Project Information

Increasing Compliance to the Safe Sleep Policy among Nursing Staff in the NICU

Project Description: In 2016, the American Academy of Pediatrics updated and published their recommendations regarding safe sleep positioning for eligible infants. These updates now include a safe sleep environment, in addition to the safe sleep positioning of the infants. The challenge with implementing this universal protocol in the Neonatal Intensive Care Unit is that certain patients have developmental needs that are not congruent with AAP’s recommendations. Therefore, one of our aims is to educate staff on the qualifications that make a patient Safe Sleep eligible. In the NICU, staff should exhibit risk-reduction modeling for the parents of eligible infants because research has shown that parents model behavior exhibited by the medical team. If parents adopt proper Safe Sleep protocol post-discharge, then the risk of SIDS among this population will decline. With this quality improvement project, we hope to increase nursing staff compliance to the Safe Sleep policy in the NICU. To achieve this, we are collecting pre-intervention baseline data on Safe Sleep compliance of the nursing staff via audits that measure percent compliance based on Safe Sleep protocol elements. We will also distribute a staff survey to determine staff knowledge and beliefs about Safe Sleep protocol. The audit and survey results will serve as a guideline to develop targeted education and interventions. These interventions will include staff education and crib cards promoting Safe Sleep for eligible infants. We then plan to assess the effectiveness of these interventions by continuing the audits and analyzing the degree to which percent compliance changed.

QPI: Holly, Bogdahn, (


Advisors: Elizabeth, Talaga, (; (

UF Health Big Aims: Reduce Variation None

MeSH Keywords: Intensive Care Units, Neonatal, Nursing Staff, Sudden Infant Death, Risk Reduction Behavior, Quality Improvement, Safe Sleep