TodaysBaby quality improvement: Safe sleep teaching and role modeling in 8 US Maternity Units

Ann Kellams, Margaret G. Parker, Nicole L. Geller, Rachel Y. Moon, Eve R. Colson, Emily Drake, Michael J. Corwin, Mary McClain, W Christopher Golden, Fern R. Hauck

Research output: Contribution to journalArticle

Abstract

Nursing education and role modeling can increase adherence to safe sleep practices. Eight US hospital maternity units with variable baseline approaches to education participated in a national multicenter nursing quality improvement (QI) intervention to promote safe sleep practices. The goals at participating maternity units were to (1) increase the rate of mothers who reported receiving safe sleep information from nurses to ≥90% and (2) increase the rates of infants observed sleeping supine in a safe environment to ≥90%. METHODS: A safe sleep QI toolkit, designed for and provided to all sites, included an educational curriculum and tools to use for staff and parent education. Local teams implemented safe sleep education using the tools as plan-do-study-Act cycles. After each cycle, audits assessing maternal report of nursing education on safe sleep and inpatient infant sleep position and environment were performed. RESULTS: The QI interventions lasted a median of 160 days (range, 101-273). Mothers reported receiving information on 4 primary safe sleep topics 72% to 95% of the time (a 24%-57% increase over the baseline). Additionally, 93% of infants were observed in a supine sleep position, and 88% of infants were observed in a safe sleep environment (a 24% and 33% increase over baseline, respectively). These rates were sustained up to 12 months later. CONCLUSIONS: Implementation of a multisite QI intervention for safe sleep parenting education and role modeling led to increased knowledge of and compliance with safe sleep practices during postpartum hospitalization.

Original languageEnglish (US)
Article numbere20171816
JournalPediatrics
Volume140
Issue number5
DOIs
StatePublished - Nov 1 2017

Fingerprint

Quality Improvement
Sleep
Teaching
Nursing Education
Mothers
Education
Nonprofessional Education
Hospital Units
Supine Position
Curriculum
Postpartum Period
Inpatients
Hospitalization
Nursing
Nurses

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Kellams, A., Parker, M. G., Geller, N. L., Moon, R. Y., Colson, E. R., Drake, E., ... Hauck, F. R. (2017). TodaysBaby quality improvement: Safe sleep teaching and role modeling in 8 US Maternity Units. Pediatrics, 140(5), [e20171816]. https://doi.org/10.1542/peds.2017-1816

TodaysBaby quality improvement : Safe sleep teaching and role modeling in 8 US Maternity Units. / Kellams, Ann; Parker, Margaret G.; Geller, Nicole L.; Moon, Rachel Y.; Colson, Eve R.; Drake, Emily; Corwin, Michael J.; McClain, Mary; Golden, W Christopher; Hauck, Fern R.

In: Pediatrics, Vol. 140, No. 5, e20171816, 01.11.2017.

Research output: Contribution to journalArticle

Kellams, A, Parker, MG, Geller, NL, Moon, RY, Colson, ER, Drake, E, Corwin, MJ, McClain, M, Golden, WC & Hauck, FR 2017, 'TodaysBaby quality improvement: Safe sleep teaching and role modeling in 8 US Maternity Units', Pediatrics, vol. 140, no. 5, e20171816. https://doi.org/10.1542/peds.2017-1816
Kellams A, Parker MG, Geller NL, Moon RY, Colson ER, Drake E et al. TodaysBaby quality improvement: Safe sleep teaching and role modeling in 8 US Maternity Units. Pediatrics. 2017 Nov 1;140(5). e20171816. https://doi.org/10.1542/peds.2017-1816
Kellams, Ann ; Parker, Margaret G. ; Geller, Nicole L. ; Moon, Rachel Y. ; Colson, Eve R. ; Drake, Emily ; Corwin, Michael J. ; McClain, Mary ; Golden, W Christopher ; Hauck, Fern R. / TodaysBaby quality improvement : Safe sleep teaching and role modeling in 8 US Maternity Units. In: Pediatrics. 2017 ; Vol. 140, No. 5.
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abstract = "Nursing education and role modeling can increase adherence to safe sleep practices. Eight US hospital maternity units with variable baseline approaches to education participated in a national multicenter nursing quality improvement (QI) intervention to promote safe sleep practices. The goals at participating maternity units were to (1) increase the rate of mothers who reported receiving safe sleep information from nurses to ≥90{\%} and (2) increase the rates of infants observed sleeping supine in a safe environment to ≥90{\%}. METHODS: A safe sleep QI toolkit, designed for and provided to all sites, included an educational curriculum and tools to use for staff and parent education. Local teams implemented safe sleep education using the tools as plan-do-study-Act cycles. After each cycle, audits assessing maternal report of nursing education on safe sleep and inpatient infant sleep position and environment were performed. RESULTS: The QI interventions lasted a median of 160 days (range, 101-273). Mothers reported receiving information on 4 primary safe sleep topics 72{\%} to 95{\%} of the time (a 24{\%}-57{\%} increase over the baseline). Additionally, 93{\%} of infants were observed in a supine sleep position, and 88{\%} of infants were observed in a safe sleep environment (a 24{\%} and 33{\%} increase over baseline, respectively). These rates were sustained up to 12 months later. CONCLUSIONS: Implementation of a multisite QI intervention for safe sleep parenting education and role modeling led to increased knowledge of and compliance with safe sleep practices during postpartum hospitalization.",
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