 1, 3 and SIDS remains the leading cause of post-neonatal mortality in the United States. 1

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Safe Infant Sleep Interventions: What is the Evidence for Successful Behavior Change?

Cited by 91 publications

References 50 publications

Certified Nurse‐Midwives’ Knowledge, Attitudes, and Behaviors About Infant Safe Sleep

Certified Nurse‐Midwives’ Knowledge, Attitudes, and Behaviors About Infant Safe Sleep

The Use of the Child Fatality Review Committee to Contribute to a Longitudinal Quality Improvement Project on Safe Sleep

Interventions to Improve Infant Safe Sleep Practices

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