Promoting safe infant sleep: The creation and appraisal of a practice guideline for nurses

21.00
Hdl Handle:
http://hdl.handle.net/10755/622570
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Clinical Practice Guideline(s)
Research Approach:
Mixed/Multi Method Research
Title:
Promoting safe infant sleep: The creation and appraisal of a practice guideline for nurses
Author(s):
Hitchcock, Sharon C.
Additional Author Information:
Sharon C. Hitchcock MSN, RNC-MNN. For further information or discussion regarding this manuscript, please contact the author by email: schitchcock@email.arizona.edu
Advisors:
Karnitschnig, Laura M.; Goldsmith, Melissa; Miller, Connie S.
Degree:
DNP
Degree Year:
2017
Grantor:
Northern Arizona University
Abstract:

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.

Keywords:
sudden infant death; safe infant sleep; SIDS; intervention; quality improvement; prevention; sudden unexpected infant death; SUID
CINAHL Headings:
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
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2017-09-12T14:25:23Z
Date of Publication:
2017-09-12

Full metadata record

DC FieldValue Language
dc.contributor.advisorKarnitschnig, Laura M.en
dc.contributor.advisorGoldsmith, Melissaen
dc.contributor.advisorMiller, Connie S.en
dc.contributor.authorHitchcock, Sharon C.en
dc.date.accessioned2017-09-12T14:25:23Z-
dc.date.available2017-09-12T14:25:23Z-
dc.date.issued2017-09-12-
dc.identifier.urihttp://hdl.handle.net/10755/622570-
dc.description.abstract<p><strong>Background:</strong> 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). </p> <p><strong>Purpose:</strong> 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.)</p> <p><strong>Approach: </strong>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.</p> <p><strong>Results</strong>: 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.</p> <p><strong>Conclusions: </strong>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.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjectsudden infant deathen
dc.subjectsafe infant sleepen
dc.subjectSIDSen
dc.subjectinterventionen
dc.subjectquality improvementen
dc.subjectpreventionen
dc.subjectsudden unexpected infant deathen
dc.subjectSUIDen
dc.titlePromoting safe infant sleep: The creation and appraisal of a practice guideline for nursesen_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorNorthern Arizona Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsSharon C. Hitchcock MSN, RNC-MNN. For further information or discussion regarding this manuscript, please contact the author by email: schitchcock@email.arizona.eduen
thesis.degree.year2017en
dc.type.categoryFull-texten
dc.evidence.levelClinical Practice Guideline(s)en
dc.research.approachMixed/Multi Method Researchen
dc.subject.cinahlSudden Infant Deathen
dc.subject.cinahlSudden Infant Death--Prevention and Controlen
dc.subject.cinahlSleep--In Infancy and Childhooden
dc.subject.cinahlSleep--Standards--In Infancy and Childhooden
dc.subject.cinahlSleep--Standardsen
dc.subject.cinahlSleepen
dc.subject.cinahlQuality Improvementen
dc.subject.cinahlNursing Interventionsen
dc.subject.cinahlPractice Guidelinesen
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