• Helen E Edwards, Mary D Courtney, Jennifer E Wilson, Sarah J Monaghan, and Anne M Walsh.
• School of Nursing, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia. h.edwards@qut.edu.au
• Pediatr Nurs. 2003 Jan 1;29(1):31-7.

AbstractDo nurses manage fevers of children hospitalized for a febrile illness ritualistically or rationally? Nurses recorded temperatures more frequently during the first 8 hours in the ward with a mean frequency of 13.36 (SD = 4.76, range 5 to 24) during the first 24 hours following admission. In the majority of cases, there was a strong second hourly pattern of temperature monitoring according to the time of day (e.g., 0600 hr, 0800 hrs, 1000 hr). Seventy-six percent (51) of the children received at least one antipyretic. The mean temperature when antipyretics were administered was 38.34 degrees C (SD = 1.02, range 35.9 degrees C to 40.8 degrees C). The highest antipyretic administration occurred during the daytime, and the highest temperature recording occurred during the nighttime. Antipyretic administration and mean temperatures generally followed a similar pattern, except at 0800 and 1600 hours when antipyretic administration was high and mean temperatures low. This study revealed a need to further investigate the knowledge, attitudes, and decision-making criteria of nurses toward fever management.

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