Friday, February 13, 2009

C'est Bonne: SBS Education in Quebec

The Journal of Obstetric, Gynecologic, & Neonatal Nursing reports on a prevention program implemented at Sainte-Justine University Hospital and Pierre LeGardeur Hospital Centre in Montréal, Canada (link to download)
The PSBSPP provides specific tools to educate and support parents and professionals and is enhanced by adding the dimension of anger management and a framework that centers on the development and use of parental coping strategies.

The PSBSPP intervention focuses on the three main factors that contribute to SBS: infant crying, parental anger, and lack of knowledge about SBS. Information that is provided focuses on the normalcy and progression of crying (frequency, duration, causes), the potential for crying to trigger anger and shaking, the dangers of shaking, and the importance of coping strategies when confronted by increasing anger.
It's interesting to read the details of parent and nurse evaluations.

For example, parents point out the value of interventions that go beyond just passing paper, and a significant number of nurse feel that not all nurses are well-suited to conduct parent education.
However, there was no doubt as to the relevance of the nurses' participation; the majority (94%) of parents agreed that simply receiving the information cards without the nurses' participation would have been insufficient.

I thought it was good … It wouldn't have been right to say, okay, take the cards and read them, and that's that … I found we weren't left on our own, so there was no risk that we would not read the cards.

As for the nurses, they were unanimous that the intervention was appropriate and that its continuation was very important. Almost all of them agreed that the intervention was well received by the parents (53% somewhat agree; 45% strongly agree). The nurses felt comfortable intervening with parents about SBS, but 28% believed that not all nurses could perform this type of intervention. On the other hand, very few of the nurses (n=2) felt that the intervention had failed to meet the parents' needs.

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