Promoting safe infant sleep: The creation and appraisal of a practice guideline for nurses
View File(s)
- Author(s)
- Details
-
Sharon C. Hitchcock MSN, RNC-MNN. For further information or discussion regarding this manuscript, please contact the author by email: schitchcock@email.arizona.edu
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Hitchcock, Sharon C. by View
Title | Page Views |
---|
Popular Works for Hitchcock, Sharon C. by Download
Title | Downloads |
---|
View Citations
Citations
Background: Every day in America, healthy infants are dying from sudden infant death syndrome (SIDS) and other sleep-related deaths. Once a terrifying mystery, these deaths, also called sudden unexpected infant death (SUID), are now considered preventable (American Academy of Pediatrics [AAP], 2016). SUID rates in the United States have remained stagnant and unacceptably high since the late 1990’s despite known modifiable risk factors (Centers for Disease Control and Prevention [CDC], 2017). These rates are higher than most other developed nations (MacDorman, Matthews, Mohangoo, & Zeitlin, 2014). Although prevention strategies are evidence-based and generally known and understood by nurses, studies have shown inconsistent, incorrect, or incomplete education being provided to parents and caregivers around the time of birth (Eisenberg, et al., 2015; Gaydos et al., 2015).
Purpose: In the fall of 2015 the Association of Women’s health, Obstetrics, and Neonatal Nurses (AWHONN) asked the author to write a practice guideline on the topic of safe infant sleep. The purpose of this project was to develop an evidence-based practice guideline for perinatal nurses and leaders. As part of the guideline development, and to establish content validity, a formal appraisal of the guideline by perinatal nurse leaders was conducted using the AGREE II (Appraisal of Guidelines for Research and Evaluation) instrument (AGREE Enterprise, n.d.)
Approach: The appraisal project was a two-phase, non-experimental, descriptive, mixed-methods design using an online survey approach. A convenience sample of perinatal nurse- leaders from a variety of settings was sought. Descriptive statistics were used to describe the quantitative results and qualitative data are reported verbatim due to the small number of comments returned.
Results: Twenty six nurse-leader participants were invited with 15 completing the phase-one survey (57.7%), and 10 completing both phase-one and two (38.5% overall response rate). One hundred percent of the participants rated the guideline as either the “highest possible” or “high quality.” All participants recommended the guideline for use, and 90% (n=9) reported having taken, or planned to take action, since reading the practice guideline. Qualitative data was generally positive with three specific suggestions for changes provided.
Conclusions: This practice guideline has the potential to help individual nurses improve their safe sleep knowledge, practice, and teaching strategies, as well as to help perinatal nurse-leaders conduct large scale safe sleep quality improvement projects.
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | Faculty Approved: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Clinical Practice Guideline(s) |
Research Approach | Mixed/Multi Method Research |
Keywords | Sudden Infant Death; Safe Infant Sleep; SIDS; Intervention; Quality Improvement; Prevention; Sudden Unexpected Infant Death; SUID |
CINAHL Subject(s) | Sudden Infant Death; Sudden Infant Death--Prevention and Control; Sleep--In Infancy and Childhood; Sleep--Standards--In Infancy and Childhood; Sleep--Standards; Sleep; Quality Improvement; Nursing Interventions; Practice Guidelines |
Grantor | Northern Arizona University |
Advisor | Karnitschnig, Laura M.; Goldsmith, Melissa; Miller, Connie S. |
Level | DNP |
Year | 2017 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Enhancing knowledge and retention of infant safe sleep practices with simulation
Lemoine, Jennifer; Rholdon, Roger D. Jr.; Templet, Tricia A. (2018-04-02)Sudden unexpected infant death continues to occur in the US despite recommendations made by organizations' establishment of infant safe sleep practices based on best evidence. The overall aim of this study was to determine ... -
Promoting safe sleep education for at risk mothers
James, BreannaSudden infant death syndrome (SIDS) is an unexplained scary phenomenon that has plagued parents for years until research determined there was a link between the infants sleeping position and sudden death. Local ... -
How does standard use of a rectal acetaminophen/intravenous (IV) opioid combination compare to IV opioid alone in improved comfort levels and decreased overall opioid use in full-term infants post open heart repair?
Ochsenreither, Jacqueline M.Pediatric cardiothoracic surgical patients experience varying degrees of pain in the immediate post-operative period. Multiple analgesic modalities can be utilized to effectively manage pain in this specific patient ... -
Effects of virtual reality on symptom distress in children receiving cancer chemotherapy
Schneider, Susan M.The objective of this study was to test the premise that virtual reality, as a developmentally appropriate distraction intervention, mitigates chemotherapy related symptom distress in older children with cancer aged 10-17. ... -
Intergenerational health promotion in African-Americans
McArthur, Donna BehlerHeart disease is the leading cause of death for people over the age of 25 and is largely preventable through behavioral changes. Diet and physical activity patterns, which may be amenable to change through age- and ...