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Fever management practises: what pediatric nurses say.

H E Edwards1, M D Courtney, J E Wilson

  • 1School of Nursing, Department of Health, Queensland University of Technology, Brisbane, Queensland, Australia. h.edwards@qut.edu.au

Nursing & Health Sciences
|March 8, 2002
PubMed
Summary
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Pediatric nurses face complex decisions when managing fevers in hospitalized children. Their practices vary due to external factors, leading to inconsistent fever management strategies.

Area of Science:

  • Pediatric Nursing
  • Clinical Practice
  • Fever Management

Background:

  • Fever management in hospitalized children is a daily, complex task for pediatric nurses.
  • Existing practices are influenced by numerous external variables, leading to variability.

Purpose of the Study:

  • To identify decision-making criteria and influencing factors in pediatric fever management.
  • To understand the inconsistencies in nursing practice regarding fever management.

Main Methods:

  • Qualitative study identifying decision-making criteria and influencing factors.
  • Exploration of nurses' reported practices and rationales for fever management.

Main Results:

  • Nurses utilize comprehensive assessments but are influenced by medical orders, child's temperament, parental requests, and ward norms.

Related Experiment Videos

  • Varied thresholds for defining fever (37.2-39.0°C) and administering antipyretics (37.5-39.0°C) were reported.
  • Antipyretics administered for pain, irritability, parental requests, and sleep, with higher administration during day/evening shifts and busy periods.

    • Conclusions:

    • Pediatric fever management is complex, with significant variability in nursing practice.
    • Recommendations are provided to promote more consistent and evidence-based fever management strategies.
    • Further research may explore standardized protocols to optimize care for febrile children.