Parents' experiences and information needs related to childhood fever: A systematic review.

Abstract:

OBJECTIVE:To synthesize current evidence about experiences and information needs of parents/caregivers managing pediatric fever. METHODS:We used systematic review methodology with an a priori protocol. We searched Medline, Embase, PsycINFO, CINAHL and ProQuest Dissertations and Theses Global, from 2000 to May 2018. RESULTS:We included thirty-six studies (n = 29 quantitative, n = 7 qualitative; 15,727 participants). Quantitative data contained four themes; 1) caregivers seek information about pediatric fever, 2) low knowledge is coupled with misconceptions and anxiety, 3) fever assessment and management practices vary, 4) demographic factors (e.g., ethnicity, age, socioeconomic status, education) influence information needs and health practices. Qualitative data contained three themes; 1) tension between logic and emotion, 2) responsibility contrasted with sense of vulnerability, 3) seeking support and information to build confidence. CONCLUSION:Parents often overestimate the risks associated with pediatric fever and struggle to make decisions during a child's febrile illness - leading to caregiving actions that may not reflect current clinical recommendations. Parents seek knowledge about how to care for a febrile child at home and what indicators should prompt them to seek medical attention. PRACTICE IMPLICATIONS:In addition to providing clear, reliable information, interventions that address educational, pragmatic, and emotional domains may be effective in supporting parents.

journal_name

Patient Educ Couns

authors

Thompson AP,Nesari M,Hartling L,Scott SD

doi

10.1016/j.pec.2019.10.004

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

750-763

issue

4

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(19)30440-9

journal_volume

103

pub_type

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