Position for Newborn Sleep: Associations with Parents' Perceptions of Their Nursery Experience

Colson, Eve R.; Bergman, David; Shapiro, Eugene D.; Leventhal, JM

doi:10.1046/j.1523-536x.2001.00249.x

Cited by 54 publications

(42 citation statements)

References 12 publications

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“…and role modeling to families and providers. Studies have demonstrated that supine position and bed sharing at home are both positively and negatively influenced by SSP modeled in the newborn nursery 4,5 and sleep advice provided by health care professionals. 6 -8 Given this influence of SSP modeling from the newborn nursery, we were concerned about potentially negative influence of unsafe sleep practices modeled in inpatient settings.…”

Section: Resultsmentioning

confidence: 99%

Improving Safe Sleep Practices for Hospitalized Infants

et al. 2016

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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.

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Section: Resultsmentioning

confidence: 99%

Improving Safe Sleep Practices for Hospitalized Infants

et al. 2016

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“…Studies show that parent practices at home are strongly influenced by hospital nursery practices when it comes to the topic of SIDS. 27,36,37 Therefore, altering an infant's sleep regimen by removing one component from it, pulse oximetry monitoring, may be unsettling to parents and cause unnecessary anxiety. Since medical protocols should be based in evidence, and there is no evidence behind this protocol, there should be no need to monitor these otherwise healthy infants.…”

Section: Discussionmentioning

confidence: 99%

“…None of the citations included any evidence specifically addressing whether electronic monitoring of infants in the prone position for sleep reduced incidence of SIDS. 1,4,5,[23][24][25][26][27][28][29] The goal was then to determine if there is evidence in the literature specifically addressing the question: does pulse oximetry monitoring of otherwise healthy infants (i.e. those not at increased risk for SIDS) put to sleep in the prone position reduce the incidence of SIDS?…”

Section: Methodsmentioning

confidence: 99%

Pulse Oximetry Monitoring of Infants Who Require Prone Position For Sleep – Is There Evidence That This Practice Reduces SIDS?

Alcolado

Hughes

2013

DMJ

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“…Caregivers are more likely to engage in safe infant sleep if these practices are modeled by providers in the hospital. 11 In addition, multiple sources of consistent messaging are more likely to increase the likelihood that mothers will practice safe sleep with their infants, 12 and the hospital provides 1 of many opportunities for families to engage in and establish safe sleep practices with their newborns.…”

mentioning

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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Position for Newborn Sleep: Associations with Parents' Perceptions of Their Nursery Experience

Cited by 54 publications

References 12 publications

Improving Safe Sleep Practices for Hospitalized Infants

Improving Safe Sleep Practices for Hospitalized Infants

Pulse Oximetry Monitoring of Infants Who Require Prone Position For Sleep – Is There Evidence That This Practice Reduces SIDS?

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

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