What Do the Midwives and Nurses Know About Safe Sleep?

Yıldız, İlknur

doi:10.4274/jtsm.galenos.2021.02411

What Do the Midwives and Nurses Know About Safe Sleep?

İlknur YILDIZ (Sivas Cumhuriyet Üniversitesi Sağlık Bilimleri Fakültesi, Çocuk Hemşireliği Anabilim Dalı, Sivas, Türkiye)

Türk Uyku Tıbbı Dergisi

10 1

Yıl: 2021 Cilt: 8 Sayı: 1 Sayfa Aralığı: 43 - 48 Metin Dili: İngilizce DOI: 10.4274/jtsm.galenos.2021.02411 İndeks Tarihi: 23-01-2022

What Do the Midwives and Nurses Know About Safe Sleep?

Öz:

Objective: Information and recommendations provided by midwives and nurses, who play a vital role in maternal and child health, about safe sleeping environment have an influence on the parents. This study aimed to determine the knowledge and opinions of midwives and nurses about safe sleeping environment. Materials and Methods: This is a descriptive, cross-sectional study conducted on 220 midwives and nurses who worked at 18 family health centres and 2 hospitals. Data were collected using a descriptive characteristics form and safe sleep information form. The collected data were expressed as numbers, percentages, and mean and standard deviation values. Chi-square test was used to analyse the data. Results: The mean age of the participants was 31.83±7.63 years, 58.2% had a bachelor’s degree and 56.8% were working at a hospital. Of all the participants, 90% stated that a non-supine position was the safest sleeping position since the supine position involved possible risk of choking. Furthermore, 83.2% of the participants stated that they had heard about Sudden Infant Death syndrome, 75.5% indicated that this syndrome was associated with the sleeping environment of babies and 62.3% specified that they informed families about safe sleep. The number of nurses who informed families about safe sleep was higher than those who had a bachelor’s degree (p<0.05). Conclusion: Most midwives and nurses did not recommend the supine position, and they were aware of the risk factors such as bedsharing, placing soft objects on beds and using pillows. We recommend increasing awareness about safe sleep among midwives and nurses and providing them with appropriate training on safe sleeping environment.

Anahtar Kelime:

Ebe ve Hemşireler Güvenli Uyku Hakkında Ne Biliyor?

Öz:

Amaç: Anne ve bebek sağlığına ilişkin önemli rolleri olan ebe ve hemşirelerin güvenli uyku ortamı hakkındaki bilgi ve önerileri ebeveynleri etkiler. Bu çalışma ebe ve hemşirelerin güvenli uyku ortamına ilişkin bilgi ve görüşlerini belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: Tanımlayıcı kesitsel tipteki çalışmaya 2 hastane ve 18 aile sağlığı merkezinde çalışan 220 ebe ve hemşire katılmıştır. Veriler tanıtıcı özellikler formu ve güvenli uyku bilgi formu ile toplanmış; sayı, yüzde, ortalama, standart sapma ve ki-kare analizi ile gösterilmiştir. Bulgular: Ebe ve hemşirelerin yaş ortalamaları 31,83±7,63 olup, %97,7’si kadın, %58,2’si lisans mezunu, %56,8’i hastanede çalışmaktadır. Ebe ve hemşirelerin %90’ı boğulmaya yol açabileceğini belirterek sırtüstü olmayan pozisyonu en güvenli uyku pozisyonu olarak tanımlamıştır. Katılımcıların %83,2’si Ani Bebek Ölüm sendromunu duyduğunu, %75,5’i bebeğin uyku ortamı ile ilişkili olduğunu, %62,3’ü güvenli uyku hakkında ailelere bilgi verdiğini ifade etmiştir. Güvenli uyku hakkında bilgi vermenin lisans mezunu hemşirelerde daha yüksek oranda olduğu belirlenmiştir (p<0,05). Sonuç: Ebe ve hemşirelerin çoğunluğunun sırtüstü pozisyonu önermediği ancak yatak paylaşımı, yatağa yumuşak nesne konulması ve yastık kullanımı gibi risk faktörlerine yönelik bilgi sahibi oldukları belirlenmiştir. Güvenli uyku konusunda ebe ve hemşirelerin farkındalıklarının artırılması ve eğitilmesi önerilebilir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Moon RY, Task Force on Sudden Infant Death Syndrome, AAP Task Force on Sudden Infant Death Syndrome. SIDS and other sleep-related infant deaths: Evidence base for 2016 updated recommendations for a safe infant sleeping environment. Pediatrics 2016;138:1-21.
2. Centers for Disease Control and Prevention (CDC). (2017). Sudden unexpected infant death and sudden infant death syndrome: Data and Statistics. Last Accessed Date: 21.09.2020. Available from: https://www.cdc.gov/sids/data.htm
3. Bebek Ölüm Hızı. (2018). Last Accessed Date: 24.09.2020. Available from: https://hsgm.saglik.gov.tr/depo/birimler/cocuk_ergen_db/ dokumanlar/istatistikler/bebek_cocuk_olumleri_2018.pdf/
4. Healthy People 2020. Morbidity and Mortality. (2002). Last Accessed Date: 15.09.2020.Available from: https://www.healthypeople. gov/2020/topics-objectives/objective/mich-18-0
5. Colson ER, Levenson S, Rybin D, Calianos C, Margolis A, Colton T, Lister G, Corwin MJ. Barriers to following the supine sleep recommendation among mothers at four centers for the women, infants, and children program. Pediatrics 2006;118:e243-50.
6. Flook DM, Vincze DL. Infant safe sleep: Efforts to improve education and awareness. J Pediatr Nurs 2012;27:186-8.
7. Gelfer P, Cameron R, Masters K, Kennedy KA. Integrating “Back to Sleep” recommendations into neonatal ICU practice. Pediatrics 2013;131:e1264-70. doi: 10.1542/peds.2012-1857
8. Grazel R, Phalen AG, Polomano RC. Implementation of the American Academy of Pediatrics recommendations to reduce sudden infant death syndrome risk in neonatal intensive care units: An evaluation of nursing knowledge and practice. Adv Neonatal Care 2010;10:332-42.
9. McMullen SL, Fioravanti ID, Brown K, Carey MG. Safe sleep for hospitalized infants. MCN Am J Matern Child Nurs 2016;41:43-50.
10. Moon RY, Hauck FR, Colson ER. Safe infant sleep interventions: What is the evidence for successful behavior change? Curr Pediatr Rev 2016;12:67-75.
11. Newberry JA. Creating a safe sleep environment for the infant: What the pediatric nurse needs to know. J Pediatr Nurs 2019;44:119-22.
12. Shaefer SJ, Herman SE, Frank SJ, Adkins M, Terhaar M. Translating infant safe sleep evidence into nursing practice. J Obstet Gynecol Neonatal Nurs 2010;39:618-26.
13. Efe E, Inal S, Bal Yılmaz H, Çetin, H, Turan T, Altun E, Calisir H, Arikan D. Nurses’ and paediatricians’ knowledge about infant sleeping positions and the risk of sudden infant death syndrome in Turkey. Healrhmed 2012;6:140-7.
14. Yikilkan H, Ünalan PC, Çakır E, Ersu RH, Cifcili S, Akman M. Sudden infant death syndrome: How much mothers and health professionals know. Pediatr Int 2011;53:24-8.
15. Mason B, Ahlers-Schmidt CR, Schunn C. Improving safe sleep environments for well newborns in the hospital setting. Clin Pediatr (Phila) 2013;52:969-75.
16. Hodges NL, Anderson SE, McKenzie LB, Katz ML. Certified nursemidwives’ knowledge, attitudes, and behaviors about infant safe sleep. J Midwifery Womens Health 2018;63:196-204.
17. Aris C, Stevens TP, Lemura C, Lipke B, McMullen S, Côté-Arsenault D, Consenstein L. NICU nurses’ knowledge and discharge teaching related to infant sleep position and risk of SIDS. Adv Neonatal Care 2006;6:281-94.
18. Bartlow KL, Cartwright SB, Shefferly EK. Nurses’ knowledge and adherence to sudden infant death syndrome prevention guidelines. Pediatr Nurs 2016;42:7-13.
19. de Luca F, Gómez-Durán EL, Arimany-Manso J. Paediatricians’ practice about sudden infant death syndrome in Catalonia, Spain. Matern Child Health J 2017;21:1267-76.
20. Stastny PF, Ichinose TY, Thayer S, Olson RJ, Keens TG. Infant sleep positioning by nursery staff and mothers in newborn hospital nurseries. Nurs Res 2004;53:122-9.
21. Hitchcock SC. An update on safe infant sleep. Nurs Womens Health 2017;21:307-11.
22. Bullock LF, Mickey K, Green J, Heine A. Are nurses acting as role models for the prevention of SIDS. MCN Am J Matern Child Nurs 2004;29:172-7.
23. Hein HA, Pettit SF. Back to sleep: Good advice for parents but not for hospitals? Pediatrics 2001;107:537-9.
24. Patton C, Stiltner D, Wright KB, Kautz DD. Do nurses provide a safe sleep environment for infants in the hospital setting? An integrative review. Adv Neonatal Care 2015;15:8-22.
25. Ateah CA, Hamelin KJ. Maternal bedsharing practices, experiences, and awareness of risks. J Obstet Gynecol Neonatal Nurs 2008;37:274-81.
26. Duzinski SV, Yuma-Guerrero PJ, Fung A, Brown JM, Wheeler T, Barczyk AN, Lawson KA. Sleep behaviors of infants and young children: Associated demographic and acculturation characteristics among Hispanic teen mothers. J Trauma Nurs 2013;20:189-98.
27. Schaeffer P, Asnes AG. What do pediatricians tell parents about bedsharing? Matern Child Health J 2018;22:51-8.
28. Task Force on Sudden Infant Death Syndrome. AAP Task Force on Sudden Infant Death Syndrome. SIDS and other sleep-related infant deaths: Updated 2016 recommendations for a safe infant sleeping environment. Pediatrics 2016;138:e20162938. Doi: doi. org/10.1542/peds.2016-2938.
29. Hauck FR, Thompson JM, Tanabe KO, Moon RY, Vennemann MM. Breastfeeding and reduced risk of sudden infant death syndrome: A meta-analysis. Pediatrics 2011;128:103-10.
30. World Health Organization (WHO) and UNICEF. Baby-friendly hospital initiative: revised, updated and expanded for integrated care. Section 1. Background and implementation. Geneva, Switzerland: World Health Organization (2009). Last Accessed Date: 21.10.2020. Available from: https://apps.who.int/iris/bitstream/ handle/10665/43593/9789241594967_eng.pdf?sequence=1.
31. Maged M, Rizzolo D. Preventing sudden infant death syndrome and other sleep-related infant deaths. JAAPA 2018;31:25-30.
32. Ahlers-Schmidt CR, Kuhlmann S, Kuhlmann Z, Schunn C, Rosell J. To improve safe-sleep practices, more emphasis should be placed on removing unsafe items from the crib. Clin Pediatr (Phila) 2014;53:1285-7.
33. Chung-Park MS. Knowledge, opinions, and practices of infant sleep position among parents. Mil Med 2012;177:235-9.
34. Issler RM, Marostica PJ, Giugliani ER. Infant sleep position: A randomized clinical trial of an educational intervention in the maternity ward in Porto Alegre, Brazil. Birth 2009;36:115-21.
35. Andreotta J, Hill C, Eley S, Vincent D, Moore JM. Safe sleep practices and discharge planning. J Neonatal Nurs 2015;21:195-9.
36. Barsman SG, Dowling DA, Damato EG, Czeck P. Neonatal nurses’ beliefs, knowledge, and practices in relation to sudden infant death syndrome risk-reduction recommendations. Adv Neonatal Care 2015;15:209-19.

APA	Yıldız İ (2021). What Do the Midwives and Nurses Know About Safe Sleep?. , 43 - 48. 10.4274/jtsm.galenos.2021.02411
Chicago	Yıldız İlknur What Do the Midwives and Nurses Know About Safe Sleep?. (2021): 43 - 48. 10.4274/jtsm.galenos.2021.02411
MLA	Yıldız İlknur What Do the Midwives and Nurses Know About Safe Sleep?. , 2021, ss.43 - 48. 10.4274/jtsm.galenos.2021.02411
AMA	Yıldız İ What Do the Midwives and Nurses Know About Safe Sleep?. . 2021; 43 - 48. 10.4274/jtsm.galenos.2021.02411
Vancouver	Yıldız İ What Do the Midwives and Nurses Know About Safe Sleep?. . 2021; 43 - 48. 10.4274/jtsm.galenos.2021.02411
IEEE	Yıldız İ "What Do the Midwives and Nurses Know About Safe Sleep?." , ss.43 - 48, 2021. 10.4274/jtsm.galenos.2021.02411
ISNAD	Yıldız, İlknur. "What Do the Midwives and Nurses Know About Safe Sleep?". (2021), 43-48. https://doi.org/10.4274/jtsm.galenos.2021.02411

APA	Yıldız İ (2021). What Do the Midwives and Nurses Know About Safe Sleep?. Türk Uyku Tıbbı Dergisi, 8(1), 43 - 48. 10.4274/jtsm.galenos.2021.02411
Chicago	Yıldız İlknur What Do the Midwives and Nurses Know About Safe Sleep?. Türk Uyku Tıbbı Dergisi 8, no.1 (2021): 43 - 48. 10.4274/jtsm.galenos.2021.02411
MLA	Yıldız İlknur What Do the Midwives and Nurses Know About Safe Sleep?. Türk Uyku Tıbbı Dergisi, vol.8, no.1, 2021, ss.43 - 48. 10.4274/jtsm.galenos.2021.02411
AMA	Yıldız İ What Do the Midwives and Nurses Know About Safe Sleep?. Türk Uyku Tıbbı Dergisi. 2021; 8(1): 43 - 48. 10.4274/jtsm.galenos.2021.02411
Vancouver	Yıldız İ What Do the Midwives and Nurses Know About Safe Sleep?. Türk Uyku Tıbbı Dergisi. 2021; 8(1): 43 - 48. 10.4274/jtsm.galenos.2021.02411
IEEE	Yıldız İ "What Do the Midwives and Nurses Know About Safe Sleep?." Türk Uyku Tıbbı Dergisi, 8, ss.43 - 48, 2021. 10.4274/jtsm.galenos.2021.02411
ISNAD	Yıldız, İlknur. "What Do the Midwives and Nurses Know About Safe Sleep?". Türk Uyku Tıbbı Dergisi 8/1 (2021), 43-48. https://doi.org/10.4274/jtsm.galenos.2021.02411