Greensmith Louise
Children's University Hospital, Ireland.
J Child Health Care. 2013 Sep;17(3):305-16. doi: 10.1177/1367493512461457. Epub 2013 Mar 1.
This study aims to describe nurses' knowledge of and attitudes towards the management of fever in one children's hospital in Ireland. A descriptive, quantitative research design was employed. One hundred and nineteen nurses working in one children's hospital completed a self-report questionnaire. Nurses' mean knowledge score about the physiology of fever, fever management and antipyretics was 51 per cent (n = 119), which was lower than expected. Nurses had both appropriate and inappropriate attitudes towards fever and fever management. Inconsistent attitudes between nurses were identified. Nurses who participated in this study are not expert managers of fever. Their lack of knowledge and inconsistent attitudes are affecting the care of febrile children, and may be fuelling parents' fever phobia. Further education is required to improve nurses' knowledge of fever and fever management. Inappropriate attitudes need to be challenged and addressed in an effort to promote evidence-based care for febrile children.
本研究旨在描述爱尔兰一家儿童医院护士对发热管理的知识和态度。采用了描述性定量研究设计。一家儿童医院的119名护士完成了一份自我报告问卷。护士们关于发热生理学、发热管理和退烧药的平均知识得分是51%(n = 119),低于预期。护士们对发热和发热管理既有恰当的态度,也有不恰当的态度。研究发现护士之间的态度不一致。参与本研究的护士并非发热管理方面的专家。他们知识的欠缺和态度的不一致正在影响发热儿童的护理,而且可能加剧了家长对发热的恐惧。需要进一步开展教育,以提高护士对发热及发热管理的知识。需要对不恰当的态度提出质疑并加以解决,以促进对发热儿童的循证护理。