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首页> 外文期刊>Journal of pediatric nursing >Response to a National Issue: Moving Beyond “Back to Sleep” at Three Hospitals
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Response to a National Issue: Moving Beyond “Back to Sleep” at Three Hospitals

机译：对国家问题的回应：在三家医院超越“回到睡眠”

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PurposeTo measure changes in registered nurse (RN) knowledge/beliefs and practices, parents' recall of infant safe sleep (ISS) teaching, and inpatient infant sleep environments and safety after implementing an ISS initiative. Design and MethodsThis longitudinal quasi-experimental study took place in three hospitals in the United States. An existing infant safe sleep tool was revised and updated to align with current recommendations on sleep environments. A bundled intervention included educating nurses, changing unit processes and implementing crib cards and room signs. Paired questionnaires surveyed 62 nurses before and 2?months after the intervention. Audits of 462 cribs/sleep environments with parent conversations assessed infant sleep conditions and parents' recall of RN teaching before and after the intervention. ResultsAfter Bonferroni correction, eight of 19 items for RN knowledge/beliefs and self-reported practice showed statistically significant improvements with moderate effect sizes. All 11 items for parents' recall of RN teaching showed statistically significant improvements, with odds ratios ranging from 7 to 76. Five of six real-time sleep safety conditions (from crib/sleep environment audits) had statistically significant improvements. Odds ratios ranged from eight to 83. ConclusionAn updated educational tool improved nurses' and parents' knowledge and practices related to current and updated safety factors for infant sleep conditions. Inpatient adherence to infant sleep safety recommendations improved. Practice ImplicationsA two-hour investment of nurses' time yielded statistically significant improvements. Factors critical to the success of the ISS project roll-out are reported. Improvements in parents' recall of teaching and actual sleep environments suggest potential for long-term changes in infant safety at home.
机译：Purposeto测量注册护士（RN）知识/信仰和实践的变化，父母召回婴儿安全睡眠（ISS）教学和住院婴儿睡眠环境和安全后的安全性。设计和方法纵向准实验研究在美国三家医院举行。修改并更新现有的婴儿安全睡眠工具以与睡眠环境的当前建议对齐。捆绑的干预包括教育护士，改变单位流程和实施婴儿床卡和房间标志。成对的问卷调查前62名护士和2个月后的干预后数月。审核462个婴儿床/睡眠环境，父母对话评估了婴儿睡眠条件和父母在干预之前和之后的RN教学的回忆。结果制剂Bonferroni更正，RN知识/信仰和自我报告的实践中的八项具有统计上显着的改善，具有中等效果大小。所有11个父母召回RN教学的项目显示出统计上显着的改进，差异比率范围为7至76.六个实时睡眠安全条件中的五种（来自婴儿床/睡眠环境审计）具有统计上显着的改进。赔率比率为8至83.结案更新了教育工具改善了护士和父母的知识和实践，与当前和更新的婴幼儿睡眠条件的安全因子相关。住院遵守婴儿睡眠安全建议的改善。练习含义A 2小时的护士投资的时间产生了统计上显着的改进。对ISS项目推出的成功至关重要的因素。父母回忆教学和实际睡眠环境的改进表明家庭婴儿安全长期变化的潜力。

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