Fever management practises: What pediatric nurses say
Identifieur interne : 000942 ( Istex/Corpus ); précédent : 000941; suivant : 000943Fever management practises: What pediatric nurses say
Auteurs : Helen E. Edwards ; Mary D. Courtney ; Jennifer E. Wilson ; Sarah J. Monaghan ; Anne M. WalshSource :
- Nursing & Health Sciences [ 1441-0745 ] ; 2001-09.
Abstract
Abstract Pediatric nurses manage fevers in hospitalized children daily: a complex practise. The present study identified varied decision‐making criteria and inconsistent practise influenced by many external variables. Nurses perform comprehensive assessments in order to make informed decisions. However, factors influencing their practise include medical orders, the temperament of the child, a history of febrile convulsions, parental requests, colleagues and ward norms. Nurses have a ‘temperature’ at which they consider a child febrile (37.2–39.0°C) and many reported a ‘temperature’ at which they administered antipyretics (37.5–39.0°C). Antipyretics were administered to febrile children for pain relief, irritability, at the request of parents and to settle a child for the night. Administration was reported to be higher during the day and evening shifts, at medication rounds and when the ward was busy. At night, nurses were reluctant to wake a sleeping febrile child, preferring to observe them instead. Recommendations to promote consistent fever management practises are included.
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DOI: 10.1046/j.1442-2018.2001.00083.x
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(1984)</json:string><json:string>Edwards et al.</json:string><json:string>Schmitt, 1991</json:string><json:string>Lorin, 1994</json:string><json:string>Kluger, 1986</json:string><json:string>Thomas et al., 1994</json:string><json:string>Stanley et al., 1975</json:string><json:string>Krueger, 1994</json:string><json:string>Mackowiak & Plaisance, 1998</json:string><json:string>Poth & Belfer, 1998</json:string><json:string>Styrt & Sugerman, 1990</json:string><json:string>Poirier et al., 1998</json:string><json:string>Holtzcalw, 1992</json:string><json:string>Stevens, 1996</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-3Z3PSBFX-3</json:string></ark><categories><wos><json:string>1 - social science</json:string><json:string>2 - nursing</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - public health & health services</json:string><json:string>3 - 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Recommendations to promote consistent fever management practises are included.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">antipyretic</term><term xml:id="k2">child</term><term xml:id="k3">febrile convulsion</term><term xml:id="k4">fever management</term><term xml:id="k5">nurse</term></keywords><keywords rend="tocHeading1"><term>Research Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc><revisionDesc><change when="2019-12-20" who="#istex" xml:id="pub2tei">formatting</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-3Z3PSBFX-3/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Science Pty</publisherName><publisherLoc>Melbourne, Australia</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1442-2018</doi><issn type="print">1441-0745</issn><issn type="electronic">1442-2018</issn><idGroup><id type="product" value="NHS"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="NURSING HEALTH SCIENCES">Nursing & Health Sciences</title></titleGroup></publicationMeta><publicationMeta level="part" position="09003"><doi origin="wiley">10.1111/nhs.2001.3.issue-3</doi><numberingGroup><numbering type="journalVolume" number="3">3</numbering><numbering type="journalIssue" number="3">3</numbering></numberingGroup><coverDate startDate="2001-09">September 2001</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0011900" status="forIssue"><doi origin="wiley">10.1046/j.1442-2018.2001.00083.x</doi><idGroup><id type="unit" value="NHS83"></id></idGroup><countGroup><count type="pageTotal" number="12"></count></countGroup><titleGroup><title type="tocHeading1">Research Articles</title></titleGroup><eventGroup><event type="firstOnline" date="2001-12-21"></event><event type="publishedOnlineFinalForm" date="2001-12-21"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-04"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-03"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-11-03"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="119">119</numbering><numbering type="pageLast" number="130">130</numbering></numberingGroup><correspondenceTo> address: Helen E. Edwards, School of Nursing, Department of Health, Queensland University of Technology, Kelvin Grove Campus, Victoria Park Road, Kelvin Grove, Brisbane, Qld 4059, Australia. Email: <email>h.edwards@qut.edu.au</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:NHS.NHS83.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="2"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="27"></count><count type="wordTotal" number="7955"></count><count type="linksPubMed" number="16"></count><count type="linksCrossRef" number="1"></count></countGroup><titleGroup><title type="main">Fever management practises: What pediatric nurses say</title><title type="shortAuthors">H. E. Edwards <i>etal.</i></title><title type="short">Nurses' fever management practises</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Helen E.</givenNames><familyName>Edwards</familyName><degrees>PhD, RN</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>Mary D.</givenNames><familyName>Courtney</familyName><degrees>PhD, RN</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a2"><personName><givenNames>Jennifer E.</givenNames><familyName>Wilson</familyName><degrees>BNurs, RN</degrees></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a2"><personName><givenNames>Sarah J.</givenNames><familyName>Monaghan</familyName><degrees>BNurs, RN</degrees></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a1"><personName><givenNames>Anne M.</givenNames><familyName>Walsh</familyName><degrees>GradDip H.prom, RN</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>School of Nursing, Queensland University of Technology and</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="AU"><unparsedAffiliation>Royal Children's Hospital, Brisbane, Queensland, Australia</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">antipyretic</keyword><keyword xml:id="k2">child</keyword><keyword xml:id="k3">febrile convulsion</keyword><keyword xml:id="k4">fever management</keyword><keyword xml:id="k5">nurse</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b>Abstract</b> Pediatric nurses manage fevers in hospitalized children daily: a complex practise. The present study identified varied decision‐making criteria and inconsistent practise influenced by many external variables. Nurses perform comprehensive assessments in order to make informed decisions. However, factors influencing their practise include medical orders, the temperament of the child, a history of febrile convulsions, parental requests, colleagues and ward norms. Nurses have a ‘temperature’ at which they consider a child febrile (37.2–39.0°C) and many reported a ‘temperature’ at which they administered antipyretics (37.5–39.0°C). Antipyretics were administered to febrile children for pain relief, irritability, at the request of parents and to settle a child for the night. Administration was reported to be higher during the day and evening shifts, at medication rounds and when the ward was busy. At night, nurses were reluctant to wake a sleeping febrile child, preferring to observe them instead. Recommendations to promote consistent fever management practises are included.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Fever management practises: What pediatric nurses say</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Nurses' fever management practises</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Fever management practises: What pediatric nurses say</title></titleInfo><name type="personal"><namePart type="given">Helen E.</namePart><namePart type="family">Edwards</namePart><namePart type="termsOfAddress">PhD, RN</namePart><affiliation>School of Nursing, Queensland University of Technology and</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Mary D.</namePart><namePart type="family">Courtney</namePart><namePart type="termsOfAddress">PhD, RN</namePart><affiliation>School of Nursing, Queensland University of Technology and</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jennifer E.</namePart><namePart type="family">Wilson</namePart><namePart type="termsOfAddress">BNurs, RN</namePart><affiliation>Royal Children's Hospital, Brisbane, Queensland, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Sarah J.</namePart><namePart type="family">Monaghan</namePart><namePart type="termsOfAddress">BNurs, RN</namePart><affiliation>Royal Children's Hospital, Brisbane, Queensland, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Anne M.</namePart><namePart type="family">Walsh</namePart><namePart type="termsOfAddress">GradDip H.prom, RN</namePart><affiliation>School of Nursing, Queensland University of Technology and</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Science Pty</publisher><place><placeTerm type="text">Melbourne, Australia</placeTerm></place><dateIssued encoding="w3cdtf">2001-09</dateIssued><copyrightDate encoding="w3cdtf">2001</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">0</extent><extent unit="tables">2</extent><extent unit="formulas">0</extent><extent unit="references">27</extent><extent unit="linksCrossRef">1</extent><extent unit="words">7955</extent></physicalDescription><abstract lang="en">Abstract Pediatric nurses manage fevers in hospitalized children daily: a complex practise. The present study identified varied decision‐making criteria and inconsistent practise influenced by many external variables. Nurses perform comprehensive assessments in order to make informed decisions. However, factors influencing their practise include medical orders, the temperament of the child, a history of febrile convulsions, parental requests, colleagues and ward norms. Nurses have a ‘temperature’ at which they consider a child febrile (37.2–39.0°C) and many reported a ‘temperature’ at which they administered antipyretics (37.5–39.0°C). Antipyretics were administered to febrile children for pain relief, irritability, at the request of parents and to settle a child for the night. Administration was reported to be higher during the day and evening shifts, at medication rounds and when the ward was busy. At night, nurses were reluctant to wake a sleeping febrile child, preferring to observe them instead. Recommendations to promote consistent fever management practises are included.</abstract><subject lang="en"><genre>keywords</genre><topic>antipyretic</topic><topic>child</topic><topic>febrile convulsion</topic><topic>fever management</topic><topic>nurse</topic></subject><relatedItem type="host"><titleInfo><title>Nursing & Health Sciences</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">1441-0745</identifier><identifier type="eISSN">1442-2018</identifier><identifier type="DOI">10.1111/(ISSN)1442-2018</identifier><identifier type="PublisherID">NHS</identifier><part><date>2001</date><detail type="volume"><caption>vol.</caption><number>3</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>119</start><end>130</end><total>12</total></extent></part></relatedItem><relatedItem type="references" displayLabel="cit1"><titleInfo><title>Fever in children: diagnosis and management by nurses, medical students, doctors and parents.</title></titleInfo><name type="personal"><namePart type="given">MA</namePart><namePart type="family">Abdullah</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">EF</namePart><namePart type="family">Ashong</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">SA</namePart><namePart type="family">Al Habib</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">ZA</namePart><namePart type="family">Karrar</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">NM.</namePart><namePart type="family">Al Jishi</namePart><role><roleTerm type="text">author</roleTerm></role></name><genre>journal-article</genre><note type="citation/reference">Abdullah MA, Ashong EF, Al Habib SA, Karrar ZA, Al Jishi NM. 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