Evidence map›Paper›PMID 29030524›Full record

Trial reportPediatrics2017

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

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
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  9. Article
  10. Scoping Review of Postpartum Discharge Education Provided by Nurses.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Facilitators and Barriers to Implementation of Safe Infant Sleep Recommendations in the Hospital Setting.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2019
    Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ann KellamsDepartments of Pediatrics and alk9c@virginia.edu.
Margaret G ParkerDepartment of Pediatrics, School of Medicine and.
Nicole L GellerSlone Epidemiology Center, Boston University, Boston, Massachusetts.
Rachel Y MoonDepartments of Pediatrics and.
Eve R ColsonDepartment of Pediatrics, Yale University, New Haven, Connecticut; and.
Emily DrakeDepartment of Family, Community and Mental Health Systems, School of Nursing, University of Virginia, Charlottesville, Virginia.
Michael J CorwinSlone Epidemiology Center, Boston University, Boston, Massachusetts.
Mary McClainSlone Epidemiology Center, Boston University, Boston, Massachusetts.
W Christopher GoldenDepartment of Pediatrics, School of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Fern R HauckFamily Medicine, School of Medicine and.

Funding

Social Media And Risk-reduction Training for Infant Care Practices (SMART)R01HD072815 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI COLSON, EVE R, CORWIN, MICHAEL J · 2012 to 2023
$7.2M
NICHD NIH HHS R01 HD072815
6 · The paper itself

Abstract

BACKGROUND AND

objectivesNursing 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%.

methodsA 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.

resultsThe 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.

conclusionsImplementation 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.

Indexed as

FemaleHospitals, MaternityHumansInfant CareInfant, NewbornMothersQuality ImprovementSleepSudden Infant DeathSupine PositionUnited States

Identifiers

PMID29030524
PMCPMC5654395

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.