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An Antipyretic Guideline for Pediatric Patients in an Urgent Care Setting.

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Title:An Antipyretic Guideline for Pediatric Patients in an Urgent Care Setting.
Authors:Gingrich, Ryan S.
Contributors:Nursing Practice (department)
urgent care
Date Issued:May 2018
Publisher:University of Hawaiʻi at Mānoa
Abstract:Fever is a common chief complaint and concern of parents in the
pediatric population. Urgent care clinics commonly treat pediatric patients with
fever and must also deal with an inappropriate parental knowledge base (Martins &
Abecasis, 2016; Purssell, 2008; Wallenstein et al., 2012; Walsh, Edwards, & Fraser,
2007; Walsh, Edwards, & Fraser, 2008). The purpose of this evidence-based project
was to design and implement a pediatric antipyretic guideline and fever facts sheet
to increase recognition and the use of appropriate antipyretic treatments in the
clinical and home settings.
This project was implemented using the ACE Star Model of Knowledge
Transformation at the Urgent Care Wailea Makena (UCWM), using a pretest–
posttest design to evaluate the innovations’ impact on the outcomes. The practice
change was an implementation of a protocol algorithm and an educational handout
to address pediatric fever, which did not previously exist. Both innovations assured
consistent evidence-based information would be followed and discussed with the
parents of the pediatric patients in the clinic at the time of care.
Historical data, from 2015 and 2016, was compared to post-implementation
data collected from July 2017 through October 2017. Data elements were taken
from charts, then compared and analyzed.
The results suggest that the antipyretic guideline and fever facts sheet were
successful in improving the recognition and appropriate treatment of fever in the
pediatric patient aged six months to six years in an urgent care setting. It also
suggests that health care team members and parents/caregivers of pediatric
patients are receptive to improving and updating their knowledge of pediatric fever
Description:D.N.P. Thesis. University of Hawaiʻi at Mānoa 2018.
Rights:All UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
Appears in Collections: D.N.P. - Nursing Practice

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