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dc.contributor.authorvan de Maat, JSen
dc.contributor.authorvan Klink, Den
dc.contributor.authorden Hartogh-Griffioen, Aen
dc.contributor.authorSchmidt-Cnossen, Een
dc.contributor.authorRippen, Hen
dc.contributor.authorHoek, Aen
dc.contributor.authorNeill, Sen
dc.contributor.authorLakhanpaul, Men
dc.contributor.authorMoll, HAen
dc.contributor.authorOostenbrink, Ren

OBJECTIVES: First, to explore parents' views on and experiences of managing their febrile child and to assess their behaviour and needs when in search of information about fever; second, to develop and evaluate a hospital discharge information package about fever in children. DESIGN: Mixed methods: (A) qualitative study with semistructured interviews and a focus group discussion (FGD) and (B) quantitative survey. SETTING: Emergency department, non-acute hospital setting and day nursery in Rotterdam, The Netherlands. PARTICIPANTS: Parents of children <18 years (interviews, n=22) parents of children under 5 years (FGD (n=14), survey (n=38)). INTERVENTION: Information package about fever in children (leaflet and website including videos). OUTCOME MEASURES QUANTITATIVE SURVEY: Knowledge of fever and confidence in caring for a febrile child (Likert scale 0-5). RESULTS: Parents found fever mostly alarming, especially high fever. Help-seeking behaviour was based on either specific symptoms or on an undefined intuition. When parents did not feel recognised in their concern or felt criticised, anxiety increased as well as the threshold to seek healthcare for future illnesses. Information was needed, especially for situations when the general practitioner or social network were less easily available. This information should be reliable, consistent, available in multiple formats and include advice on management of fever at home and precise referral to medical services. Parents reported improved knowledge about fever (p<0.05) and mentioned improved confidence in caring for a child with fever at home after consulting the information package. CONCLUSION: Parents of children with a fever visiting the hospital are concerned about specific symptoms or based on an undefined intuition. Rather than telling parents that they should manage their child's illness at home, healthcare professionals should recognise parental intuition and provide clear information on alarming signs and potential diagnoses to empower parents in the management of their febrile child.

dc.format.extente021697 - ?en
dc.subjectinfectious diseasesen
dc.subjectqualitative researchen
dc.subjectChild, Preschoolen
dc.subjectEmergency Service, Hospitalen
dc.subjectFocus Groupsen
dc.subjectInfant, Newbornen
dc.subjectInterviews as Topicen
dc.subjectMiddle Ageden
dc.subjectPatient Dischargeen
dc.subjectPatient Education as Topicen
dc.subjectPower, Psychologicalen
dc.subjectSurveys and Questionnairesen
dc.subjectYoung Adulten
dc.titleDevelopment and evaluation of a hospital discharge information package to empower parents in caring for a child with a fever.en
dc.typeJournal Article
plymouth.publication-statusPublished onlineen
plymouth.journalBMJ Openen
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.rights.embargoperiodNot knownen
rioxxterms.typeJournal Article/Reviewen

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