Nursing management of fever in children: A systematic review

Watts, Robin; Robertson, Jeanette; Thomas, GN

doi:10.1046/j.1440-172x.2003.00412.x

Cited by 40 publications

(58 citation statements)

References 16 publications

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“…All five studies found the combination more effective than sponging alone (Watts et al 2001) Four (Freidman & Barton, 1990;Kinmonth et al, t992;Steele et al , 1970;Teo et al, 1998) of the five research teams reported a statistical significance (p = 0.003); while one (Hunter, 1973) did not include a statistical analysis. All five studies found the combination more effective than sponging alone (Watts et al, 2001). Three did not report a significant difference and one (Kinmonth, 1992) did not report on the statistical significance (Watts et al, 2001).…”

Section: Acetaminophen and Sponging Compared To Spongingmentioning

confidence: 97%

“…All five studies found the combination more effective than sponging alone (Watts et al, 2001). Three did not report a significant difference and one (Kinmonth, 1992) did not report on the statistical significance (Watts et al, 2001). In this systematic review (Watts et al, 2001) examining a total sample of 821 children, one febrile seizure (0.12%) was reported (Agbolosu et al, 1997;Watts et al, 2001) during the study.…”

Section: Acetaminophen and Sponging Compared To Spongingmentioning

confidence: 98%

“…In this systematic review (Watts et al, 2001) examining a total sample of 821 children, one febrile seizure (0.12%) was reported (Agbolosu et al, 1997;Watts et al, 2001) during the study. The child had a temperature of 39.7 degrees Celsius, was in the sponge only group, and experienced a seizure 90 minutes after being sponged (Watts et al, 2001). …”

Section: Acetaminophen and Sponging Compared To Spongingmentioning

confidence: 99%

“…A systematic review (Watts et al, 2001) conducted in 2001 examined ten randomized and quasi-randomized studies which included 1026 non-critically ill children with a fever, aged three months to 16 years with fever. This study looked at children in the United Kingdom, the United States, Canada, Singapore, Thailand, Turkey, Malawi, and Australia.…”

mentioning

confidence: 99%

“…Interventions included the administration of antipyretics, hydration maintenance and external cooling methods (Watts et al, 2001). The comparisons between interventions were sponging compared to acetaminophen only, sponging compared to acetaminophen and sponging, and acetaminophen compared to antipyretic and sponging.…”

mentioning

confidence: 99%

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Nursing interventions in the prevention of febrile seizures

Swansen¹

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Febrile seizures are a common childhood problem occurring in two to five percent of children in Western Europe and the United States with a higher incidence reported in underdeveloped countries. Peak incidence occurs between 14-18 months of age. The author's experience when working with the Inuit population in the Eastern Arctic province of Nunavut suggests a high incidence of febrile seizures in young children although the statistics are not available regarding the incidence and prevalence. Community health nurses working in remote health centres are challenged by the uncertainty of which intervention is the most efficacious when treating these children during or following febrile seizures. This uncertainty results in inconsistent interventions, which creates stress and anxiety in both the community health nurses and parents.Despite their frightening presentation febrile seizures usually present as single benign incidents; however, once they occur, recurrence may be as high as 50 percent. Due to a lack of treatment guidelines on the prevention of febrile seizures in remote Nunavut communities interventions are often inconsistent. A systematic review of the literature and guidelines were conducted to respond to the question of whether increased dosages or prolonged use of pharmacological agents as compared to non-pharmacological interventions are more effective in preventing febrile seizures. Using the Stetler Model of research utilization as a framework to promote change recommendations for guidelines were developed.

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Section: Acetaminophen and Sponging Compared To Spongingmentioning

confidence: 97%

Section: Acetaminophen and Sponging Compared To Spongingmentioning

confidence: 98%

Section: Acetaminophen and Sponging Compared To Spongingmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Nursing interventions in the prevention of febrile seizures

Swansen¹

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Empowering parents for evidence-based fever management: An integrative review

Monsma¹,

Richerson²,

Sloand

2015

Journal of the American Association of Nurse Practitioners

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Purpose Many parents of young, febrile children lack evidence‐based tools to manage fever (knowledge, skills, confidence, support), fear negative outcomes, and prioritize the reduction of fever over management of its source. This review examines the literature for evidence of factors that must be considered when designing effective fever management educational interventions for parents, especially those whose health literacy is low. Data sources A systematic search identified studies from 1980 to 2011 using the databases PubMed, CINAHL, Embase, Cochrane Review, Web of Science, PsychInfo, Medline Plus, Joanna Briggs Institute, and Google Scholar. Conclusions The most effective educational interventions are 1:1, multidimensional, structured, relevant, and reinforced over time. Parental culture, health literacy, knowledge deficits, and beliefs must be addressed by nurse practitioners (NPs) to maximize evidence‐based behaviors. Implications for practice Parents often strive to do what is best for their child but may become overly protective and anxious when managing their child's fever. NPs have a prime opportunity to improve parents’ fever management practices. An evidence‐based toolkit, created with respect for those who may have low health literacy, will give parents tangible tools to help them provide safer and less costly care for their febrile child.

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The Assessment and Management of Paediatric Fever in the Emergency Setting

Cleaver

2007

Emergency Care of Children and Young People

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Nursing management of fever in children: A systematic review

Cited by 40 publications

References 16 publications

Nursing interventions in the prevention of febrile seizures

Nursing interventions in the prevention of febrile seizures

Empowering parents for evidence-based fever management: An integrative review

The Assessment and Management of Paediatric Fever in the Emergency Setting

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