TodaysBaby Quality Improvement: Safe Sleep Teaching and Role Modeling in 8 US Maternity Units
Open accessAbstract
BACKGROUND AND OBJECTIVES: 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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Nurses focused on safety as an educational priority, specifically safe sleep and preventing infant falls, which reflected the influence of national safety initiatives on nursing practice.
“Nurses focused on safety as an educational priority, specifically safe sleep (Kellams et al., 2017) and preventing infant falls (Hantske, 2015; Wallace, 2015), which reflected the influence of national safety initiatives on nursing practice (Bittle et al., 2019; Bombard et al., 2018).”
From Scoping Review of Postpartum Discharge Education Provided by Nurses (2022) · cites this paper as Kellams et al., 2017
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References 25 · Cited by 56
Research works printed but not linked: 1
- [19]Institute of Medicine (IOM) Advancing quality improvement research: challenges and opportunities. Workshop summary Washington, DC The National Academies Press 2007
- Authors
- Kellams, A., Parker, M. G., Geller, N. L., Moon, R. Y., Colson, E. R., Drake, E., Corwin, M. J., McClain, M., Golden, W. C., & Hauck, F. R.
- Affiliations
- Boston University (US)
- Yale University (US)
- University of Virginia (US)
- Johns Hopkins University (US)
- Corresponding author
- Kellams, Ann
- ORCID
- Venue
- PEDIATRICS
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2017-10-13
- Volume
- 140
- Issue
- 5
- Pages
- e20171816
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- PMC
- PMC5654395
- OpenAlex
- W2763852581
- Cited by
- 56
- References
- 25
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 3 · 2023: 9 · 2022: 13 · 2021: 4 · 2020: 12 · 2019: 7 · 2018: 1 · 2016: 1
- FWCI
- 5.97
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- PEDIATRICS (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD072815)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Keywords
- infant sleep safety, maternity ward, postpartum hospitalization, parent education, quality improvement intervention, nurse-parent communication
- MeSH terms
- Female, Hospitals, Maternity, Humans, Infant Care, Infant, Newborn, Mothers, Sleep, Sudden Infant Death, United States, Supine Position, Quality Improvement
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