Use of the Theoretical Domains Framework to explore factors influencing paediatric fever management practices and antipyretic use in New Zealand emergency departments

Eunicia Tan; Libby Haskell; Sierra BeckAlastair MacLeanAlice RoganMartin ThanBridget VenningChristopher WhiteKim YatesChristopher JD McKinlayStuart R Dalziel

首页> 外文期刊>Journal of paediatrics and child health. >Use of the Theoretical Domains Framework to explore factors influencing paediatric fever management practices and antipyretic use in New Zealand emergency departments

【24h】

Use of the Theoretical Domains Framework to explore factors influencing paediatric fever management practices and antipyretic use in New Zealand emergency departments

机译：Use of the Theoretical Domains Framework to explore factors influencing paediatric fever management practices and antipyretic use in New Zealand emergency departments

获取原文

获取原文并翻译 | 示例

掌桥外文数据库（机构版） >>

开具论文收录证明 >>

文献代查 >>

页面导航

摘要
著录项
相关主题

摘要

Aim To explore factors influencing fever management practices and antipyretic use among New Zealand Emergency Department (ED) doctors and nurses using the Theoretical Domains Framework (TDF). Methods Cross‐sectional survey of doctors and nurses across 11 New Zealand EDs. The questionnaire examined eight of 12 TDF domains, based on a generic questionnaire validated to assess TDF‐based determinants of health‐care professional behaviour. Relevant domains were identified by the frequency of beliefs; the presence of conflicting beliefs within a domain; and the likely strength of impact of a belief on paediatric fever management in the ED. Results About 602 participants (243 doctors, 353 nurses and 6 unknown) completed the survey (response rate 47.5). Over half (351/591, 59.6, 95 confidence interval (CI) 55.5–63.5) knew the content of clinical practice guidelines regarding antipyretic use in febrile children (TDF Domain Knowledge), or had been trained to ensure antipyretics are given to febrile children only if they appear distressed (347/592, 58.6, 95 CI 54.5–62.6) (Skills). Over 40 (246/590, 95 CI 37.7–45.8) aim to reduce the fever before discharge (Goals). Most (444/591, 75.1, 95 CI 71.4–78.6) participants felt capable of explaining appropriate antipyretic use to parents/care givers (Beliefs about Capabilities). Only a minority (155/584, 26.5, 95 CI 23.0–30.3) thought that they can ensure antipyretics are given to febrile children only if they appear distressed when the ED is busy (Environmental Context and Resources). Conclusions Using the TDF, we identified factors influencing fever management practices and antipyretic use in the ED. These factors can guide the design of targeted, theory‐informed knowledge translation strategies.

著录项

来源
《Journal of paediatrics and child health.》 |2022年第10期|1847-1854|共8页
作者
Eunicia Tan; Libby Haskell; Sierra BeckAlastair MacLeanAlice RoganMartin ThanBridget VenningChristopher WhiteKim YatesChristopher JD McKinlayStuart R Dalziel;
展开▼
作者单位

Department of Surgery, Faculty of Medical and Health Sciences,University of Auckland;

Children's Emergency Department,Starship Children's Hospital;

Emergency Department,Dunedin HospitalEmergency Department,Tauranga HospitalEmergency Department,Wellington Regional HospitalEmergency Department,Christchurch HospitalEmergency Department,Middlemore HospitalEmergency Department,Taranaki Base HospitalEmergency Departments,North Shore and Waitakere HospitalsDepartment of Paediatrics: Child and Youth Health, Faculty of Medical and Health Sciences;

展开▼
收录信息
原文格式 PDF
正文语种英语
中图分类儿科学;
关键词
antipyretic; child health; emergency medicine; fever; Theoretical Domains Framework;

Use of the Theoretical Domains Framework to explore factors influencing paediatric fever management practices and antipyretic use in New Zealand emergency departments

摘要

著录项

相关主题

期刊订阅