Changing Hospital Newborn Nursery Practice: Results from a Statewide “Back to Sleep” Nurses Training Program

Price, Sarah Kye; Gardner, Pamela; Hillman, Laura; Schenk, Karen D.; Warren, Carrie Lee

doi:10.1007/s10995-007-0243-y

Cited by 27 publications

(33 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The significant improvement we observed in knowledge of recommendations for flat HOB, empty cribs, and appropriate bundling after education was also consistent with previous work. 22 These gains in knowledge were encouraging because our baseline audits demonstrated poor adherence to these specific practices.…”

Section: Discussionmentioning

confidence: 86%

See 1 more Smart Citation

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: Discussionmentioning

confidence: 86%

“…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%

Improving Safe Sleep Practices for Hospitalized Infants

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Parents reported that direct safe sleep education by staff, primarily the nursing staff at the time of hospital admission, was the modality used most commonly (85.3%). Other family education modalities used by institutions included brochures provided to families by nursing staff at admission, 14 posters in patient rooms and unit hallways, public safety announcements on in-room televisions or tablets (such as a statewide safe sleep public service announcement), 15 and digital signage in heavily trafficked areas.…”

Section: Family Education Of Safe Sleep Practicesmentioning

confidence: 99%

The EASE Quality Improvement Project: Improving Safe Sleep Practices in Ohio Children’s Hospitals

Macklin¹,

Gittelman

Denny

et al. 2016

Pediatrics

View full text Add to dashboard Cite

Dr Macklin provided key components of the project design, helped run learning collaborative and action period calls, fi nalized the data collection sheet, and drafted the initial manuscript; Drs Gittelman and Denny conceptualized and designed the project, helped run learning collaborative and action period calls, fi nalized the data collection sheet, and reviewed and revised the manuscript; Ms Southworth coordinated data collection at all sites and reviewed and revised the manuscript; Ms Wervey Arnold conceptualized and helped to design the program, helped to secure funding for the project, and reviewed and revised the manuscript; and all authors approved the fi nal manuscript as submitted.

show abstract

“…Nineteen studies focused on families and caregivers of newborn infants [9, 10, 12, 13, 15, 16, 18, 21, 24, 26, 28-32, 34-36, 38], eight focused on health care professionals (nurses, midwives, and physicians) [14,17,19,20,23,25,27,37]; the remaining two focused on mainstream health professionals and peers (including some parents) [33], and child care professionals [22]. Of the studies that focused primarily on providers, four also included data on family practices and thus are also included in the summaries for family-focused studies [14,17,19,25].…”

Section: Study Location Target Audience and Targeted Behaviorsmentioning

confidence: 99%

Infant Safe Sleep Interventions, 1990–2015: A Review

Ward

Balfour

2015

J Community Health

View full text Add to dashboard Cite

Sleep-related infant deaths remain a major public health issue. Multiple interventions have been implemented in efforts to increase adherence to safe sleep recommendations. We conducted a systematic review of the international research literature to synthesize research on interventions to reduce the risk of sleep-related deaths and their effectiveness in changing infant sleep practices. We searched PubMed, CINAHL, PsycINFO, and Google Scholar for peer-reviewed articles published between 1990 and 2015 which described an intervention and reported results. Twenty-nine articles were included for review. Studies focused on infant caregivers, health care professionals, peers, and child care professionals. Targeted behaviors included sleep position, location, removing items from the crib, breastfeeding, smoke exposure, clothing, pacifier use, and knowledge of Sudden Infant Death Syndrome. Most articles described multi-faceted interventions, including: one-on-one or group education, printed materials, visual displays, videos, and providing resources such as cribs, pacifiers, wearable blankets, and infant t-shirts. Two described public education campaigns, one used an educative questionnaire, and one encouraged maternal note taking. Health professional interventions included implementing safe sleep policies, in-service training, printed provider materials, eliciting agreement on a Declaration of Safe Sleep Practice, and sharing adherence data. Data collection methods included self-report via surveys and observational crib audits. Over half of the studies utilized comparison groups which helped determine effectiveness. Most articles reported some degree of success in changing some of the targeted behaviors; no studies reported complete adherence to recommendations. Future studies should incorporate rigorous evaluation plans, utilize comparison groups, and collect demographic and collect follow-up data.

show abstract

Changing Hospital Newborn Nursery Practice: Results from a Statewide “Back to Sleep” Nurses Training Program

Cited by 27 publications

References 20 publications

Improving Safe Sleep Practices for Hospitalized Infants

Improving Safe Sleep Practices for Hospitalized Infants

The EASE Quality Improvement Project: Improving Safe Sleep Practices in Ohio Children’s Hospitals

Infant Safe Sleep Interventions, 1990–2015: A Review

Contact Info

Product

Resources

About