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Fever management audit: Australian nurses' antipyretic usage

Edwards, Helen E., Courtney, Mary D., Wilson, Jennifer E., Monaghan, Sarah J., & Walsh, Anne M. (2003) Fever management audit: Australian nurses' antipyretic usage. Pediatric Nursing, 29(1), pp. 31-38.

Abstract

Do nurses manage fevers of children hospitalised for a febrile illness ritualistically or rationally? Nurses recorded temperatures more frequently during the first 8 hours in the ward with a mean frequency of 13.36 (SD 4.76, range 5 to 24) during the first 24 hours following admission. In the majority of cases there was a strong 2nd hourly pattern of temperature monitoring according to the time of day (eg., 0600hrs, 0800hrs, 1000hrs). Seventy-six percent of children (51) received at least one antipyretic. The mean temperature when antipyretics were administered was 38.34°C (SD 1.02, range 35.9°C to 40.8°C). Highest antipyretic administration occurred during the daytime and highest temperature recording during the nighttime. Antipyretic administration and mean temperatures generally followed a similar pattern, excepting at 0800 and 1600 hours when antipyretic administration was high and mean temperatures low. Nurses’ knowledge, attitudes and decision-making criteria toward fever management need investigating to explain these irregularities.

Impact and interest:

8 citations in Scopus
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ID Code: 503
Item Type: Journal Article
Additional URLs:
Keywords: fever management, antipyretic usage, temperature recording, pediatric nurses, febrile seizures, hospitalised children
ISSN: 0097-9805
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2003 Jannetti Publications Inc.
Copyright Statement: Reproduced in accordance with the copyright policy of the publisher: This journal is available online.
Deposited On: 02 Nov 2004
Last Modified: 08 Aug 2013 17:48

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