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A prospective audit of adherence to safe sleeping guidelines in a general paediatric ward and special care nursery

Making Education Easy

From Māori Health Review Issue 62
Authors:
  • Griffen J et al.
Summary:

This audit assessed adherence to safe sleeping guidelines in a special care nursery (SCN, encompassing 161 sleeping environments) and general paediatric ward (GPW, 50 sleeping environments) in Canberra Hospital, Australia. Data were collected on 10 safe sleeping compliance rules, based on national and international guidelines. Supine sleeping compliance was high in both wards (83% SCN, 82% GPW). However, overall the median compliance score was significantly lower in the GPW compared to the SCN (7 vs 8; p<0.001). The lowest rates of compliance rates applied to removing soft items from the crib and infant positioning within the crib.

Comment:
This research came to mind given the recent debate here re the prevention of sudden unexpected death in infancy (SUDI). This study was undertaken in Australia, and really highlights for me that education on its own doesn’t work. We need practical solutions to keep our pepi safe, and alive.
Reference: J Paediatr Child Health. 2016;52(5):529-33
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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