Download - Evaluation of an Evidence Based Teaching Program for Newborn …curca.buffalo.edu/students/pdfs/2016_posters/Barlow.pdf · · 2016-05-04for Newborn Safe Sleep Khloe Barlow, BSN

Evaluation of an Evidence Based Teaching Programfor Newborn Safe Sleep

Khloe Barlow, BSN Student

SIDS, strangulation, and accidental suffocation are the leading causes of death for infants beyond the neonatal period in the United States

American Academy of Pediatrics issued the Back to Sleep Initiative which includes infant sleep environment

Despite the recommendations, new parents are still engaging in unsafe sleep behaviors with their newborns

Interventions put in place at Sister’s of Charity Hospital of Buffalo in 2013 are being used to educate parents on safe infant sleep behaviors

IRB approval was obtained from both the University at Buffalo and Sister’s Hospital

Design: Systematic literature review and cross-sectional survey

Participants: Convenience sample of women who gave birth at Sister’s Hospital in July-August 2015

Procedure: Telephone interview with an investigator developed interview guide “Safe Sleep: Knowledge and Practice Questionnaire”

Analysis: Content analysis of the literature and descriptive statistics of the survey

What influences newborn sleep in the home? Is the hospital based teaching program effective?

Literature Review: Databases: CINAHL, PubMed Keywords: Infant, Sleep, Safe Sleep in Infants,

Safe Sleep Education Inclusion Criteria: Written in English Total Number of Articles Reviewed: 18

Major Findings from the Literature: Safe sleep awareness and education are being

promoted in order to better prepare parents for safe infant sleep at home

Safe sleep guidelines can conflict with cultural or familial values regarding sleeping arrangements

Parents seem to know about Back to Sleep, yet they choose not to comply for various reasons

Caregivers are influenced in many different ways, including health providers and family members

Telephone Interviews: A total of 44 mothers were contacted and

interviewed by phone Ranged in age from 19-37 years of age; thirty-six

(82%) participants were primigravida Most commonly identified sources of safe sleep

information were books about parenting and infant care and expectant parent magazines

All participants recalled receiving a demonstration of infant positioning when they were admitted to the maternal newborn unit

All participants responded that newborns should not be covered with loose blankets, placed on their tummy, or have toys in the crib

Limitations: small sample size and the risk for social desirability

Patients are influenced by more than one factor when it comes to safe infant sleep education

The findings of this study demonstrate the effectiveness of the evidence based teaching program at Sister’s Hospital

Continuity of content and continuous modeling and reinforcement may be more effective than an isolated teaching event

The teaching program needs to be updated to include the use of infant carriers as sleep environments

An essential role of the professional nurse is to educate new parents and advocate for the well-being of the newborn

Background

Methods

Research Question

Conclusions

http://www.cdc.gov/sids/data.htm

Results

Presenter

Presentation Notes

Sleep related deaths are the leading cause of infant death. Over the summer of 2015, I participated in the Nursing Undergraduate Research Summer Experience (NURSE) program. My research focused on what influenced new parents regarding baby’s sleep environment. My research was conducted in two parts: a literature review and a cross-sectional descriptive study The research question was “what influences newborn sleep in the home?” The literature review identified 18 articles and a literature matrix developed. Following IRB approval new mothers at Sisters Hospital were invited to participate in the research. Approximately a week after parents discharged from the hospital, they were interviewed about their baby’s sleep environment. At the end of the summer experience, 48 mothers were interviewed regarding their baby’s sleep. The data indicate the teaching these parents received during the hospital is effective but other factors influence infant sleep environment. Educating parents is important to prevent sleep-related deaths.