Nurses' Perceptions of Barriers and Facilitators Affecting the Shaken Baby Syndrome Education Initiative: An Exploratory Study of a Massachusetts Public PolicyRideout, Leslie PhD, FNPJournal of Trauma Nursing: May/June 2016 - Volume 23 - Issue 3 - p 125–137 doi: 10.1097/JTN.0000000000000206 RESEARCH Buy Abstract Author InformationAuthors Article MetricsMetrics The objective of this study was to assess nurses' perceptions of barriers to and facilitators of implementation of the shaken baby syndrome (SBS)/abusive head trauma (AHT) public policy. A legislative Act providing for the prevention of SBS/AHT was passed in Massachusetts in November 2006. A stipulation of this Act was the provision of a program to educate parents/guardians of newborns about SBS/AHT prevention. A quantitative, cross-sectional research design with a qualitative component was used for this study. Nurses in 13 Massachusetts birthing hospitals were surveyed using a Web-based questionnaire (hosted by Qualtrics, Provo, Utah). Hospital nurses' responses (N = ∼ 922; 155 responded) revealed barriers to and facilitators of SBS/AHT guideline implementation. The disadvantage of Web-based surveys as they relate to the challenges of enlisting cooperation and a lack of direct access to the nurses may have attributed to the low response rate (17%) for this study. The outcomes of logistic regression analyses and themes from the qualitative analysis revealed a lack of SBS/AHT brochures and an inability to provide SBS/AHT education for non-English-speaking parents/guardians as barriers to SBS/AHT education. An atmosphere of supportive leadership facilitated implementation of the SBS/AHT education guidelines by nurses. It is imperative that nurse leadership support be sustained so that nurses have SBS/AHT education resources, an understanding of the SBS/AHT education guidelines, and feedback about the impact of their SBS/AHT education interventions. Floating Hospital for Children at Tufts Medical Center, Boston, Massachusetts. Correspondence: Leslie Rideout, PhD, FNP, Floating Hospital for Children at Tufts Medical Center, 800 Washington St, Box 344, Boston, MA 02111 (email@example.com). The author is the Pediatric Trauma Nurse Coordinator at Kiwanis Pediatric Trauma Institute/Floating Hospital for Children at Tufts Medical Center, Boston, Massachusetts. This research study was a PhD dissertation in the Nursing Health Policy Program at the University of Massachusetts Boston. The author declares no conflicts of interest or source of funding. Copyright © 2016 by the Society of Trauma Nurses.