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Barriers and facilitators to modeling safe sleep practices in the NICU: A qualitative study of nursing & parent
Alice E Burgess1, Stephanie L Bourque2, Christina R Fisher2
1University of Colorado School of Medicine, Aurora, CO, USA. alice.burgess@childrenscolorado.org.
Objective:
To identify nursing and parent-perceived barriers and facilitators to adherence to safe sleep practices in a level IV NICU.
Study Design:
20 NICU nurses and 10 parents of infants who were hospitalized in a level IV NICU within the past year participated in this qualitative study. Themes from coded interview transcripts were identified utilizing deductive thematic analysis.
Results:
Barriers and facilitators to safe sleep practices spanned across individual-, unit-, and community-levels. The significance of cultural preferences and traditions, hands-on practice and direct modeling, developmental positioning tools and reflux precautions, inter-team communication and consistency, different learning styles, and caregiver stress associated with NICU stays emerged as key themes.
Conclusion:
We identified several barriers and facilitators of effective safe sleep modeling in the NICU from both nursing and parent perspectives. These insights will help to inform a collaborative, family-centered, and sustainable approach to integrating safe sleep practices in the NICU.
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