Promoting evidence-based childhood fever management through a peer education programme based on the theory of planned behaviour

Edwards, Helen, Walsh, Anne, Courtney, Mary, Monaghan, Sarah, Wilson, Jenny and Young, Jeanine (2007) Promoting evidence-based childhood fever management through a peer education programme based on the theory of planned behaviour. Journal of Clinical Nursing, 16 10: 1966-1979. doi:10.1111/j.1365-2702.2007.01767.x


Author Edwards, Helen
Walsh, Anne
Courtney, Mary
Monaghan, Sarah
Wilson, Jenny
Young, Jeanine
Title Promoting evidence-based childhood fever management through a peer education programme based on the theory of planned behaviour
Journal name Journal of Clinical Nursing   Check publisher's open access policy
ISSN 1365-2702
0962-1067
Publication date 2007-10-01
Sub-type Article (original research)
DOI 10.1111/j.1365-2702.2007.01767.x
Volume 16
Issue 10
Start page 1966
End page 1979
Total pages 4
Place of publication Oxford
Publisher Blackwell Science
Language eng
Subject 1110 Nursing
111704 Community Child Health
Formatted abstract
Aims and objectives.
This study examined effectiveness of a theoretically based education programme in reducing inappropriate antipyretic use in fever management.

Background.
Paediatric nurses’ inconsistent, ritualistic antipyretic use in fever management is influenced by many factors including inconsistent beliefs and parental requests. Determinants of antipyretic administration, identified by the
theory of planned behaviour, were belief-based attitudes and subjective norms.

Design.
A quasi-experiment explored group effects of a peer education programme, based on the theory of planned behaviour, on factors influencing paediatric nurses’ antipyretic administration. Surveys and chart audits collected data from medical wards at experimental and control hospitals one month pre and one and four months postpeer education programme.

Methods.
All nurses employed in targeted wards were eligible to participate in surveys and all eligible charts were audited. The peer education programme consisted of four one-hour sessions targeting evidence-based knowledge, myths and misconceptions, normative, attitudinal and control influences over and rehearsal of evidence-based fever management. All nurses in experimental hospital targeted towards were eligible to attend. Peer education and support facilitated session information reaching those unable to attend sessions.

Results.
Two-way univariate ANOVAs explored between subject, experimental and control group and within subject factors, pre, post and latency data. Significant interactions in normative influence (p = 0·01) and intentions (p = 0·01), a significant main group effect in control influence (p = 0·01) and a significant main effect between audit data across time points (p = 0·03) highlight peer education programme effectiveness in behaviour change. Normative, control and intention changes postpeer education programme were maintained in latency data; mean temperature was not.

Conclusion.
The peer education programme, based on a behaviour change theory, initiated and maintained evidence-based intentions for antipyretics use in fever management.

Relevance to clinical practice.
The promotion of evidence-based change in organizational unit intentions and behaviour highlights the crucial role peer support and education can play in continuing educational programmes.
© 2007 The Authors. Journal compilation © 2007 Blackwell Publishing Ltd

Keyword Child nursing
Clinical decision-making
Evidence-based practice
Experimental design
Nurse education
Theory of planned behaviour
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Nursing, Midwifery and Social Work Publications
 
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Created: Mon, 19 Jan 2009, 19:42:08 EST by Thelma Whitbourne on behalf of School of Nursing, Midwifery and Social Work