evaluation instruments
PASafeSleep Practice
Analysis Survey
This 10-minute survey is intended to assess the providers knowledge of safe sleep tenets before the implementation of the program. The survey may also be administered post program implementation to measure change in practices, and is available for use in online platforms or for paper use.
Module Evaluations
Module 1 & 2 Evaluations
These surveys are used to evaluate the learners’ perceptions related to content, format, learning process, and overall impressions of the module. The evaluations are needed for continuing education credit.
"Evidence-Based and Best Practices for Safe Sleep with Newborns"
"Teaching Safe Sleep Practices to Mothers, Families and the Community"
Progress You Made By Completing This Module
This Likert scale survey allows the learner to evaluate their individual progress in acquiring knowledge about S.A.F.E. and the prevention of sudden unexpected infant deaths.
PASafeSleep Program One Month Telephone OR EMAIL Follow Up
for Mothers
Administered at one-month post birth discharge, the follow-up call is intended to gain insight into the mother’s perception of helpfulness of the hospital teaching and use of safe sleep practices at home.