NUR 4122: Nursing Research

Table of Evidence

Factors that Influence Sudden Infant Death Syndrome (SIDS): An Integrative Review
Tim Efremidis
Authors (Year)

Title of Article

Databas
e

Coleman (2009)

Culture care
meanings of
African American
parents related to
infant mortality
and health care

EBSCO

Colvin, Collie-Akers,
Schunn, & Moon
(2014)

Sleep
environment risks
for younger and
older infants

PubMed

Hogan (2014)

Socioeconomic
factors affecting
infant sleeprelated deaths in
St. Louis

PubMed

Keywor
ds used
in
search
Factors
that
affect
SIDS

Research Design

Data Collection

Subjects

Sampling Methods

Data Analysis

Qualitative; Ethno
nursing study

One-on-One interviews

10 African
American
Mothers ( ages
19-28) of
infants (<1 y.o.)

Data collected over a 7month period; Mothers

accompanying their
infants (0-6 months) to
pediatricians office for
well visits

Leiningers
Phases of Ethno
nursing Data
Analysis Guide

SIDS

Quantitative:
Cross Sectional
Study

National Center for the

Review and Prevention of
Child Deaths (NCRPCD)
database, which includes
reports of individual child
deaths

8207 children
(< 1 y.o.)

Children <1 y.o., who

died of unknown
causes in the sleep
environment, all found
in the NCRPCD
database; the sample
population was divided
into two groups: Ages
0-3 months and 4
months-364 days

Multivariable
regression
analysis

SIDS

Quantitative:
Descriptive Study

Data collected from the

Missouri Department of
Health and Senior
Services (2005-2009) on
infant deaths in St. Louis,
MO

26,211 mothers
of infants (<1
y.o.)

Matched birth/death
certificates and living
birth certificates of
infants who were
born/died from 20052009. Population
separated into 2
groups: All mothers of
infants (< 1 y.o.) who
reside in St. Louis at
the time of infants
birth and those who
died in St. Louis from
2005-2009

Descriptive
Analysis, Chisquare, and
logistic regression

Conclusion

African American
parents may not perceive
health teaching is
personally relevant or
valuable and instead take
familys advice on how to
care for infant
Analysis of infant sleep
related deaths reveals
that younger infants (0-3
months) were more likely
to die from bed-sharing;
whereas, older infants (4
months to 364 days) were
more likely to die from a
combination of sleep
position (prone) and
objects found in bed
Analysis showed a
significant relationship
between maternal
poverty and sleep related
infant death, a significant
relationship between
African American
mothers and sleep related
infant death

Oden, Joyner, Ajao,

& Moon (2010)

Factors
influencing
African American
mothers
decisions about
sleep position: A
qualitative study

PubMed

Factors
that
affect
SIDS

Qualitative: No
philosophical
underpinnings
identified

One-on-One and group

interviewing

A total of 83
mothers of (0.56 month)
infants, made
up of 13 focus
groups
(average 4.9
participants)
and 10
individual
interviews

Smylie, Fell,
Chalmers, Sauve,
Royle, Allan, &
OCampo (2014)

Socioeconomic
position and
factors associated
with use of a
nonsupine infant
sleep position:
Findings from the
Canadian
maternity
experiences
survey

EBSCO

SIDS
and
SES

Quantitative:
Descriptive Study

Individual phone
interview using Maternal
Experiences Survey
(MES)

A total of 6,334
surveys were
used, which is
weighted to
represent an
estimated
73,366 women

Cross-sectional sample
of African American
mothers of infants 0-6
months in Washington,
DC and Maryland.
Separated parents in to
higher and lower SES.
SES defined by
parental education
level, eligibility for
WIC. Participants
were recruited from
newborn nurseries,
pediatric primary care
sites, WIC sites,
advertisements in
newsletters, and onhold messages played
during calls to
Childrens National
Medical Center
Data collected from the
2006-2007 Canadian
Maternal Experiences
Survey (MES), which
represented a stratified
random sample of
women (ages 15+) who
had a singleton birth in
Canada 5-9 months
before the interview;
MES was administered
by trained interviewers
using a computer
assisted telephone
interview application

Interviews were
video and audio
recorded. Data
was then
transcribed and
verified by two
additional authors
for accuracy;
Qualitative
Analysis software
(NVivo7) used to
organize, sort, and
code data
(quotes); thematic
saturation was
used to develop
central themes

Findings show that

regardless of SES,
African American
mothers interests
between infant safety and
infant comforts are
competing. Furthermore,
mothers did not have
clear understanding of
link between sleep
position and SIDS. While
mothers had proper
education on sleeping,
they ultimately trusted
themselves and their own
instincts to make
decisions on sleep position
for their infant

Descriptive
statistics, bivariate
associations, and
multivariate
logistic regression

Findings indicate a
strong, inverse
correlation of level of
maternal education and
choice of nonsupine sleep
positions, as well as
between household
income and choice of
nonsupine sleep positions