Sample & Setting: Data were collected from February to April 2021. Among the participants in this study, 47 individuals responded to the pre-test survey, but only 34 participants responded to the post-test for a response rate of 72%. The demographic data of participants are detailed in Appendix B, Table 1. Nursing Knowledge: The majority (n=44, 93.6%) of respondents on the pre-test answered positively to “I feel knowledgeable when it comes to shaken baby syndrome,” with a mean score of 5.70. Similarly, the majority (n=33, 97%) of post-test respondents agreed to a slightly higher degree, with a calculated mean score of 6.0. Despite this increase in the mean score, comparative analysis using the Wilcoxon matched-pairs test determined this change was not statistically significant (p=.792). Nursing Confidence: The majority (n=40, 86.9%) of pre-test respondents answered, “I feel comfortable discussing SBS with parents and caregivers of NICU infants,” with an overall agreeable response and a mean score of 5.61. The majority (n=33, 97.1%) of post-test respondents reported an increase in confidence, with a calculated mean score of 6.24. Comparative analysis using the Wilcoxon matched-pairs test confirmed this change to be statistically significant (p=.016), Appendix A Survey Age: 20-30 31-40 41-50 51-60 61-70 71-80 Gender: Male Female Other Prefer not to answer Education Level: Associates Degree Bachelor’s Degree Master’s Degree Doctoral Degree Years of experience as an RN: 0-5 6-10 11-15 16-20 21-25 26-30 30+ Years of Experience in the NICU: 0-5 6-10 11-15 16-20 21-25 26-30 30+ Shift: 7a-7p 7p-7a other_______ How often do you complete discharge teaching: Never Seldom Sometimes Often **Included on post-test only (1) Strongly Disagree (2) Disagree (3) Somewhat Disagree (4) Neutral (5) Somewhat Agree (6) Agree (7) Strongly Agree 1. I feel knowledgeable when it comes to shaken baby syndrome 2. I feel comfortable discussing shaken baby syndrome with parents and caregivers of NICU infants 3. NICU nurses should be providing shaken baby syndrome education during discharge teaching 4. Time constraints during discharge are a major barrier to discussing shaken baby syndrome (i.e., too much other education to provide, not enough time, too many other tasks to accomplish) 5. Providing education about shaken baby syndrome in the NICU is useful in preventing unplanned harm to an infant 6. I am aware of available resources for families and caregivers about shaken baby syndrome 7. The Period of PURPLE Crying program was helpful in standardizing shaken baby syndrome education on our unit** 8. The Period of PURPLE Crying program provides effective, meaningful education about shaken baby syndrome** 9. The Period of PURPLE Crying program provides education about shaken baby syndrome in a timely manner** (i.e., able to provide SBS education in a reasonable amount of time within discharge teaching) “The majority (n=33, 97%) responded on the post-test with some degree of positivity, with responses indicating that the PURPLE program “was helpful in standardizing shaken baby syndrome education on our unit,” with a mean score of 6.35.” NEONATOLOGY TODAYtwww.NeonatologyToday.nettJune 2021 6 concluding that the intervention effectively increased nursing confidence in discussing SBS and AHT with families and caregivers. Resource Accessibility: In response to “I am aware of available resource for families and caregivers about shaken baby syndrome,” pre-test responses were largely mixed with a mean score of 3.85 and only a 42.6% agreeable response. Posttest responses reflected a significant change, with a mean score of 5.97. Wilcoxon matched-pairs confirmed that this change was statically significant (p=POLICY STATEMENT Levels of Neonatal Care abstract Provision of risk-appropriate care for newborn infants and mothers was first proposed in 1976. This updated policy statement provides a review of data supporting evidence for a tiered provision of care and reaffirms the need for uniform, nationally applicable definitions and consistent standards of service for public health to improve neonatal outcomes. Facilities that provide hospital care for newborn infants should be classified on the basis of functional capabilities, and these facilities should be organized within a regionalized system of perinatal care. Pediatrics 2012;130:587–597 OBJECTIVE This revised policy statement reviews the current status of the designation of levels of newborn care definitions in the United States, which were delineated in a 2004 policy statement by the American Academy of Pediatrics (AAP).1 Since publication of the 2004 policy statement, new data, both nationally and internationally, have reinforced the importance of well-defined regionalized systems of perinatal care, population-based assessment of outcomes, and appropriate epidemiologic methods to adjust for risk. This revised statement updates the designations to provide (1) a basis for comparison of health outcomes, resource use, and health care costs, (2) standardized nomenclature for public health, (3) uniform definitions for pediatricians and other health care professionals providing neonatal care, and (4) a foundation for consistent standards of service by institutions; state health departments; and