Related Experiment Videos
Promoting evidence-based childhood fever management through a peer education programme based on the theory of planned
Helen Edwards1, Anne Walsh, Mary Courtney
1School of Nursing, Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Qld, Australia. h.edwards@qut.edu.au
Insights
A peer education program effectively changed paediatric nurses' intentions and behaviours regarding antipyretic use in fever management. This evidence-based approach improved clinical practice and maintained positive outcomes over time.
Area of Science:
- Nursing Education
- Behavioral Science in Healthcare
- Evidence-Based Practice
Background:
- Paediatric nurses exhibit inconsistent antipyretic use in fever management, influenced by beliefs and parental requests.
- The theory of planned behaviour identifies attitudes and subjective norms as key determinants of antipyretic administration.
- Addressing these determinants is crucial for optimizing fever management protocols.
Purpose of the Study:
- To evaluate the effectiveness of a theoretically based education program in reducing inappropriate antipyretic use.
- To assess the impact of a peer education program on paediatric nurses' intentions and behaviours related to fever management.
- To explore the role of the theory of planned behaviour in guiding educational interventions.
Main Methods:
- A quasi-experimental design was employed, comparing experimental and control hospitals.
- A peer education program, based on the theory of planned behaviour, was delivered to nurses.
- Data were collected via surveys and chart audits one month pre-intervention and one and four months post-intervention.
Main Results:
- The peer education program significantly influenced normative influence, intentions, and control beliefs.
- Significant changes in nurses' intentions and normative influences were observed post-intervention and maintained at follow-up.
- Chart audit data showed significant changes across time points, indicating a shift towards evidence-based practice.
Conclusions:
- The peer education program successfully initiated and sustained evidence-based intentions for antipyretic use.
- Peer support and education are vital for implementing and maintaining educational programs in clinical settings.
- This intervention demonstrates a successful strategy for promoting evidence-based behaviour change in nursing practice.
Aims And Objectives:
This study examined effectiveness of a theoretically based education programme in reducing inappropriate antipyretic use in fever management.
Background:
Paediatric nurses' inconsistent, ritualistic antipyretic use in fever management is influenced by many factors including inconsistent beliefs and parental requests. Determinants of antipyretic administration, identified by the theory of planned behaviour, were belief-based attitudes and subjective norms.
Design:
A quasi-experiment explored group effects of a peer education programme, based on the theory of planned behaviour, on factors influencing paediatric nurses' antipyretic administration. Surveys and chart audits collected data from medical wards at experimental and control hospitals one month pre and one and four months postpeer education programme.
Methods:
All nurses employed in targeted wards were eligible to participate in surveys and all eligible charts were audited. The peer education programme consisted of four one-hour sessions targeting evidence-based knowledge, myths and misconceptions, normative, attitudinal and control influences over and rehearsal of evidence-based fever management. All nurses in experimental hospital targeted wards were eligible to attend. Peer education and support facilitated session information reaching those unable to attend sessions.
Results:
Two-way univariate anovas explored between subject, experimental and control group and within subject factors, pre, post and latency data. Significant interactions in normative influence (p = 0.01) and intentions (p = 0.01), a significant main group effect in control influence (p = 0.01) and a significant main effect between audit data across time points (p = 0.03) highlight peer education programme effectiveness in behaviour change. Normative, control and intention changes postpeer education programme were maintained in latency data; mean temperature was not.
Conclusion:
The peer education programme, based on a behaviour change theory, initiated and maintained evidence-based intentions for antipyretics use in fever management.
Relevance To Clinical Practice:
The promotion of evidence-based change in organizational unit intentions and behaviour highlights the crucial role peer support and education can play in continuing educational programmes.
Related Concept Videos
01:22Methods of reducing fever
Pharmacological Methods of Reducing Fever:
01:22Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:26Levels of Health Promotion and Illness Prevention
In primary prevention, actions taken before disease onset prevent the disease from...
01:25Models of Health Promotion and Illness Prevention I
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
01:30Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
01:18Models of Health Promotion and Illness Prevention II
The agent-host-environment model states that disease results from...