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Strengthening the evidence for maternal and child health programs

Find Established Evidence

Displaying records 1 through 9 (9 total).

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

Link: https://www.ncbi.nlm.nih.gov/pubmed/23460685

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 Results:

  • Audit data showed that there was a significant increase in the rate of supine positioning from 39% at baseline to 83% at follow-up (p<0.001).
  • Parental surveys showed that there was a significant increase in the rate of supine position from 73% at baseline to 93% at follow-up (p<0.05).

Geyer JE, Smith PK, Kair LR. Safe sleep for pediatric inpatients. J Spec Pediatr Nurs. 2016;21(3):119-130.

Link: https://www.ncbi.nlm.nih.gov/pubmed/27221207

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, HOSPITAL, Quality Improvement, Policy/Guideline (Hospital), Crib Card, Visual Display, Sleep Environment Modification, Promotional Event, POPULATION-BASED SYSTEMS, COMMUNITY, Visual Display, Social Media, CAREGIVER, Education/Training (caregiver), Educational Material (caregiver)

Intervention Results:

Between baseline and a year after the initiation of the intervention, the rate of supine positioning increased from 82% to 95%, but the increase was not statistically significant (p=0.183). From baseline to a year following the intervention, the rate of supine positioning remained stable at 83% (p=1.000).

Macklin JR, Gittelman MA, Denny SA, Southworth H, Arnold MW. The EASE quality improvement project: improving safe sleep practices in Ohio children's hospitals. Pediatrics. 2016;138(4).

Link: https://www.ncbi.nlm.nih.gov/pubmed/27630074

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, HOSPITAL, Quality Improvement, Policy/Guideline (Hospital), Sleep Environment Modification, CAREGIVER, Education/Training (caregiver)

Intervention Results:

Comparing baseline to the last follow-up, there was no significant change in supine sleep position (84.0% to 84.7%) (p=0.913).

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

Link: https://www.ncbi.nlm.nih.gov/pubmed/26658535

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, Sleep Environment Modification, Promotional Event, CAREGIVER, Education/Training (caregiver), Educational Material (caregiver), Attestation (caregiver)

Intervention Results:

Prior to the intervention, 70% of infants were found in the supine sleep position; after the intervention, 90% were found supine (p<0.01).

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.

Link: https://www.ncbi.nlm.nih.gov/pubmed/26643582

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 Results:

Audit data showed that 72% and 77% of infants were asleep supine at baseline and follow-up respectively (p=0.07).

Shadman KA, Wald ER, Smith W, Coller RJ. Improving safe sleep practices for hospitalized infants. Pediatrics. 2016;138(3).

Link: https://www.ncbi.nlm.nih.gov/pubmed/27482058

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provision of Safe Sleep Item, Provider Training/Education, HOSPITAL, Quality Improvement, Policy/Guideline (Hospital), Visual Display, Sleep Environment Modification, CAREGIVER

Intervention Results:

  • Audit data showed that there was a non-significant increase in supine position from 81.0% to 84.3% from baseline to follow-up (p=0.54).
  • Caregiver report showed that there was a non-significant increase in supine position from 89.3% to 93.8% (p=0.42).

Shaefer SJ, Herman SE, Frank SJ, Adkins M, Terhaar M. Translating infant safe sleep evidence into nursing practice. J Obstet Gynecol Neonatal Nurs. 2010;39(6):618-626.

Link: https://www.ncbi.nlm.nih.gov/pubmed/21044146

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, HOSPITAL, Quality Improvement, Policy/Guideline (Hospital), CAREGIVER, Educational Material (caregiver)

Intervention Results:

Across all 7 sites, among infants in cribs at the time of the audits, there was a significant increase in the percentage on their backs from 80.7% to 91.9% (p<0.05).

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.

Link: https://www.ncbi.nlm.nih.gov/pubmed/25212974

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 Results:

Comparing baseline to follow-up, there was no significant change in infants not positioned on back (21% vs. 12%) (p>0.05).

Moon, R. Y., Hauck, F. R., Colson, E. R., Kellams, A. L., Geller, N. L., Heeren, T., & Corwin, M. J. (2017). The effect of nursing quality improvement and mobile health interventions on infant sleep practices: a randomized clinical trial. Jama, 318(4), 351-359.

Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5593130/

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Education/Training (caregiver), PROVIDER/PRACTICE, Nurse/Nurse Practitioner, Quality Improvement/Practice-Wide Intervention

Intervention Results:

The primary outcome was maternal self-reported adherence to 4 infant safe sleep practices of sleep position (supine), sleep location (room sharing without bed sharing), soft bedding use (none), and pacifier use (any); data were collected by maternal survey when the infant was aged 60 to 240 days. The independent effect of the nursing quality improvement intervention was not significant for all outcomes. Interactions between the 2 interventions were only significant for the supine sleep position.
   

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.