A Nursing Perspective on Infant Bed-Sharing Using Multidisciplinary Theory Integration
Marissa G Bunch1, Sadie P Hutson
1College of Nursing, University of Tennessee, Knoxville (Ms Bunch and Dr Hutson); and School of Nursing, University of Tennessee, Chattanooga (Ms Bunch).
Insights
Despite recommendations against infant bed-sharing due to suffocation risks, caregivers continue this practice. Understanding theoretical differences, like the triple risk model and evolutionary theories, is key for healthcare innovation.
Area of Science:
- Pediatrics
- Public Health
- Nursing
Background:
- The American Academy of Pediatrics advises against infant bed-sharing, citing suffocation risks.
- Caregivers bed-share with infants for various reasons, despite safety recommendations.
- The bed-sharing debate is rooted in theoretical differences between safety concerns and caregiver practices.
Purpose of the Study:
- To analyze the theoretical underpinnings of the infant bed-sharing debate.
- To explore how nursing collaboration can bridge theoretical divides in bed-sharing research.
- To inform future healthcare practices and research on infant sleep safety.
Main Methods:
- Literature review of infant bed-sharing studies.
- Analysis of major theoretical frameworks, including the triple risk model and evolutionary theories.
- Examination of nursing's role in multidisciplinary collaboration.
Main Results:
- The bed-sharing controversy is largely driven by differing theoretical perspectives.
- The triple risk model and evolutionary theories offer distinct lenses on infant sleep safety.
- Nurses possess skills to integrate these theories for improved practice.
Conclusions:
- Unifying theoretical views on infant bed-sharing is crucial for advancing healthcare.
- Nursing collaboration can bridge the gap between safety recommendations and caregiver behaviors.
- Future research and practice innovations should consider integrated theoretical approaches to infant sleep safety.
Abstract:
The American Academy of Pediatrics recommends against bed-sharing between infants and caregivers due to an association with suffocation. Caregivers continue to share a bed with their infant despite these recommendations for a multitude of reasons. A close examination of the bed-sharing literature reveals that the debate is fundamentally about theoretical differences. The major theories used to frame this problem include the triple risk model of bed-sharing and evolutionary theories. Nurses are masters of multidisciplinary collaboration and are well positioned to unify the triple risk and evolutionary views of infant bed-sharing to guide future innovations in health care practice and research.
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