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.
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.
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|Item Type:||Journal Article|
|Keywords:||fever management, antipyretic usage, temperature recording, pediatric nurses, febrile seizures, hospitalised children|
|Subjects:||Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)|
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health|
|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:||29 Feb 2012 22:59|
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