Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/1853
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dc.contributor.authorAnderson, K.en
dc.contributor.authorNicholson, J.en
dc.contributor.authorEdwards, R.en
dc.contributor.authorBradford, N.en
dc.contributor.authorClark, J.en
dc.contributor.authorLockwood, L.en
dc.date.accessioned2022-11-07T23:25:02Z-
dc.date.available2022-11-07T23:25:02Z-
dc.date.issued2020en
dc.identifier.citation45 , 2020, p. 101719en
dc.identifier.otherRISen
dc.identifier.urihttp://dora.health.qld.gov.au/qldresearchjspui/handle/1/1853-
dc.description.abstractPURPOSE: Fever and associated neutropenia presentations are frequent occurrences for children with cancer. Prompt treatment is required to prevent adverse outcomes; however, delays are common. In Australia's vast landscape, presentations occur in both tertiary metropolitan sites and smaller regional sites. Management and experiences differ between sites. Our primary aim was to identify the barriers to optimal management of febrile neutropenia in children with cancer from patient/parent and clinician perspectives. METHODS: A mixed methods approach was used where quantitative data was supplemented by qualitative data. Data were prospectively collected from parents (n=81) and clinicians (n=42) about all children who presented with fever across multiple diverse hospital locations. A subset of parents (n=9) and clinicians (n=19) completed semi-structured interviews. RESULTS: Delays in assessment and treatment were reported by 31% of parents and up to 36% of clinicians. Four distinct time points where delays occurred were identified: 1) pre-presentation; 2) initial assessment; 3) blood collection and establishing intravenous access, and 4) preparation and administration of antibiotics. Although reasons for delay were diverse, they were primarily related to clinician's knowledge and awareness of fever management, and intravenous access device factors. Interventions were formulated to target these barriers and streamline processes. CONCLUSION: We identified multifactorial reasons for delays at different time points in care. Regional centres and families have unique needs which require considerations and tailored interventions. Ongoing education, monitoring compliance with initiation of practice changes and identifying and overcoming barriers as they arise are strategies for improving management of the febrile child with cancer.L6312369292020-03-24 <br />2020-10-09 <br />en
dc.language.isoenen
dc.relation.ispartofEuropean journal of oncology nursing : the official journal of European Oncology Nursing Societyen
dc.titleAddressing the barriers to optimal management of febrile neutropenia in children with canceren
dc.typeArticleen
dc.identifier.doi10.1016/j.ejon.2019.101719en
dc.subject.keywordscomplicationen
dc.subject.keywordsdisease managementen
dc.subject.keywordsfebrile neutropeniaen
dc.subject.keywordsfemaleen
dc.subject.keywordshumanen
dc.subject.keywordsinfanten
dc.subject.keywordsmaleen
dc.subject.keywordsneoplasmen
dc.subject.keywordsadulten
dc.subject.keywordspreschool childen
dc.subject.keywordspsychologyen
dc.subject.keywordstime to treatmenten
dc.subject.keywordsantiinfective agentadolescenten
dc.subject.keywordsnewbornen
dc.subject.keywordsAustraliaen
dc.subject.keywordschilden
dc.subject.keywordschild parent relationen
dc.relation.urlhttps://www.embase.com/search/results?subaction=viewrecord&id=L631236929&from=exporthttp://dx.doi.org/10.1016/j.ejon.2019.101719 |en
dc.identifier.risid700en
dc.description.pages101719en
local.message.claim2024-06-20T09:19:01.204+1000|||rp03979|||submit_approve|||dc_contributor_author|||None*
item.grantfulltextnone-
item.openairetypeArticle-
item.fulltextNo Fulltext-
item.languageiso639-1en-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
Appears in Sites:Children's Health Queensland Publications
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