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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

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Translating infant safe sleep evidence into nursing practice.

Sarah J M Shaefer¹, Sandra E Herman, Sandra J Frank

¹Department of Community-Public Health, Johns Hopkins University School of Nursing, Baltimore, MD , USA.

Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN

|November 4, 2010

Summary

Nurses in urban Michigan hospitals improved infant safe sleep practices. A project focused on changing nurse attitudes and implementing policies led to more infants being placed on their backs to sleep, reducing sleep environment risks.

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Area of Science:

Public Health
Nursing Practice
Pediatric Sleep Safety

Background:

Infant sleep environment risks contribute to mortality, particularly among African American populations.
Nurses play a critical role in educating parents and caregivers about safe infant sleep practices.
Previous interventions have had limited success in creating sustainable changes in nursing behavior.

Purpose of the Study:

To implement and evaluate a sustainable intervention to reduce infant sleep-related deaths.
To change nursing attitudes and practices regarding safe infant sleep environments.
To integrate safe sleep policy changes into existing hospital quality improvement processes.

Main Methods:

A 4-year demonstration project (2004-2007) was conducted in urban Michigan hospitals.
The intervention focused on modifying nursing practices through policy implementation and monitoring.
Quality improvement processes were utilized to ensure sustainability of practice changes.

Main Results:

Nurses' attitudes and practices regarding infant sleep environments were successfully modified.
A significant increase in nurses placing infants on their backs to sleep was observed.
The implemented policies were integrated into ongoing hospital quality improvement efforts.

Conclusions:

Sustainable changes in nursing practice can be achieved through policy implementation and quality improvement.
Targeting nursing behaviors is an effective strategy for improving infant safe sleep practices.
This approach holds promise for reducing infant sleep-related deaths in at-risk populations.