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Analysis of Nurses' and Physicians' Attitudes, Knowledge, and Perceptions toward Fever in Children: A Systematic

Francisco Vicens-Blanes1, Rosa Miró-Bonet1, Jesús Molina-Mula1

  • 1Department of Nursing and Physiotherapy, Balearic Islands University, Carretera de Valldemossa, km 7.5, 07122 Palma, Spain.

International Journal of Environmental Research and Public Health
|December 10, 2021
PubMed

Insights

Healthcare professionals often overtreat childhood fever due to perceptions and attitudes. Educational programs show promise in improving nurses

Area of Science:

  • Pediatrics
  • Nursing Education
  • Evidence-Based Practice

Background:

  • Fever is a common pediatric symptom managed by nurses and pediatricians.
  • Parental and healthcare provider fears surrounding fever can lead to irrational management.
  • Understanding the influence of healthcare professionals' perceptions on fever management is crucial.

Purpose of the Study:

  • To investigate how doctors' and nurses' knowledge, perceptions, and attitudes toward fever impact its management.
  • To evaluate the effectiveness of educational programs in enhancing nurses' knowledge and modifying perceptions regarding pediatric fever.

Main Methods:

  • Systematic review and meta-analysis conducted following PRISMA and Cochrane guidelines.
  • Inclusion of articles focusing on healthcare professionals' (doctors/nurses) knowledge, perceptions, and attitudes towards pediatric fever and antipyretic use.
  • Qualitative synthesis of 41 articles and meta-analysis of 5 studies evaluating educational interventions for nurses.

Main Results:

  • A total of 41 articles were included in the qualitative synthesis.
  • Five studies were included in the meta-analysis, assessing the efficacy of educational programs for nurses in fever management.
  • Included studies generally exhibited a high risk of bias.

Conclusions:

  • Evidence suggests that nurses' and physicians' perceptions and attitudes contribute to the overtreatment of fever in children.
  • Educational programs are recommended (Grade D) for modifying attitudes, perceptions, and knowledge about pediatric fever among nurses.
  • Improving clinical practice in pediatric fever management through targeted educational interventions is supported.
Abstract

Keywords:
antipyreticsfevernursespediatricpediatricians

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