Journal article
Observed compliance with safe sleeping guidelines in licensed childcare services
Archives of Disease in Childhood, Vol.104(12), pp.1193-1197
2019
Abstract
Objective: To independently assess compliance with safe sleeping guidelines for infants <12 months in licensed childcare services. Design: Full-day, in-situ observations of childcare practices (including sleep and non-sleep periods) conducted in 2016-2017. Setting: Australian home-based and centre-based licensed childcare services. All subject to national regulation and legislation to comply with safe sleeping guidelines. Participants: The sample was 18 licensed childcare settings (15 centre-based, 3 home-based) that had infants <12 months (n=49) attending at the time of observation. 31 educators completed self-report surveys. Main outcomes and measures: Standard observations of childcare practices, including a 20-item infant Safe Sleeping Guideline checklist. Educator characteristics, including each individual's knowledge, beliefs and attitudes regarding safe sleeping practices. Results: 83% of childcare services were observed to be non-compliant on at least 1 of 20 target guidelines (median 2.5, max=7); 44% were observed placing infants prone/side and 67% used loose bedding, quilts, doonas/duvets, pillows, sheepskins or soft toys in cots. 71% of the childcare settings had a copy of current safe sleeping guidelines displayed either in or at entry to the infant sleep room. Conclusion: Despite 25 years of public health messaging, non-compliance with safe sleeping guidelines was observed to be high in childcare services. Understanding of the reasons underlying non-compliance, particularly in contexts were legislative mandate and access to information regarding safe sleeping is high, is critical to informing ongoing public health messaging and should be the focus of future studies.
Details
- Title
- Observed compliance with safe sleeping guidelines in licensed childcare services
- Authors
- Sally Staton (Author) - University of QueenslandCassandra Pattinson (Author) - Division of Extramural Research (NINR)Simon Smith (Author) - University of QueenslandAnna Pease (Author) - University of Bristol, United KingdomPeter Blair (Author) - University of Bristol School of Social and Community Medicine, United KingdomJeanine Young (Author) - University of the Sunshine Coast - School of Nursing, Midwifery and ParamedicineSusan Irvine (Author) - Queensland University of TechnologyKaren Thorpe (Author) - University of Queensland
- Publication details
- Archives of Disease in Childhood, Vol.104(12), pp.1193-1197
- Publisher
- B M J Group
- Date published
- 2019
- DOI
- 10.1136/archdischild-2019-317000
- ISSN
- 0003-9888
- Copyright note
- Copyright © 2019 The Author. The author accepted version of the paper is reproduced here for non-commercial purposes only in accordance with the copyright policy of the publisher.
- Organisation Unit
- School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
- Language
- English
- Record Identifier
- 99450998702621
- Output Type
- Journal article
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- Pediatrics
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