Capstone powerpoint-Fever education in pediatric Emergency Room patients

Fever Education in PediatricEmergency Room Patients

Fever Education in PediatricEmergency Room PatientsElizabeth M. HallPalm Beach StateCollegeCapstone Experience: NursingNUR4945

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CreditsPalms West Pediatric Emergency DepartmentDr. Mary Biderman

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IntroductionMy project is an educational program forparents of pediatricpatients seen in the Emergency Department (ED) for fever.I chose thistopic due tothe amount of children I have seenfor non-urgent fevers in the ED.

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Background of StudyFevers account for approximately20% ofpediatric patients seen in the Emergency Department (ED) (Alqudah, Johnson, Cowin, & George, 2014).Studies haveshown a direct correlation betweenlow health literacy and visits to the ED fornon-urgentmedical issues(Swavely, Bilger, Zimmerman, & Martin, 2015).Problems associated with non-urgent medical issues being seen in the ED are:Adverseeconomic/patient outcomesOvercrowdingPatient dissatisfactionIncreased cost of careLoss ofcontinuity of care (Swavely, et. al,2015).

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Statementof the Problem

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Purpose of the Study

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Review of the LiteratureAn Innovative Fever Management Education Program for Parents, Caregivers, and Emergency Nurses. (Alqudah, Johnson, Cowin, & George, 2014).

Plain languageReinforce education with picturesTest readability of educational content

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Review of the LiteratureUnderstanding Nonurgent Pediatric EmergencyDepartment Visits. Using Hospital and Family-centric Data to InformSystemRedesign.(Swavely, Baker,Bilger, Zimmerman, &Martin,2015).

Seeking care for non-urgent medical conditions results in adverse patient outcomes related to overcrowding, increased demands on staff, patient dissatisfaction, increased adverse events, and loss of continuity of care.Most common reason for ED use was fevers.

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Review of LiteratureParental Knowledge, Attitudes, and Beliefs Regarding Fever in Children: An Interview Study.(Kelly, Sahm, Shiely, O'Sullivan, McGillicuddy,& McCarthy, 2016).

Parents have general knowledge of fevers, but lack in-depth knowledge. Parents need to be educated in order to become fully informed and empowered carers for their children.

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Review of LiteratureSafe Management and Prescribing for Fever in Children. (Paul, Mayhew,& Mee,2011).

Medicating children with mild fevers may prolong duration of childs illness. Children should be medicated for discomfort; not just because the child has a fever.

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Review of LiteratureA Neonate with Fever.(Clark &Steele,2012).

Neonates (for this discussion those less than 6 weeks old) have a different protocol for fevers and should be treated accordingly.

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Methodology

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Ethical considerationsChildrenThe patients are not a part of the study except in the sense of being a root cause of the education. Consent will be obtained from parents/caregivers regarding their post educational surveys being kept for educational purposes

DATA COLLECTIONAll caregivers/parents seen in ED for 2 weeks will be educated regarding fever and its appropriate treatmentApproximately 4 weeks later a phone survey will be conducted to test the effectiveness of the interventionAll pediatric ED nurses will be educating parents/caregivers regarding fever education and one individual will be conducting the post education survey 4 weeks later.

Data analysis

Recommendations for future study

Conclusions & summaryThis project will help to develop an education program in regards to pediatric fever management in the ED for caregivers/parents.It will need to contain laymans terms regarding what is considered a fever and how to treat it. Follow-up survey will help improve educational content and increase parental knowledge and understanding.

This project will help to increase patient satisfaction, reduce mortality/morbidity, and reduce non-urgent visits to the ED. A fever does not need to be medicated, UNLESS the child appears uncomfortable.

referencesAlqudah, M., Johnson, M., Cowin, L., & George, A. (2014). An innovative fever management education program for parents, caregivers, and emergency nurses. Advanced Emergency Nursing Journal. 36(1). 52-61. DOI: 10.1097/TME.0000000000000004.Clark, T. & Steele, R. (2012). A neonate with fever. Clinical Pediatrics. 51(5). 521-524.George, M., Phelps, M., & Kitzmiller, J. (2012). Acetaminophen pediatric dose selection: caregiver satisfaction regarding the antipyretic efficacy of acetaminophen in children. Clinical Pediatrics. 51(11). 1030-1031. Graves, R., Oehler, K., & Tingle, L. (2012). Febrile seizures: risks, evaluation, and prognosis. American Family Physician. 85(2). 149-153. Institutional Research Board. Procedures for Conduction Research. (2016). (p.14-15). Retrieved from https://www.palmbeachstate.edu/ire/Documents/documents/IRBProceduresBooklet.pdfKelly, M., Sahm, L., Shiely, F., OSullivan, R., McGillicuddy, A, & McCarthy, S. (2016). Parental knowledge, attitudes, and beliefs regarding fever in children: an interview study. BMC Public Health. 16(540). DOI: 10.1186/s12889-016-3224-5.McDougall, P. & Harrison, M. (2014). Fever and feverish illness in children under five years. Nursing Standard. 28(30). 49-59. Paul, S., Mayhew, J., & Mee, A. (2011). Safe management and prescribing for fever in children. Nursing Prescribing. 9(11). 539-544.Swavely, D., Baker, K., Bilger, K., Zimmerman, D. & Martin, A. (2015). Understanding nonurgent pediatric emergency department visits. Using hospital and family-centric data to inform system redesign. Journal Nursing Care Quality. 30(4). 366-372. DOI: 10.1097/NCQ.0000000000000126.

questions

Thank you to Palms West Pediatric ED, Pediatric ED staff, and Dr. Biderman

Any questions/concerns please contact me at [email protected]