Głowińska Alina, Glowinski Sebastian
Independent Researcher, 74-024 Koszalin, Poland.
Institute of Health Sciences, Pomeranian University in Slupsk, Westerplatte 64, 76-200 Slupsk, Poland.
Children (Basel). 2025 Aug 31;12(9):1160. doi: 10.3390/children12091160.
Shaken Baby Syndrome (SBS) is a severe form of abusive head trauma with potentially fatal consequences. Nurses and midwives play a crucial role in its prevention through early recognition and caregiver education; however, little is known about their knowledge and preparedness in the Polish context.
To assess the knowledge, perceptions, and educational experiences related to SBS among Polish nurses and midwives working with infants.
A nationwide cross-sectional survey was conducted among 110 nurses and midwives employed in neonatal and pediatric care settings across Poland.
An anonymous questionnaire collected demographic data and evaluated knowledge of SBS, infant crying, coping strategies, and prior training. Associations between knowledge levels and participant characteristics were analyzed using the Mann-Whitney U and Kruskal-Wallis tests.
Most participants (94.5%) had heard of SBS, and 78.2% correctly recognized shaking as more dangerous than a fall from a changing table. However, only 5.5% reported receiving formal training on SBS. Recognition of SBS symptoms was generally high (e.g., vomiting 100%, seizures 90.9%), but misconceptions persisted regarding coping with infant crying. More than one-quarter (27.3%) admitted experiencing a "breaking point," and this group was more likely to acknowledge the risk of losing emotional control. Older nurses demonstrated significantly better recognition of crying patterns and colic ( = 0.0415), while SBS knowledge was positively associated with years of professional experience ( = 0.0484).
Although general awareness of SBS is widespread, practical knowledge and training remain insufficient. Structured educational programs on SBS and infant crying management are urgently needed to better prepare healthcare professionals and reduce the risk of caregiver-related harm to infants.
摇晃婴儿综合征（SBS）是一种严重的虐待性头部创伤形式，可能会导致致命后果。护士和助产士在通过早期识别和对照顾者进行教育来预防该病方面发挥着关键作用；然而，在波兰的背景下，对于他们的相关知识和准备情况却知之甚少。
评估波兰从事婴儿护理工作的护士和助产士与摇晃婴儿综合征相关的知识、认知和教育经历。
在波兰各地新生儿和儿科护理机构工作的110名护士和助产士中进行了一项全国性横断面调查。
一份匿名问卷收集了人口统计学数据，并评估了关于摇晃婴儿综合征、婴儿哭闹、应对策略和先前培训的知识。使用曼-惠特尼U检验和克鲁斯卡尔-沃利斯检验分析知识水平与参与者特征之间的关联。
大多数参与者（94.5%）听说过摇晃婴儿综合征，78.2%正确认识到摇晃比从换尿布台上跌落更危险。然而，只有5.5%的人报告接受过关于摇晃婴儿综合征的正规培训。对摇晃婴儿综合征症状的识别普遍较高（例如，呕吐为100%，癫痫发作90.9%），但在应对婴儿哭闹方面仍存在误解。超过四分之一（27.3%）的人承认经历过“临界点”，这一组更有可能承认有失去情绪控制的风险。年长的护士对哭闹模式和腹绞痛的识别明显更好（P = 0.0415），而摇晃婴儿综合征知识与专业经验年限呈正相关（P = 0.0484）。
尽管对摇晃婴儿综合征的总体认识较为普遍，但实践知识和培训仍然不足。迫切需要开展关于摇晃婴儿综合征和婴儿哭闹管理的结构化教育项目，以便更好地让医护人员做好准备，并降低照顾者对婴儿造成伤害的风险。
