Parents’ experiences and information needs related to childhood fever: A systematic review |
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| Institution: | 1. Faculty of Nursing, 5-187 Edmonton Clinic Health Academy, 11405-87 Avenue, University of Alberta, Edmonton, Alberta, T6G 1C9, Canada;2. Faculty of Nursing - Level 3, Edmonton Clinic Health Academy, 11405-87 Avenue, University of Alberta, Edmonton, Alberta, T6G 1C9, Canada;3. Department of Pediatrics, Division of Pediatric Emergency Medicine, 4-472 Edmonton Clinic Health Academy, 11405-87 Avenue, University of Alberta, Edmonton, Alberta, T6G 1C9, Canada;1. University of Arkansas for Medical Sciences, Center for Health Literacy, Little Rock, AR 72205-7199 USA;2. University of Arkansas for Medical Sciences, Department of Emergency Medicine, Little Rock, AR 72205-7199 USA;1. Department of Medicine, University of Washington, Seattle, WA, USA;2. The Evergreen State College, Olympia, WA, USA;3. David Geffen School of Medicine at UCLA, Los Angeles, CA, USA;1. Department of Women''s and Children''s Health, International Maternal and Child Health (IMCH), Uppsala University, Uppsala, Sweden;2. Global Health, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;3. Department of Pharmacy, School of Health Sciences, Makerere University, Kampala, Uganda;4. Section of Infectious Diseases, Department of Medical Sciences, Uppsala University, Uppsala, Sweden |
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| Abstract: | ObjectiveTo synthesize current evidence about experiences and information needs of parents/caregivers managing pediatric fever.MethodsWe 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.ResultsWe 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.ConclusionParents 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 ImplicationsIn addition to providing clear, reliable information, interventions that address educational, pragmatic, and emotional domains may be effective in supporting parents. |
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| Keywords: | Pediatric Fever Parents Caregivers Experiences Information needs Systematic review Quantitative research Qualitative research |
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