Table 1.

Protected sleep core measure

Attribute	Criteria
Infant sleep-wake states will be assessed, documented, and guides all infant interactions (Holditch-Davis et al. 2003, Grigg-Damberger et al. 2007)	1.All non-emergent caregiving is provided during wakeful states
	2.Sleep-wake states are assessed and documented
	3.Scheduled caregiving is contingent on the infant’s sleep-wake states and adapted accordingly
Care strategies that support sleep are individualized for each infant and documented (Feldman et al. 2002, Schmidt 2004, Ludington-Hoe et al. 2006, White 2007)	1.Caregiving activities that promote sleep (i.e. facilitative tuck, swaddled bathing and skin-to-skin care) are integrated into the patient’s daily care plan
	2.All caregiving activities are modified according to the infant’s state
	3.Light and sound levels are maintained within the recommended range; implement cycled lighting to support nocturnal sleep
Families are educated on the importance of sleep safety in the hospital and the home; this education is documented (Task Force on Sudden Infant Death Syndrome 2005, Ludington-Hoe et al. 2006)	1.Family education on caregiving activities that promote safe sleep is provided
	2.Parenting opportunities are provided to promote infant sleep
	3.Staff role model ‘Back to Sleep’ practices for families once the infant has demonstrated physiologic flexion of the upper body in supine