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Objective <p>To identify nursing and parent-perceived barriers and facilitators to adherence to safe sleep practices in a level IV NICU.</p> Study design <p>20 NICU nurses and 10 parents of infants who were hospitalized in a level IV NICU within the past year participated in this qualitative study. Themes from coded interview transcripts were identified utilizing deductive thematic analysis.</p> Results <p>Barriers and facilitators to safe sleep practices spanned across individual-, unit-, and community-levels. The significance of cultural preferences and traditions, hands-on practice and direct modeling, developmental positioning tools and reflux precautions, inter-team communication and consistency, different learning styles, and caregiver stress associated with NICU stays emerged as key themes.</p> Conclusion <p>We identified several barriers and facilitators of effective safe sleep modeling in the NICU from both nursing and parent perspectives. These insights will help to inform a collaborative, family-centered, and sustainable approach to integrating safe sleep practices in the NICU.</p>

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Barriers and facilitators to modeling safe sleep practices in the NICU: A qualitative study of nursing & parent perspectives

  • 期刊论文

  • 发表日期：

    2025年12月1日

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  • Alice E. Burgess,
  • Stephanie L. Bourque,
  • Christina R. Fisher,
  • Rebecca Allen,
  • Sunah S. Hwang

摘要

Objective

To identify nursing and parent-perceived barriers and facilitators to adherence to safe sleep practices in a level IV NICU.

Study design

20 NICU nurses and 10 parents of infants who were hospitalized in a level IV NICU within the past year participated in this qualitative study. Themes from coded interview transcripts were identified utilizing deductive thematic analysis.

Results

Barriers and facilitators to safe sleep practices spanned across individual-, unit-, and community-levels. The significance of cultural preferences and traditions, hands-on practice and direct modeling, developmental positioning tools and reflux precautions, inter-team communication and consistency, different learning styles, and caregiver stress associated with NICU stays emerged as key themes.

Conclusion

We identified several barriers and facilitators of effective safe sleep modeling in the NICU from both nursing and parent perspectives. These insights will help to inform a collaborative, family-centered, and sustainable approach to integrating safe sleep practices in the NICU.