Introduction
Babies usually die quietly and without evidence of a struggle. SIDS’s diagnosis is set when the infant’s death cannot be explained. It is the source of over 2,300 babies’ deaths every year. SIDS rates noticeably dropped between 1990 and 2018.
Risk Factors
- Low birth weight
- Breathing and heart rate problems
- Respiratory infection
- Sleeping on the stomach or on a soft surface
- Infant’s overheating
- Bad sharing
- Specific maternal factors
Problem Examination within the Community
- AIAN’s neonates are twice more likely to die of SIDS
- Income accounts for 69 percent of the US population
- Obtaining late or no antenatal care – 2.8 times more likely
- Smoking during pregnancy – 16.4
- These phenomena reflect historical trauma
Agreed-upon Health Goals
Babies should:
- Sleep in a room with at least one parent
- Avoid bed-sharing, overheating, and maternal smoking or drinking
- Breastfeeding, prenatal care, and infants’ immunization
Session Evaluation
Learning sessions require:
- A more individualized educational approach;
- Determining shared learning goals;
- Teaching participants skills on leading the favorable home environment and nutrition;
- Emphasizing the importance of vigilant infant care.
Show-me or return demonstration: the demonstration of skills learned by participants. Teach-back method: patients are asked to explain their understanding of course materials.
The benefit of changes:
- reinforce interaction between participants and educators
- enhance patients’ experience and nurses’ teaching performance
Session Evaluation (cont.): Healthy People 2020
According to Healthy People 2020, sessions should:
- identify factors diminishing babies’ premature deaths;
- Consider factors promoting socioeconomic and cultural equity;
- Inform the community about necessary healthcare federal policies;
- Communicate about measures improving the physical and mental well-being.
Session Evaluation (cont.): Leading Health Indicators
Leading Health Indicators (LHIs): infant deaths, preterm births.
Changes:
- Educators should act as mentors or role models;
- Nurses should focus on changing parents’ behaviors.
Conclusion
The health objectives include:
- Informing healthy and appropriate parents’ behaviors;
- Teaching necessary skills and knowledge;
- Facilitating immunizations.
Changes:
- Developing an individualized educational approach;
- Determining shared learning goals;
- Emphasizing the importance of vigilant infant care.
References
Bartick, M., & Tomori, C. (2019). Sudden infant death and social justice: A syndemics approach. Maternal & Child Nutrition, 15(1), e12652. Web.
Carlin, R. F., & Moon, R. Y. (2017). Risk factors, protective factors, and current recommendations to reduce Sudden Infant Death Syndrome. JAMA Pediatrics, 171(2), 175−180. Web.
Flanders, S. A. (2018). Effective patient education: Evidence and common sense. Medsurg Nursing, 27(1), 55−58.
Glanz, K. (2017). Scholarship on teaching and learning in health promotion: New and emerging opportunities. Pedagogy in Health Promotion, 3(1), 6−8. Web.
Healthy People 2020. (2010). The US Department of Health and Human Services. Web.
Infant mortality and American Indians/Alaska natives. (2019). The US Department of Health & Human Services. Web.
Mayo Clinic Staff. (2020). Sudden infant death syndrome (SIDS): Symptoms & causes. Mayo Clinic. Web.
SUID and SIDS: Data and statistics. (2020). The Centers for Disease Control and Prevention (CDC). Web.