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Strengthen the Evidence for Maternal and Child Health Programs

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Displaying records 1 through 10 (10 total).

Ahlers-Schmidt, C. R., Kuhlmann, S., Kuchlmann, Z., Schunn, C., & Rosell, J. (2014-B). To improve safe-sleep practices, more emphasis should be placed on removing unsafe items from the crib. Clinical Pediatrics, 53(13), 1285–1287. Access Abstract

NPM: 7-1: Child Safety/Injury (0-9 years) 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, Educational Material (Provider)
Intervention Description: A Safe Sleep Toolkit was developed to improve consistency in safe sleep communication between health providers and parents. The toolkit was implemented at two resident physician clinics, obstetric and pediatric, and included: 1) parent checklist regarding sleep position, location, environment, and intentions to share information; 2) a brief health care provider script; and 3) nationally available resources.
Study Design: Completion of checklist at clinic visit
Setting: Obstetric and pediatric clinics
Target Audience: Expectant and new parents
Data Source: Checklist
Sample Size: 309 parents
Age Range: Infant

Goodstein, M. H., Bell, T., & Krugman, S. D. (2015). Improving infant sleep safety through a comprehensive hospital-based program. Clinical Pediatrics, 54(3), 212–221. Access Abstract

NPM: 7-1: Child Safety/Injury (0-9 years) 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): HOSPITAL, PARENT/FAMILY, Notification/Information Materials (Online Resources, Information Guide), Training (Parent/Family), CAREGIVER, Education/Training (caregiver), Educational Material (caregiver), Sleep Environment Modification, PROVIDER/PRACTICE, Provider Training/Education, Educational Material (Provider), Nurse/Nurse Practitioner, Guideline Change and Implementation
Intervention Description: We evaluated a comprehensive hospital-based infant safe sleep education program on parental education and safe sleep behaviors in the home using a cross-sectional survey of new parents at hospital discharge (HD) and 4-month follow-up (F/U).
Conclusion: Reinforcing the infant sleep safety message through intensive hospital-based education improves parental compliance with sudden infant death syndrome risk reduction guidelines.
Study Design: Quasi-experimental nonequivalent control group design
Setting: Hospital, postpartum maternity units
Target Audience: Nurses + New parents
Data Source: Cross-sectional survey of parents at time of hospital discharge and at 4-month well-child visit
Sample Size: 1,092 in hospital sample 490 at 4-month follow-up
Age Range: Infant

Mason, B., Ahlers-Schmidt, C. R., & Schunn, C. (2013). Improving safe sleep environments for well newborns in the hospital setting. Clinical Pediatrics, 52(10), 969–975. Access Abstract

NPM: 7-1: Child Safety/Injury (0-9 years) 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PARENT/FAMILY, Notification/Information Materials (Online Resources, Information Guide), PROVIDER/PRACTICE, Nurse/Nurse Practitioner, Provider Training/Education, Educational Material (Provider)
Intervention Description: The purpose of this study was to improve sleep position and environment in the hospital.
Conclusion: Using a multifaceted approach significantly improved infant safe sleep practice in the hospital setting.
Study Design: Pre-post intervention
Setting: Wesley Medical Center postpartum units
Target Audience: Nursing staff and mothers of infants
Data Source: Observation of sleep environment in hospital; follow-up parent survey
Sample Size: Baseline in hospital n=144 Post-intervention in hospital n=249 Parent survey n=101
Age Range: Infant

Gelfer P, Cameron R, Masters K, Kennedy KA. Integrating "Back to Sleep" recommendations into neonatal ICU practice. Pediatrics. 2013;131(4):e1264-1270. Access Abstract

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, Provision of Safe Sleep Item, Assessment (Provider), HOSPITAL, Quality Improvement, Policy/Guideline (Hospital), Crib Card, CAREGIVER, Education/Training (caregiver), Assessment (caregiver), Educational Material (caregiver)
Intervention Description: The aims of this project were to increase the percentage of infants following safe sleep practices in the NICU before discharge and to determine if improving compliance with these practices would influence parent behavior at home.
Conclusion: Multifactorial interventions improved compliance with safe sleep practices in the NICU and at home.
Study Design: QE: pretest-posttest
Significant Findings: Yes
Setting: Children’s Memorial Hermann Hospital NICU in Houston, TX
Target Audience: Infants in open cribs eligible for safe sleep practices; Parents of infants after discharge
Data Source: Crib audit/infant observation; Parent report
Sample Size: Baseline (n=62) Follow-up (n=79); Baseline (n=66) Follow-up (n=98)
Age Range: Not specified

Kuhlmann S, Ahlers-Schmidt CR, Lukasiewicz G, Truong TM. Interventions to improve safe sleep among hospitalized infants at eight children's hospitals. Hosp Pediatr. 2016;6(2):88-94. Access Abstract

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, Provision of Safe Sleep Item, HOSPITAL, Policy/Guideline (Hospital), Sleep Environment Modification, CAREGIVER, Education/Training (caregiver), Educational Material (caregiver), Attestation (Provider)
Intervention Description: The purpose of this study was to improve safe sleep practices for infants in nonneonatal pediatric units with implementation of specific interventions.
Conclusion: Implementation of site-specific interventions seems to improve overall safe sleep in inpatient pediatric units, although continued improvement is needed. Specifically, extra items are persistently left in the sleeping environment.
Study Design: QE: pretest-posttest
Significant Findings: Yes
Setting: Eight children’s hospitals
Target Audience: Infants aged 0 to 6 months admitted to the general pediatric unit (excluding infants in the NICUs, PICUs, and maternal fetal units)
Data Source: Crib audit/infant observation
Sample Size: Baseline (n=234) Follow-up (n=210)
Age Range: Not specified

McMullen SL, Fioravanti ID, Brown K, Carey MG. Safe sleep for hospitalized infants. MCN Am J Matern Child Nurs. 2016;41(1):43-50. Access Abstract

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, Provision of Safe Sleep Item, Attestation (Provider), HOSPITAL, Quality Improvement, Policy/Guideline (Hospital), Crib Card, Visual Display (Hospital), Sleep Environment Modification, Promotional Event, CAREGIVER, Education/Training (caregiver), Educational Material (caregiver), Attestation (caregiver)
Intervention Description: The purpose of this quality improvement project was to promote the AAP safe sleep recommendations and provide appropriate role modeling of these recommendations for hemodynamically stable infants throughout their hospital stay.
Conclusion: There was inconsistency between nursing knowledge and practice about safe infant sleep. Nurses were aware of the AAP recommendations, but it took time to achieve close to full compliance in changing clinical practice. Observation was an important part of this initiative to reinforce knowledge and role model best practice for parents.
Study Design: QE: pretest-posttest
Significant Findings: Yes
Setting: Golisano Children’s Hospital at the University of Rochester in NY
Target Audience: Hemodynamically stable infants less than 1 year of age in the mother-baby unit and nine pediatric units
Data Source: Crib audit/infant observation
Sample Size: Baseline (n=65) Follow-up (n=60)
Age Range: Not specified

Rocca Rivarola M, Reyes P, Henson C, et al. Impact of an educational intervention to improve adherence to the recommendations on safe infant sleep. Arch Argent Pediatr. 2016;114(3):223-231. Access Abstract

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, Educational Material (Provider), HOSPITAL, Crib Card, Visual Display (Hospital), CAREGIVER, Education/Training (caregiver), Educational Material (caregiver)
Intervention Description: To determine the impact, at 60 days of life, of an educational intervention conducted in maternity centers aimed at improving adherence to the recommendations on safe infant sleep.
Conclusion: The educational intervention was useful to improve adherence to the recommendations on safe sleep at 60 days of life: using the supine position and breastfeeding improved, and the rate of co-sleeping decreased. No changes were observed in the number of household members who smoke, bedroom sharing, and pacifier use.
Study Design: QE: pretest-posttest
Significant Findings: Yes
Setting: Hospital Municipal Comodoro Meisner and Hospital Universitario Austral
Target Audience: Live newborns with >36 gestation weeks born in two hospitals whose mothers lived in the District of Pilar without major congenital malformations and/or hospitalization in the NICU for more than 10 days
Data Source: Caregiver report
Sample Size: Baseline (n=251) Follow-up (n=248)
Age Range: Not specified

Rowe AD, Sisterhen LL, Mallard E, et al. Integrating safe sleep practices into a pediatric hospital: outcomes of a quality improvement project. J Pediatr Nurs. 2016;31(2):e141-147. Access Abstract

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, Attestation (Provider), HOSPITAL, Quality Improvement, Policy/Guideline (Hospital), Sleep Environment Modification, CAREGIVER, Educational Material (caregiver)
Intervention Description: A quality improvement project for implementing safe sleep practices (SSP) was conducted at a large, U.S children's hospital.
Conclusion: Infant safe sleep practices have the potential to reduce infant mortality.
Study Design: QE: pretest-posttest
Significant Findings: No
Setting: A tertiary care children’s hospital in AR
Target Audience: Infants 0-12 months in intensive care and medical-surgical units caring asleep at the time of the audit
Data Source: Crib audit/infant observation
Sample Size: Baseline (n=398) Follow-up (n=498)
Age Range: Not specified

Voos KC, Terreros A, Larimore P, Leick-Rude MK, Park N. Implementing safe sleep practices in a neonatal intensive care unit. J Matern Fetal Neonatal Med. 2015;28(14):1637-1640. Access Abstract

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, Assessment (Provider), HOSPITAL, Quality Improvement, Policy/Guideline (Hospital), CAREGIVER, Education/Training (caregiver), Educational Material (caregiver), Sleep Environment Modification
Intervention Description: The dual aims of this project were to develop a safe sleep educational model for our neonatal intensive care unit (NICU), and to increase the percentage of eligible infants in a safe sleep environment.
Conclusion: With formal staff and family education, optional wearable blanket, and data sharing, safe sleep compliance increased and patient safety improved.
Study Design: QE: pretest-posttest
Significant Findings: No
Setting: The Children’s Mercy Hospital NICU in MO
Target Audience: Safe sleep eligible infants (medically stable and transitioned to open cribs)
Data Source: Crib audit/infant observation
Sample Size: Baseline (n=28) Follow-up (n=26)
Age Range: Not specified

Gelfer, P., Cameron, R., Masters, K., & Kennedy, K. A. (2013). Integrating “Back to Sleep” recommendations into neonatal ICU practice. Pediatrics, 131(4), e1264-e1270. Access Abstract

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, Educational Material (Provider)
Intervention Description: The aims of this project were to increase the percentage of infants following safe sleep practices in the NICU before discharge and to determine if improving compliance with these practices would influence parent behavior at home. An algorithm detailing when to start safe sleep practices, a "Back to Sleep" crib card, educational programs for nurses and parents, a crib audit tool, and postdischarge telephone reminders were developed as quality improvement intervention strategies.
Conclusion: Multifactorial interventions improved compliance with safe sleep practices in the NICU and at home.

   

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.