Safe Sleep for Hospitalized Infants

McMullen, Sherri L.; Fioravanti, Irene Dutko; Brown, Kristen; Carey, Mary G.

doi:10.1097/nmc.0000000000000205

Cited by 21 publications

(22 citation statements)

References 4 publications

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“…21–23 As in the current study, use of safe sleep toolkits that include education tools for nurses to deliver to families have also been successfully used in the neonatal intensive care unit 24,25 Recent studies in maternity units have demonstrated that bundled interventions using nurse modeling, parents viewing a DVD, and either nurses or parents signing a commitment or acknowledgment of education improved adherence to safe sleep practices at time of discharge and at 4 months. 26,27 …”

Section: Discussionmentioning

confidence: 75%

TodaysBaby Quality Improvement: Safe Sleep Teaching and Role Modeling in 8 US Maternity Units

Kellams¹,

Parker²,

Geller

et al. 2017

Pediatrics

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Background and Objectives Nursing education and role modeling can increase adherence to safe sleep practices. Eight US hospital maternity units with variable baseline approaches to education participated in a national multicenter nursing quality improvement (QI) intervention to promote safe sleep practices. The goals at participating maternity units were to (1) increase the rate of mothers who reported receiving safe sleep information from nurses to greater than 90%, and (2) increase the rates of infants observed sleeping supine in a safe environment to greater than 90%. Methods A safe sleep QI toolkit, designed and provided to all sites, included an educational curriculum and tools to use for staff and parent education. Local teams implemented safe sleep education using the tools as Plan-Do-Study-Act (PDSA) cycles. Following each cycle, audits assessing maternal report of nursing staff education on safe sleep and inpatient infant sleep position and environment were performed. Results The QI interventions lasted a median of 160 days (range 101–273). Mothers reported receiving information on four primary safe sleep topics 72% to 95% of the time (a 24% to 57% increase over baseline). Additionally 93% of infants were observed in a supine sleep position and 88% of infants were observed in a safe sleep environment (a 24% and 33% increase over baseline, respectively). These rates were sustained up to 12 months later. Conclusion Implementation of a multi-site QI intervention for safe sleep parenting education and role modeling led to increased knowledge of and compliance with safe sleep practices during postpartum hospitalization.

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Section: Discussionmentioning

confidence: 75%

TodaysBaby Quality Improvement: Safe Sleep Teaching and Role Modeling in 8 US Maternity Units

Kellams¹,

Parker²,

Geller

et al. 2017

Pediatrics

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“…Study samples included neonatal nurses and parents of premature infants in NICUs and transitional care nurseries in Massachusetts, Missouri, New York, North reasons to place fragile preterm infants in positions other than supine (Barsman et al, 2015;Gelfer et al, 2013). McMullen, Fioravanti, Brown, and Carey (2016)…”

Section: Resultsmentioning

confidence: 99%

“…Comments QA 2016). Authors of three of these five studies (Gelfer et al, 2013;Hwang, O'Sullivan, et al, 2015;McMullen et al, 2016) used an online continuing education program offered by NICHD about reducing the risk of SIDS and other causes of sleep-related infant death based on the most recent recommendations from the AAP (NICHD, NIH, & USDHHS, 2015). In two studies, researchers used mandatory in-service staff education sessions to present the material (Voos et al, 2015;Zachritz et al, 2016), and results from these studies showed an increase in safe sleep compliance among neonatal nurses caring for premature infants after the educational intervention.…”

Section: Resultsmentioning

confidence: 99%

“…As a group, 71% of nurses preferred to receive SIDS risk-reduction education in an online format (Barsman et al, 2015). In half of the studies in this review, researchers described quality improvement initiatives involving neonatal nursing education programs to improve nursing knowledge and practice related to safe sleep for premature infants (Gelfer et al, 2013;Hwang, Lu, et al, 2015;McMullen et al, 2016;Voos et al, 2015;Zachritz et al,…”

Section: Education For Neonatal Nursesmentioning

confidence: 99%

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Barriers to and Interventions that Increase Nurses’ and Parents’ Compliance With Safe Sleep Recommendations for Preterm Infants

Naugler¹,

DiCarlo²

2018

Nursing for Women's Health

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The purpose of this integrative review was to identify interventions that increase compliance of nurses and of parents with safe sleep recommendations for premature infants. Ten studies were included in the final sample, including three studies with a prospective descriptive design, five quality improvement initiatives with an interventional research design, one secondary analysis, and one retrospective medical chart review. Study samples included neonatal nurses and parents of premature infants in NICUs and transitional care nurseries in Massachusetts, Missouri, New York, North Carolina, Ohio, Pennsylvania, and Texas. Sample sizes ranged from 5 to 259 NICU parents and 86 to 658 neonatal nurses. The categories of interventions we identified include identifying barriers to compliance, changing hospital policy, and providing safe sleep education for nurses and parents. We conclude that hospitals should have current, evidence-based safe sleep policies with clear transition guidelines for premature infants and that consistent and comprehensive nursing and parental education related to safe sleep should include current American Academy of Pediatrics recommendations and should address potential barriers to compliance.

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“…In light of the public health burden caused by infant mortality and the significant health disparities associated with SIDS and other causes of sleep‐related infant death, it is important to identify who is providing education and advice on this topic and what they are recommending. Little is known about the knowledge and infant safe sleep educational practices of CNMs providing prenatal care, as most research on this topic has focused on nursing specialties and has been conducted with the purpose of examining and improving infant safe sleep practices within hospitals, hospital nurseries, and neonatal intensive care units (NICUs) . While there have not been any prior peer‐reviewed publications examining CNMs’ knowledge and behaviors regarding infant safe sleep practices, some studies have been done with nurses.…”

Section: Discussionmentioning

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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Safe Sleep for Hospitalized Infants

Cited by 21 publications

References 4 publications

TodaysBaby Quality Improvement: Safe Sleep Teaching and Role Modeling in 8 US Maternity Units

TodaysBaby Quality Improvement: Safe Sleep Teaching and Role Modeling in 8 US Maternity Units

Barriers to and Interventions that Increase Nurses’ and Parents’ Compliance With Safe Sleep Recommendations for Preterm Infants

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

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