Date of Award


Publication Type

Master Thesis

Degree Name




First Advisor

Snowdon, Anne,


Health Sciences, Nursing.




This replication study examined maternal-child health care nurses' awareness and practice of the Canadian Joint Statement (CJS) recommendation for infant sleep position; i.e., that normal, healthy infants be placed solely on their back for sleep (Canadian Joint Statement, 1999). A descriptive survey of 65 nurses in seven health care organizations in both the hospital and community setting was conducted. Findings revealed that the majority of nurses (87.7%) were aware of the CJS recommendation; however, only one-third of the nurses actually integrated it into their practice. Less than 50% of nurses strongly agreed with the CJS recommendation and cited reasons such as potential for adverse consequences, previous experience/training in nursing and experience with infants as reasons for their lack of strong agreement. Community nurses tended to provide more education to parents about infant sleeping position than did hospital nurses. Findings revealed several possible reasons for nurses' failure to routinely integrate the CJS recommendation into their practice including inappropriate communication of the CJS to nurses, lack of specific implementation guidelines for applying the CJS to nurses' practice and lack of organizational support for the integration of the CJS. This study suggests that the role of policy in shaping nursing practice must be examined further and that nurses must increase their use of evidence-based practice in nursing. Nurses' utilization of research may be enhanced by organizational supports including structures which allow nurses to be involved in the development of evidence-based practice policy, designated and protected time for nursing research and education in the form of practice development groups, education in research utilization workshops and ward based research utilization workshops. Paper copy at Leddy Library: Theses & Major Papers - Basement, West Bldg. / Call Number: Thesis2002 .B87. Source: Masters Abstracts International, Volume: 41-04, page: 1056. Adviser: Anne Snowdon. Thesis (M.Sc.)--University of Windsor (Canada), 2002.