Implementation Of An Abusive Head Trauma Prevention Program Through Interdisciplinary Collaboration: A Pilot Study
Susan McInerney, Heather Lavella, Autumn D Nanassy, Rebecca Sandhu, Rochelle Thompson, Catherine Markel, *Loreen Meyer
St. Christopher's Hospital for Children, Philadelphia, PA
Shaken baby syndrome/abusive head trauma (SBS/AHT) is the leading cause of child abuse death.1 Our institution piloted an evidence-based educational program called the Period of PURPLE Crying to increase nurse and caregiver knowledge about SBS/AHT.2
Methods:Nurses participated in a pre-test, completed online Period of PURPLE Crying implementation training, then were given a post-test to determine SBS/AHT knowledge. Once trained, nurses were mentored by a champion on their unit and began disseminating information to caregivers with children under six months of age. Caregivers (N = 87) watched an educational video, reviewed information in a booklet with a nurse, and participated in teach-back related to key points of the intervention in both a hospital and community setting.
Findings:Prior to the education, nurses (n = 115) scored 8.03 out of 10.00 on the SBS/AHT assessment. Following the intervention, nurses (n = 120) scored 9.00; t(233) = -6.61, p<0.001. During the one-on-one education, caregivers (n = 69) were able to recall 8.55 out of 12.00 Period of PURPLE Crying key educational components. In the community setting, caregivers (n = 18) worked together to recall 12.00 out of the 12.00 key components. Caregivers were most likely to recall ways to comfort their crying baby (94%) and why shaking a baby is dangerous (93%).
Conclusions (implications for practice):
The pilot study to implement the Period of PURPLE Crying significantly increased nurses knowledge SBS/AHT and provided education to caregivers about SBS/AHT. The importance of interdisciplinary collaboration, professional development, and employee engagement will be discussed.
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