Are nurses acting as role models for the prevention of SIDS.
Are nurses acting as role models for the prevention of SIDS.
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DOI：
10.1097/00005721-200405000-00008
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发表时间：
2004-05-01
期刊：
影响因子：
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通讯作者：
Heine, Anne
中科院分区：
文献类型：
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作者：
Bullock, Linda F C;Mickey, Karen;Heine, Anne
目得：检查护士的知识，态度和做法，在定位健康的新生儿睡眠在hospital setting.DESIGN和METHODS：一个横断面描述性设计被用来调查一个方便的样本，在58个密苏里州医院的实习产妇和儿童护士。由密苏里州的SIDS资源提供的24项调查问卷被开发出来。这些护士报告说，他们不再让婴儿以俯卧位睡觉，但几乎75%的受访者使用侧卧位或侧卧位和背部姿势的混合，尽管96%的护士说他们知道AAP指南建议“重新入睡”。“45%的护士认为，如果婴儿只躺在他/她的背上，他/她会有吸入的危险。只有53%的护士知道他们的医院的政策新生儿定位; 80%的人知道的政策说，它包括横向位置作为可接受的practice. Clinical含义：护士是新的父母关于新生儿睡眠位置的榜样，并在一个独特的位置，影响父母的决定如何把他们的婴儿在家里睡觉。由于护士继续担心新生儿仰卧时的误吸，很明显，医院护士需要更多的教育新生儿睡眠姿势和医院政策，以及AAP指南。
PURPOSE: To examine nurses' knowledge, attitude, and practice in positioning healthy newborns for sleep in the hospital setting.DESIGN AND METHODS: A cross-sectional descriptive design was used to survey a convenience sample of practicing maternal child nurses in 58 Missouri hospitals. A 24-item investigator designed questionnaire was developed with input from SIDS Resources in Missouri.RESULTS: A total of 528 surveys were analyzed. These nurses reported no longer placing infants in the prone position for sleep, but almost 75% of those answering the survey used either the side-lying position or a mixture of side and back positioning, even though 96% of the nurses said they were aware of the AAP Guidelines recommending "back to sleep." Forty-five percent of the nurses thought the infant would be at risk for aspiration if only placed on his/her back. Only 53% of the nurses knew their hospital's policy about newborn positioning; 80% of those who knew about the policy said it included the lateral position as being acceptable practice.CLINICAL IMPLICATIONS: Nurses are the role models for new parents regarding newborn sleep position, and are in a unique position to influence parents' decisions about how to place their infants for sleep at home. Because nurses continue to worry about aspiration when newborns are placed on their backs, it is clear that more education is needed for hospital nurses about newborn sleep position and hospital policies, as well as AAP Guidelines.