MCHbest. NPM 7: Injury Hospitilization
Strategy. Hospital-Based Multi-Component Safe Sleep Training to Prevent Infant Suffocation
Approach. Conduct safe sleep training for nurses and/or mothers in maternity wards/neonatal intensive care units (NICUs) using educational materials (videos, posters, checklists) + revise hospital policies and practices to align with the American Academy of Pediatrics’ recommendations.
Note: This stragegy is one of a number of evidence-based approaches addressed in NPM 5. Please see a full list of NPM 5: Safe Sleep strategies here.
Overview. Studies show that hospital-based multi-component safe sleep training programs have positive effects on increasing nurse and/or parent knowledge and utilization of safe sleep practices.1-6
Evidence. Moderate. Hospital-based multi-component safe sleep training programs appear to be effective in increasing awareness and implementation of safe infant sleep practices. Programs based on this strategy are likely to work. This strategy has been tested more than once and results trend positive overall. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Nurses, caregivers.
Outcome. Increased knowledge and utilization of safe sleep practices. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.
Examples from the Field. Access descriptions of ESMs for NPM 5: Safe Sleep that use this strategy directly or intervention components that align with this strategy. You can use these ESMs to see how other Title V agencies are addressing the NPM. You may also want to look at evidence that supports educational programs in other NPM topic areas that can be translated to this specific topic area.
Sample ESMs.Using the approach “Conduct safe sleep training for nurses and/or mothers in maternity wards/NICUs,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework:
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).
1 Gelfer P, Cameron R, Masters K, Kennedy KA. (2013). Integrating ‘‘back to sleep’’ recommendations into neonatal ICU practice. Pediatrics, 131(4): e1264–e1270.
2 Goodstein MH, Bell T, Krugman SD. (2015). Improving infant sleep safety through a comprehensive hospital-based program. Clinical Pediatrics, 54(3): 212–221.
3 Mason B, Ahlers-Schmidt CR, Schunn C. (2013). Improving safe sleep environments for well newborns in the hospital setting. Clinical Pediatrics, 52(10): 969–975.
4 McMullen SL, Lipke B, LeMura C. (2009). Sudden Infant Death Syndrome prevention: A model program for NICUs. Neonatal Network, 28(1): 7–12.
5 Shaefer SJ, Herman SE, Frank SJ, Adkins M, Terhaar M. (2010). Translating infant safe sleep evidence into nursing practice. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 39(6): 618–626.
6 Voos KC, Terreros A, Larimore P, Leick-Rude MK, Park N. (2015). Implementing safe sleep practices in a neonatal intensive care unit. The Journal of Maternal-Fetal Neonatal Medicine. Doi:10.3109/14767058.2014.964679.