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Objectives: To assess the use of the “Core Competencies for Public Health Professionals” standards in practice and academic work settings by public health nurses (PHNs), and to determine differences between practitioners and faculty. Design: Nonexperimental, descriptive study using a cross‐sectional survey. Sample: Three public health nursing (PHN) organizations sent invitations to all members. A total of 334 (18.7%) from an estimated 1,786 members completed the survey. Measurements: The investigators developed a 17‐item web‐based survey with open‐ and closed‐ended responses, using Rogers' diffusion of innovations as a theoretical framework. Results: Respondents are equally familiar with the competencies for public health professionals disseminated by the Council on Linkages and for PHNs by the Quad Council of Public Health Nursing Organizations (Quad Council). Two thirds of PHNs are aware of the competencies after only 2 years, primarily from professional PHN organizations. Faculty are adopting and using the competencies at a significantly faster rate than practitioners. Conclusions: Faculty and practitioners who use the competencies value them, and rarely discontinued their use after adoption. Efforts to promote diffusion among faculty and especially practitioners need to continue. Professional organizations can actively provide and share examples of useable formats and best practices associated with the competencies.

OBJECTIVE: This study was conducted to compare the relative influence of the socioeconomic status of both mothers and fathers on feeding method and cosleeping. METHODS: The time and method of feeding and sleeping were recorded in a log during the 4th-week postpartum and analyzed according to the parental Hollingshead Index of Social Position in 33 families with their first newborn. RESULTS: The effect of socioeconomic status on feeding and sleep was parent specific. Low socioeconomic status of the mother, but not the father, was associated with cosleeping (t ≤ 2.39, P < .01); whereas, a low socioeconomic status of the father, but not the mother, was associated with bottle-feeding rather than breast-feeding (t ≤ 1.94, P < .05). CONCLUSIONS: Socioeconomic status of the parents differentially affects neonatal care. Programs to increase breast-feeding rates would be most effective if designed for and aimed at the fathers. Copyright © 2007 Wolters Kluwer Health | Lippincott Williams and Wilkins.

Bakgrund: BHV-sjuksköterskan ger råd efter Socialstyrelsens rekommendationer att barn under tre månader sover säkrast i egen säng. Studier visar att många föräldrar väljer att samsova med sina barn. Syfte: Syftet med studien var att undersöka om BHV-sjuksköterskan anseratt Socialstyrelsens råd och rekommendationer angående nattsömnen hos barn under tre månader är tillräckliga samt om och vilka råd som ges om samsovning. Metod: En kvantitativ ansats har använts. En enkät utformades och fylldes i av BHV-sjuksköterskor (n=47) i Nordvästra Skåne. Resultat: Resultatet visade att BHV-sjuksköterskorna ansåg att samsovning är vanligt förekommande och att de ofta ger råd kring hur samsovning kan ske säkrare. Resultatet visade också att BHV-sjuksköterskorna har olika uppfattningar om vad säker samsovning är samt vilka råd de ger. En fjärdedel av BHV-sjuksköterskorna ansåg att råden är otillräckliga. Slutsats: Studien visar att BHV-sjuksköterskor ger råd kring hur samsovning kan ske säkrare trots att detta inte rekommenderas samt att de ger olika råd. Detta ger ett behov av utökade råd och rekommendationer angående barns sovmiljö när det är yngre än tre månader. / Background: Nurses at child health service give advice from the Swedish National Board of Health and Welfare that infants under three months should sleep in its own cot. Many parents choose to bed share with their infant. Aim: The aim of the study was to investigate if the nurses at child health services find that the Swedish National Board of Health and Welfare´s advice and recommendations regarding night sleep in infants under three months are sufficient and whether and what advice they give regarding bed sharing. Method:A quantitative approach has been used. A survey was drafted and replied by nurses at child health care service (n=47) in south Sweden. Results: The results show that the nurses consider that bed sharing was common and that they often gave advice on how bed sharing can be safer. The nurses had different perceptions of what safe bed sharing is and what advice they provide. A quarter of the nurses consider the advice to be insufficient. Conclusion:Nurses at child health service give advice on how bed sharing can be safer even though this is not recommended in Sweden and that they provide different advice. This requires extended advice regarding infants sleep environment.