Fever and pain management in childhood: Healthcare providers’ and parents’ adherence to current recommendations

Genny Raffaeli, Annalisa Orenti, Monia Gambino, Walter Peves Rios, Samantha Bosis, Sonia Bianchini, Claudia Tagliabue, Susanna Esposito

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

In order to evaluate the adherence of healthcare providers and parents to the current recommendations concerning fever and pain management, randomized samples of 500 healthcare providers caring for children and 500 families were asked to complete an anonymous questionnaire. The 378 health care providers (HCPs) responding to the survey (75.6%) included 144 primary care pediatricians (38.1%), 98 hospital pediatricians (25.9%), 62 pediatric residents (16.4%), and 71 pediatric nurses (19.6%); the 464 responding parents (92.8%) included 175 whose youngest (or only) child was ≤5 years old (37.7%), 175 whose youngest (or only) child was aged 6-10 years (37.7%), and 114 whose youngest (or only) child was aged 11-14 years (24.6%). There were gaps in the knowledge of both healthcare providers and parents. Global adherence to the guidelines was lower among the pediatric nurses than the other healthcare providers (odds ratio 0.875; 95% confidence interval 0.795-0.964). Among the parents, those of children aged 6-10 and 11-14 years old, those who were older, and those without a degree answered the questions correctly significantly less frequently than the others. These findings suggest that there is an urgent need to improve the dissemination of the current recommendations concerning fever and pain management among healthcare providers and parents in order to avoid mistaken and sometimes risky attitudes, common therapeutic errors, and the unnecessary overloading of emergency department resources. Pediatric nurses and parents with older children, those who are older, and those with a lower educational level should be the priority targets of educational programmes.

Original languageEnglish
Article number499
JournalInternational Journal of Environmental Research and Public Health
Volume13
Issue number5
DOIs
Publication statusPublished - May 1 2016

Fingerprint

Pain Management
Health Personnel
Fever
Parents
Guideline Adherence
Hospital Emergency Service
Primary Health Care
Odds Ratio
Confidence Intervals
Pediatrics
Pediatric Nurses

Keywords

  • Analgesics
  • Antipyretics
  • Fever
  • Ibuprofen
  • Pain
  • Paracetamol

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cite this

Fever and pain management in childhood : Healthcare providers’ and parents’ adherence to current recommendations. / Raffaeli, Genny; Orenti, Annalisa; Gambino, Monia; Rios, Walter Peves; Bosis, Samantha; Bianchini, Sonia; Tagliabue, Claudia; Esposito, Susanna.

In: International Journal of Environmental Research and Public Health, Vol. 13, No. 5, 499, 01.05.2016.

Research output: Contribution to journalArticle

@article{12865f567bd24e4c8f0b7fd518519620,
title = "Fever and pain management in childhood: Healthcare providers’ and parents’ adherence to current recommendations",
abstract = "In order to evaluate the adherence of healthcare providers and parents to the current recommendations concerning fever and pain management, randomized samples of 500 healthcare providers caring for children and 500 families were asked to complete an anonymous questionnaire. The 378 health care providers (HCPs) responding to the survey (75.6{\%}) included 144 primary care pediatricians (38.1{\%}), 98 hospital pediatricians (25.9{\%}), 62 pediatric residents (16.4{\%}), and 71 pediatric nurses (19.6{\%}); the 464 responding parents (92.8{\%}) included 175 whose youngest (or only) child was ≤5 years old (37.7{\%}), 175 whose youngest (or only) child was aged 6-10 years (37.7{\%}), and 114 whose youngest (or only) child was aged 11-14 years (24.6{\%}). There were gaps in the knowledge of both healthcare providers and parents. Global adherence to the guidelines was lower among the pediatric nurses than the other healthcare providers (odds ratio 0.875; 95{\%} confidence interval 0.795-0.964). Among the parents, those of children aged 6-10 and 11-14 years old, those who were older, and those without a degree answered the questions correctly significantly less frequently than the others. These findings suggest that there is an urgent need to improve the dissemination of the current recommendations concerning fever and pain management among healthcare providers and parents in order to avoid mistaken and sometimes risky attitudes, common therapeutic errors, and the unnecessary overloading of emergency department resources. Pediatric nurses and parents with older children, those who are older, and those with a lower educational level should be the priority targets of educational programmes.",
keywords = "Analgesics, Antipyretics, Fever, Ibuprofen, Pain, Paracetamol",
author = "Genny Raffaeli and Annalisa Orenti and Monia Gambino and Rios, {Walter Peves} and Samantha Bosis and Sonia Bianchini and Claudia Tagliabue and Susanna Esposito",
year = "2016",
month = "5",
day = "1",
doi = "10.3390/ijerph13050499",
language = "English",
volume = "13",
journal = "International Journal of Environmental Research and Public Health",
issn = "1661-7827",
publisher = "MDPI AG",
number = "5",

}

TY - JOUR

T1 - Fever and pain management in childhood

T2 - Healthcare providers’ and parents’ adherence to current recommendations

AU - Raffaeli, Genny

AU - Orenti, Annalisa

AU - Gambino, Monia

AU - Rios, Walter Peves

AU - Bosis, Samantha

AU - Bianchini, Sonia

AU - Tagliabue, Claudia

AU - Esposito, Susanna

PY - 2016/5/1

Y1 - 2016/5/1

N2 - In order to evaluate the adherence of healthcare providers and parents to the current recommendations concerning fever and pain management, randomized samples of 500 healthcare providers caring for children and 500 families were asked to complete an anonymous questionnaire. The 378 health care providers (HCPs) responding to the survey (75.6%) included 144 primary care pediatricians (38.1%), 98 hospital pediatricians (25.9%), 62 pediatric residents (16.4%), and 71 pediatric nurses (19.6%); the 464 responding parents (92.8%) included 175 whose youngest (or only) child was ≤5 years old (37.7%), 175 whose youngest (or only) child was aged 6-10 years (37.7%), and 114 whose youngest (or only) child was aged 11-14 years (24.6%). There were gaps in the knowledge of both healthcare providers and parents. Global adherence to the guidelines was lower among the pediatric nurses than the other healthcare providers (odds ratio 0.875; 95% confidence interval 0.795-0.964). Among the parents, those of children aged 6-10 and 11-14 years old, those who were older, and those without a degree answered the questions correctly significantly less frequently than the others. These findings suggest that there is an urgent need to improve the dissemination of the current recommendations concerning fever and pain management among healthcare providers and parents in order to avoid mistaken and sometimes risky attitudes, common therapeutic errors, and the unnecessary overloading of emergency department resources. Pediatric nurses and parents with older children, those who are older, and those with a lower educational level should be the priority targets of educational programmes.

AB - In order to evaluate the adherence of healthcare providers and parents to the current recommendations concerning fever and pain management, randomized samples of 500 healthcare providers caring for children and 500 families were asked to complete an anonymous questionnaire. The 378 health care providers (HCPs) responding to the survey (75.6%) included 144 primary care pediatricians (38.1%), 98 hospital pediatricians (25.9%), 62 pediatric residents (16.4%), and 71 pediatric nurses (19.6%); the 464 responding parents (92.8%) included 175 whose youngest (or only) child was ≤5 years old (37.7%), 175 whose youngest (or only) child was aged 6-10 years (37.7%), and 114 whose youngest (or only) child was aged 11-14 years (24.6%). There were gaps in the knowledge of both healthcare providers and parents. Global adherence to the guidelines was lower among the pediatric nurses than the other healthcare providers (odds ratio 0.875; 95% confidence interval 0.795-0.964). Among the parents, those of children aged 6-10 and 11-14 years old, those who were older, and those without a degree answered the questions correctly significantly less frequently than the others. These findings suggest that there is an urgent need to improve the dissemination of the current recommendations concerning fever and pain management among healthcare providers and parents in order to avoid mistaken and sometimes risky attitudes, common therapeutic errors, and the unnecessary overloading of emergency department resources. Pediatric nurses and parents with older children, those who are older, and those with a lower educational level should be the priority targets of educational programmes.

KW - Analgesics

KW - Antipyretics

KW - Fever

KW - Ibuprofen

KW - Pain

KW - Paracetamol

UR - http://www.scopus.com/inward/record.url?scp=84968919427&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84968919427&partnerID=8YFLogxK

U2 - 10.3390/ijerph13050499

DO - 10.3390/ijerph13050499

M3 - Article

AN - SCOPUS:84968919427

VL - 13

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

SN - 1661-7827

IS - 5

M1 - 499

ER -