Changing Hospital Newborn Nursery Practice: Results from a Statewide “Back to Sleep” Nurses Training Program
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
In response to findings from a statewide survey of hospital nurses, the authors designed, conducted, and evaluated a “Back to Sleep” nursing curriculum and training program in Missouri hospitals using two distinct training formats. This article evaluates the initial and follow-up outcomes for training participants and assesses the impact of training format on participant outcomes.
Participants selected training format by hospital site. In each training format, participants responded to a pre and post test questionnaire measuring knowledge, beliefs, and current infant care behaviors as well as satisfaction with the training. Three months after completion of all statewide trainings, the authors also conducted a follow-up survey.
Nurses who participated in the training reported statistically significant improvements in knowledge and “Back to Sleep” adherent beliefs. Over 98% of participants (N = 515) intended to place infants in back-only sleep positions following the training. Knowledge, attitudes, and practice intentions were significantly improved across both training formats. Additionally, follow-up survey respondents statewide (N = 295) reported lasting improvements, including 63% of nurses reportedly using supine-only sleep position for infants after the first 24 h of life, compared to 28% in the original statewide survey.
Further research is needed to determine the long-term impact of this intervention and assess its applicability beyond this initial implementation. Ultimately, the findings from the evaluation of this pilot intervention and nursing-specific “Back to Sleep” curriculum demonstrate that it has a promising effect on risk-reduction adherence in hospital settings where parent observations of safe sleep behavior first occur.
- Bullock, L. F., Mickey, K., Green, J., & Heine, A. (2004). Are Nurses Acting as Role Models for Prevention of SIDS?. MCN. The American Journal Of Maternal Child Nursing, 29(3), 172–7. CrossRef
- American Academy of Pediatrics Task Force on Infant Sleep Position and Sudden Infant Death Syndrome. (2000). Changing concepts of sudden infant death syndrome: Implication for infant sleeping environment and sleep position. Pediatrics, 105:650–656. CrossRef
- Leach, C. E. A., Blair, P. S., Fleming, P. J., et al. (1999). Sudden unexpected deaths in infancy Similarities and differences in the epidemiology of SIDS and explained deaths. Pediatrics, 104, e43. CrossRef
- Fleming, P. J., Blair, P. S., & Bacon, C. (1996). Environment of infants during sleep and risk of the sudden infant death syndrome: Results of 1993–5 case control study for confidential inquiry into stillbirths and deaths in infancy. British Medical Journal, 313, 191–195.
- Mitchell, E. A., Tuohy, P. G., Brunt, J. M., Thompson, J., Clements, M. S., & Stewart, A. W. (1997). Risk factors for sudden infant death syndrome following the prevention campaign in New Zealand: A prospective study. Pediatrics, 100, 835–840. CrossRef
- Parmet, S., Lynm, C., & Glass, R. (2002). Sudden infant death syndrome. JAMA, 288, 2772. CrossRef
- Blair, P. S., Platt, M. W., Smith, I. J., Fleming, P. J., & CESDI SUDI Research Group. (2006). Sudden infant death syndrome and sleeping position in pre-term and low birth weight infants: an opportunity for targeted intervention. Archives of Disease in Childhood, 91, 101–106.
- Carpenter, R. G., Irgens, L. M., Blair, P. S., England, P. D., Fleming, P., Huber, J., Jorch, G., & Schreuder, P. (2004). Sudden unexplained infant death in 20 regions of Europe: case control study. Lancet, 363, 185–191. CrossRef
- Li, D. K., Petitti, D. B., Willinger, M., McMahon, R., Odouli, R., Vu, H., & Hoffman, H. J. (2003). Infant sleeping position and the risk of sudden infant death syndrome in California, 1997–2000. American Journal of Epidemiology, 157, 446–455. CrossRef
- Thompson, J. M., Thatch, B. T., Becroft, D. M., & Mitchell, E. A. (2006). New Zealand Cot Death Study Group. Sudden infant death syndrome: risk factors for infants found face down differ from other SIDS cases. Journal of Pediatrics, 149, 630–633. CrossRef
- Ostfeld, B. M., Perl, H., Esposito, L., Hempstead, K., Hinnen, R., Sandler, A., Pearson, P. G., & Hegvi, T. (2006). Sleep environment, positional, lifestyle, and demographic characteristics associated with bed sharing in sudden infant death syndrome: a population-based study. Pediatrics, 118, 2051–2059. CrossRef
- Unger, B., Kemp, J. S., Wilkins, D., Psara, R., Ledbetter, T., Graham, M., Case, M., & Thach, B. T. (2003). Racial disparity and modifiable risk factors among infants dying suddenly and unexpectedly. Pediatrics, 111, E127–131. CrossRef
- Colson, E. R., Levenson, S., Rybin, D., Calianos, C., Margolis, A., Colton, T., Lister, G., & Corwin, M. J. (2006). Barriers to following the supine sleep recommendation among mothers at four centers for the Women, Infants, and Children program. Pediatrics, 118, e243–250. CrossRef
- Centers for Disease Control, Prevention. (1998). Assessment of Infant Sleeping Position—Selected States, 1996. MMWR. Morbidity and Mortality Weekly Report, 47, 873–877.
- Willinger, M., Hoffman, H., Wu, K. T., et al. (1998). Factors associated with the transition to nonprone sleep positions of infants in the United States: the National Infant Sleep Position Study. JAMA, 280, 329–335. CrossRef
- Moon, R. Y., & Omron, R. (2002). Determinants of infant sleep position in an urban population. Clinical Pediatrics (Phila), 41, 569–573. CrossRef
- Moon, R. Y., Oden, R. P., & Grady, K. C. (2004). Back to sleep: an educational intervention with women, infants, and children program clients. Pediatrics, 113, 542–547. CrossRef
- Willinger, M., Ko, C., Hoffman, H. J., Kessler, R. C., & Corwin, MJ. (2000). Factors associated with caregivers’ choice of infant sleep position, 1994–1998: The National Infant Sleep Position Study. JAMA, 283, 2135–2142. CrossRef
- Ostfeld, B. M., Esposito, L., Straw, D., Burgos, J., & Hegyi, T. (2005). An inner-city school-based program to promote early awareness of risk factors for sudden infant death syndrome. Journal of Adolescent Medicine and Health, 37, 339–341. CrossRef
- Changing Hospital Newborn Nursery Practice: Results from a Statewide “Back to Sleep” Nurses Training Program
Maternal and Child Health Journal
Volume 12, Issue 3 , pp 363-371
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Sudden Infant Death Syndrome (SIDS)
- Health education
- Risk reduction
- Nursing practice
- Infant health and safety
- Safe sleep
- Infant sleep position
- Back to Sleep (BTS)
- American Academy of Pediatrics (AAP)
- Industry Sectors
- Author Affiliations
- 1. School of Social Work, Virginia Commonwealth University, 1001 W. Franklin St, Richmond, VA, 23284, USA
- 5. SIDS Resources, Inc, St. Louis, MO, USA
- 2. Truman State University, Kirksville, MO, USA
- 3. University of Missouri Columbia, Columbia, MO, USA
- 4. Missouri Department of Health and Senior Services, Jefferson City, MO, USA