Parental Knowledge on Prevention of SUID

Abstract Background According to the 2018 America’s Health Ranking Annual Report, the U.S. infant mortality rate (IMR) was 5.9 deaths per 1,000 live infant births, which placed the U.S. at No. 33 out of 36 countries with the world’s largest economies in 2018. The IMR in Georgia has been on the rise since 2014. Even though there was a sharp decline in sudden unexpected/unexplained causes of death (SUID) beginning in 1990, the decrease has considerably slowed down since 1999. In 2017, the top ten leading causes of infant death were responsible for 67.8% of all infant deaths in the United States. Sudden Infant Death Syndrome (SIDS) and death from unintentional injuries were in third and fourth place. Therefore, the purpose of this research is to utilize qualitative research guided by the Socio-Ecological model to understand better how prepared first-time mothers are to take care of their infant upon hospital release. Methods An intensity sampling was utilized to recruit participants. The inclusion criteria for the participants included first-time mothers with children under one year of age, women, Georgia residents over 18 years of age, and English speaking. A semi-structured guide was based on research queries and the ideological concepts of the Socio-Ecological Model. For the qualitative data examination, the thematic analysis was performed. All the interviews were transcribed verbatim and coded by using the program NVivo 11. Results A total of 25 women participated in the study. We will finish the data analysis by the end of May, 2022. The results of this qualitative study will help to fully understand the knowledge, perceptions, skills, and confidence of mothers about infant care. Conclusions The study’s results will help develop an information guide on primary infant care. Besides, health professionals and community organizations can utilize the study results to determine the information and support needed for new mothers. Key messages • The results of this qualitative study will help to fully understand the knowledge, perceptions, skills, and confidence of mothers about infant care. • This study’s results will help develop an information guide (electronic or/and printed) on primary infant care based on first-time mothers’ needs.


Background:
Internet use in pregnancy is very prevalent.However, there are issues with information quality as well as acceptance by healthcare providers which can add to the frustration.Methods: An online anonymous survey, shared via Baby Buddy Cyprus, addressed women who are pregnant or recently gave birth in Cyprus.Adapting previously used questionnaires, the survey covered reasons and patterns of internet use, perceptions of trustworthiness, appraisal means and usefulness in decisionmaking.Results: Among 357 responses so far in this ongoing survey (38% pregnant, 62% new mums, 66% primiparas, 42% C/S, 78% private sector), searching online seems very frequent, even though 70% report coming across wrong or misleading information often.Checking for consistency across sites and/ or with information by healthcare provider (HP) is the most common technique for assessing trustworthiness.While the majority discuss information with HP, only half characterize their reception as positive and welcoming.As many as 89% believe that HP should recommend sites, but only 6.5% report their HP made recommendations.The role of the internet in assisting decision-making is rated as moderate (M = 3.0, SD = 1.0 on 5-point scale averaged across 11 items); yet more than half search online to be prepared and have control over decisions.Among reasons cited for using the internet is insufficient time with HP and/or is unclear or unsatisfactory information.While only 11.6% prepare material for the next appointment, 54.5 % use the internet to verify information given by HP or for a second opinion.

Conclusions:
While a prevalent source of information, the flow is problematic as it appears that women are more likely to search online to verify information rather than discuss this information with their providers.Insights about characteristics and attributes of internet use in pregnancy suggest that health services need to engage with, rather than ignore, this reality and offer appropriate guidance.

Background:
According to the 2018 America's Health Ranking Annual Report, the U.S. infant mortality rate (IMR) was 5.9 deaths per 1,000 live infant births, which placed the U.S. at No. 33 out of 36 countries with the world's largest economies in 2018.The IMR in Georgia has been on the rise since 2014.Even though there was a sharp decline in sudden unexpected/unexplained causes of death (SUID) beginning in 1990, the decrease has considerably slowed down since 1999.In 2017, the top ten leading causes of infant death were responsible for 67.8% of all infant deaths in the United States.Sudden Infant Death Syndrome (SIDS) and death from unintentional injuries were 15th European Public Health Conference 2022 in third and fourth place.Therefore, the purpose of this research is to utilize qualitative research guided by the Socio-Ecological model to understand better how prepared first-time mothers are to take care of their infant upon hospital release.Methods: An intensity sampling was utilized to recruit participants.The inclusion criteria for the participants included first-time mothers with children under one year of age, women, Georgia residents over 18 years of age, and English speaking.A semi-structured guide was based on research queries and the ideological concepts of the Socio-Ecological Model.For the qualitative data examination, the thematic analysis was performed.All the interviews were transcribed verbatim and coded by using the program NVivo 11.

Results:
A total of 25 women participated in the study.We will finish the data analysis by the end of May, 2022.The results of this qualitative study will help to fully understand the knowledge, perceptions, skills, and confidence of mothers about infant care.

Conclusions:
The study's results will help develop an information guide on primary infant care.Besides, health professionals and community organizations can utilize the study results to determine the information and support needed for new mothers.

Key messages:
The results of this qualitative study will help to fully understand the knowledge, perceptions, skills, and confidence of mothers about infant care.This study's results will help develop an information guide (electronic or/and printed) on primary infant care based on first-time mothers' needs.

Abstract citation ID: ckac131.428 A preliminary study of bullying on University of Nursing in Taiwan
Ming Hsin Hsieh M Hsieh 1 1 Nursing Institute, Hung Kuang University, TaiChung, Taiwan Contact: hsieh1979@outlook.com

Background:
According to the COVID-19 pandemic progress, the increase in online learning and communication, the survey shows that 36.3% of children have been bullied online (Children's Welfare Alliance, 2021).However, campus bullying has long-term effects on students' physiology and psychology, and will also extend to society in the future to form a social problem.

Aims:
It is generally believed that university students are relatively mature and have more freedom in taking courses.They believe that there are few bullying incidents that need attention on university campuses.Therefore, to understand the patterns of bullying on university campuses of nursing in Taiwan through this study.

Methods:
Referring to the definition and selecting the published within good reliability and validity of 'University Students' Campus Life Experience and Interpersonal Interaction Experience Survey', the subjects in domestic university campuses choose the closest answer according to their own situation.

Results:
In a total of 2570 valid questionnaires, the highest incidence of verbal bullying (38%), and those who don't want to answer gender ''experienced bullying in person'' (42.9%).Gender was shown to be statistically significant in bullying experience (p = .017).It shows that university students of nursing in Taiwan have obvious room for improvement in gender issues.

Conclusions:
Through this study, it is known that campus bullying exists in different types of experiences on university campuses of nursing in Taiwan.The bullying impact is often not only in school, and the impact will even extend to enter social work.Faculties must also be the gatekeepers of bullying prevention, but in fact, even senior faculties may not be very clear about what bullying is, how to properly handle bullying incidents, and how to prevent bullying, so every faculty should have the ability to take appropriate, fast and effective treatment when bullying occurs.

Background:
Introduction of solids in the infant diet, according to WHO recommendations, should initiate onwards of sixth months.Evidence, however, suggests that solids introduction occurs earlier even if breastfeeding continues.With low breastfeeding rates, Cyprus is ranking last in Europe and little is known about the timing and socio-demographic pattern of solid introduction.

Methods:
Using the retrospective event calendar method at the 4th and 6th month after birth, the timing of initiation of solids was estimated among a consecutive sample of 350 mother-baby dyads from all public (N = 5) and 29 (of 35) private maternity clinics.The likelihood of early introduction according to socio-demographic characteristics and breastfeeding self-efficacy (measured at birth and 1st month) was estimated in logistic regression models.

Results:
Three out of ten women (30.8%) had initiated solids before the 4th month and only 20% hadn't by the 6th month.Almost half of non-Cypriot mothers (47.1%) initiated solids earlier than the 5th month, twice more likely compared to 25.1% of Cypriot mothers (OR: 2.45 95% CI: 1.30-4.57).There was a stepwise association with educational attainment with mothers with tertiary education more likely to initiate solids later (OR: 2.76 95% CI: 1.33-5.71)compared to those with at most secondary education.A similar social gradient was observed with income but was not statistically significant in multivariable models, while no association was observed with mode of birth (55.9% by C/S).Even though low breastfeeding selfefficacy at first month was predictive of earlier initiation, surprisingly, primiparous or multiparous mothers without previous breastfeeding experience were more likely to initiate solids later.

Conclusions:
Early introduction of solids with a clear social gradient suggests the need for strengthening the currently weak community-based interventions to improve weaning practices, including screening for breastfeeding self-efficacy.

Key messages:
Four in five mums in Cyprus introduce solids before the 6th month with one in three introducing solids in the infant's diet before the 4th month, with a clear social gradient in the patterning.