Georgia Department of Public Health, 2 Peachtree Street, NW, Atlanta, GA, 30303-3186, USA.
Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee, 2400 E Hartford Ave, Milwaukee, WI, 53211, USA.
J Community Health. 2018 Aug;43(4):768-774. doi: 10.1007/s10900-018-0483-3.
Sleep-related infant deaths continue to be a major, largely preventable cause of infant mortality, especially in Georgia. The Georgia Department of Public Health (DPH), as part of a multi-pronged safe infant sleep campaign, implemented a hospital initiative to (1) provide accurate safe infant sleep information to hospital personnel; (2) support hospitals in implementing and modeling safe sleep practices; and (3) provide guidance on addressing caregiver safe sleep concerns. A process evaluation was conducted to determine progress toward four goals set out by DPH: (1) all birthing hospitals have a safe infant sleep policy; (2) all safe infant sleep policies reference the AAP 2011 recommendations; (3) all safe infant sleep policies specify the type and/or content of patient safe sleep education; and (4) all hospitals require regular staff training on safe sleep recommendations. Data were collected via structured interviews and document review of crib audit data and safe sleep policies. All 79 birthing hospitals in the state participated in the statewide campaign. Prior to the initiative, 44.3% of hospitals had a safe sleep policy in place; currently, 87.3% have a policy in place. The majority (91.4%) of hospitals have provided safe sleep training to their staff at this time. Important lessons include: (1) Engagement is vital to success; (2) A comprehensive implementation guide is critical; (3) Piloting the program provides opportunities for refinement; (4) Ongoing support addresses barriers; and (5) Senior leadership facilitates success.
与睡眠相关的婴儿死亡仍是导致婴儿死亡的一个主要原因，在很大程度上是可以预防的，尤其是在佐治亚州。佐治亚州公共卫生部 (DPH) 作为安全婴儿睡眠多管齐下运动的一部分，实施了一项医院倡议，以 (1) 向医院工作人员提供准确的安全婴儿睡眠信息；(2) 支持医院实施和示范安全睡眠实践；以及 (3) 提供有关解决护理人员安全睡眠问题的指导。进行了一项过程评估，以确定 DPH 设定的四个目标的进展情况：(1) 所有分娩医院都有安全婴儿睡眠政策；(2) 所有安全婴儿睡眠政策均参考 AAP 2011 年的建议；(3) 所有安全婴儿睡眠政策都明确规定了患者安全睡眠教育的类型和/或内容；以及 (4) 所有医院都需要定期对安全睡眠建议进行员工培训。数据是通过对婴儿床审核数据和安全睡眠政策的结构化访谈和文件审查收集的。全州所有 79 家分娩医院都参与了全州范围的运动。在该倡议之前，有 44.3%的医院已经制定了安全睡眠政策；目前，87.3%的医院都有政策。此时，大多数 (91.4%) 的医院已经为其员工提供了安全睡眠培训。重要的经验教训包括：(1) 参与对于成功至关重要；(2) 全面的实施指南至关重要；(3) 试点项目为改进提供了机会；(4) 持续的支持解决了障碍；以及 (5) 高层领导促进了成功。
