{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T12:27:39Z","timestamp":1784032059438,"version":"3.55.0"},"reference-count":48,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2007,1,12]],"date-time":"2007-01-12T00:00:00Z","timestamp":1168560000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2007,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p> <jats:bold>Title. Improving paediatric nurses' knowledge and attitudes in childhood fever management<\/jats:bold> <\/jats:p><jats:p><jats:bold>Aim.\u2002<\/jats:bold> This paper reports an evaluation of the effectiveness of a peer education programme in developing paediatric nurses\u2019 evidence\u2010based knowledge and attitudes towards fever management and the sustainability of these changes.<\/jats:p><jats:p><jats:bold>Background.\u2002<\/jats:bold> In general, paediatric nurses\u2019 fever management knowledge seems to be mediocre. They believe fever to be harmful, causing febrile convulsions and brain damage. Antipyretics are administered to prevent febrile convulsions and alternate antipyretics are given when temperatures are not reduced.<\/jats:p><jats:p><jats:bold>Method.\u2002<\/jats:bold> A quasi\u2010experiment was conducted from August 2002 to March 2003. An experimental group of Registered Nurses received the peer education programme and peer support and education were promoted for those unable to attend the sessions. A control group continued its normal practices. Seventy\u2010seven nurses were eligible to attend the programme; 74\u00b70% attended at least one session, 52% two or more. Questionnaire data were collected 1\u2003month before and 1 and 4\u2003months after the peer education programme from 56\u00b73% to 77\u00b78% of eligible experimental and 40\u00b79% to 51\u00b76% of eligible control group nurses.<\/jats:p><jats:p><jats:bold>Findings.\u2002<\/jats:bold> Interaction effects between group and time were found in overall knowledge (<jats:italic>P<\/jats:italic>\u2003=\u20030\u00b701), specifically knowledge of the physiology of fever (<jats:italic>P<\/jats:italic>\u2003=\u20030\u00b7001), and attitudes towards evidence\u2010based fever management (<jats:italic>P<\/jats:italic>\u2003=\u20030\u00b705). In addition, experimental group nurses demonstrated statistically significantly more knowledge of general fever management principles at 4\u2003months after the intervention than control group nurses (<jats:italic>P<\/jats:italic>\u2003=\u20030\u00b701), and compared with their own knowledge at baseline (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030\u00b7001).<\/jats:p><jats:p><jats:bold>Conclusions.\u2002<\/jats:bold> Educational programmes targeting practice change must be theoretically based and target knowledge, attitudes and barriers to change. The programme tested here, which incorporated peer education and support and facilitated group change, is adaptable to other practices, groups and settings.<\/jats:p>","DOI":"10.1111\/j.1365-2648.2006.04077.x","type":"journal-article","created":{"date-parts":[[2007,1,13]],"date-time":"2007-01-13T19:17:48Z","timestamp":1168715868000},"page":"257-269","source":"Crossref","is-referenced-by-count":24,"title":["Improving paediatric nurses' knowledge and attitudes in childhood fever management"],"prefix":"10.1111","volume":"57","author":[{"given":"Helen","family":"Edwards","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Walsh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Courtney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Monaghan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny","family":"Wilson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanine","family":"Young","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,1,12]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/02724936.1987.11748506"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-69746-3_2"},{"key":"e_1_2_11_4_1","volume-title":"Attitudes, Personality and Behavior","author":"Ajzen I.","year":"2005"},{"key":"e_1_2_11_5_1","first-page":"8","article-title":"Parental perception and management of school\u2010age children's fevers","volume":"5","author":"Anderson A.","year":"1988","journal-title":"Nurse Practitioner"},{"key":"e_1_2_11_6_1","volume-title":"A.N.R.A.C. 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