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Factors Affecting Daycare Center Teachers' Management of Childhood Fever

보육교사의 아동발열 관리에 영향을 미치는 요인

  • 박송이 (하영예술 어린이집) ;
  • 김진선 (조선대학교 의과대학 간호학과)
  • Received : 2016.08.16
  • Accepted : 2016.10.04
  • Published : 2016.10.31

Abstract

Purpose: The purposes of this study were to investigate daycare teachers' knowledge, anxiety and management of childhood fever and to identify factors affecting their management of childhood fever. Methods: A descriptive correlation study was conducted. Participants were 109 daycare center teachers from G metropolitan city. A self-administered questionnaire was used for data collection. Results: The mean percent of correct answers for knowledge about childhood fever was 42.9%. Levels of anxiety related to children's fever were high among day care teachers in this study. Many daycare center teachers used management practices which were not recommended for childhood fever management. There was a statistically significant difference in participants' knowledge about childhood fever by marital status and having a child. Moreover, there were statistically significant positive correlation between daycare center teachers' knowledge and management and negative correlation between daycare center teachers' anxiety and management of childhood fever. Knowledge and anxiety related to childhood fever accounted for 15.2% of variance for fever management. Conclusion: Results show that day care teachers' knowledge and anxiety related to fever are important factors in predicting their fever management. Development and evaluation of educational interventions to improve daycare teachers' childhood fever management are recommended.

Keywords

References

  1. Kim SJ, Lee JE, Yang SO, Kang KA, Chang EJ, Oh KS, et al. Perception of child day care center teachers on issues and needs in child health management. Child Health Nursing Research. 2011;17(1):10-21. http://dx.doi.org/10.4094/jkachn.2011.17.1.10
  2. Park SN, Lee YR, Joung YJ, Kim KM. Knowledge and management of children with infectious diseases by daycare facility teachers. Journal of Korean Public Health Nursing. 2010;24(1): 115-125.
  3. Ministry of Health and Welfare. (2016, April 14). 2015 Statistics on child care (Issue Brief No.11-1352000-000028-10). Seoul: Author.
  4. Lee SM, Jo MS. Early child care teachers' treatment method on emergency situation at early childhood education setting. Journal of Future Early Childhood Education. 2010;17(4):55-80.
  5. Oh K, Sim MK, Choi EK. Knowledge, self-confidence and practice of teachers concerning health and safety of children in child-daycare centers. Child Health Nursing Research. 2008;14(2):155-162.
  6. Ministry of Health and Welfare. Early childhood care law [Internet]. Seoul: Ministry of Health and Welfare; 2012 [cited 2015 May 9]. Available from: http://www.lawnb.com/lawinfo/contents_view.asp?cid=C39 B5D1A899A49FC8C5D08904AD3ADF2$\left0\right|$K
  7. Kim HS, Ra JS, Lee HJ, Choi EK. Health management status of day care center. Child Health Nursing Research. 2008;14(3):295-304.
  8. Kim SJ, Yang SO, Lee SH, Lee JE, Kim SH, Kang KA. Development and evaluation of a child health care protocol for child day care center teachers. Child Health Nursing Research. 2011;17(2):74-83. http://dx.doi.org/10.4094/jkachn.2011.17.2.74
  9. Kim IO, Park HA. Survey on knowledge, experience and educational need child care teacher on infant health management. Journal of Korea's Open Early Childhood Education. 2012;17(5): 99-120.
  10. Kim NS, Shin SM, Park JH, Kim DG, Kim DH. Manual of health care for child day care center [Internet]. Seoul: Ministry of Health and Welfare & Korean Society of Pediatrics; 2011 [cited 2015 June 23]. Available from: http://ebook.educare.or.kr/ebook/data/fb_1326357390/preview_ basicFree.html
  11. Kim IO, Park HJ. A survey on the situation, experience and educational need of infectious diseases management of childcare teacher. Korean Journal of Child Education and Care. 2014; 14(1):23-50.
  12. Hwang JY, Oh ES, Cho KJ. A study on the self-confidence in performance and education demand of first aid in kindergarten and daycare center teachers. Journal of the Korea Academia-Industrial Cooperation Society. 2016;17(1):234-243. http://dx.doi.org/10.5762/KAIS.2016.17.1.234
  13. Hashikawa AN, Stevens MW, Juhn YJ, Nimmer M, Copeland K, Simpson P, et al. Self-report of child care directors regarding return-tocare. Pediatrics. 2012;130(6):1046-1052. http://dx.doi.org/10.1542/peds.2012-1184
  14. Juhn YJ, St. Sauver J, Shapiro ED, McCarthy PL. How do child care personnel define fever?. Ambulatory Child Health. 2001;7(3-4)143-148. http://dx.doi.org/10.1046/j.1467-0658.2001.00137.x
  15. El-Radhi AS. Fever management: Evidence vs current practice. World Journal of Clinical Pediatrics. 2012;1(4):29-33. http//dx.doi.org/10.5409/ wjcp.v1.i4.29
  16. Clarke P. Evidence based management of childhood fever: What pediatric nurses need to know. Journal of Pediatric Nursing. 2014;29(4): 372-375. http://dx.doi.org/10.1016/j.pedn.2014.02.007
  17. National Institute for Health and Clinical Excellence. Feverish illness in children: Assessment and initial management in children younger than 5 years [Internet]. London: RCOG Press; 2013 [cited 2014 May 01]. Available from: http://www.nice.org.uk/accreditation.
  18. Chiappini E, Parretti A, Becherucci P, Pierattelli M, Bongnori F, Galli L, et al. Parental and medical knowledge and management of fever in Italian pre-school children. BMC Pediatrics. 2012;12:97. http://dx.doi. org/10.1186/1471-2431-12-97.
  19. Choi AR, Kim JS. Fever phobia: A survey of children's parents in a pediatric outpatient clinic. Child Health Nursing Research. 2014;20(2): 113-122. http://dx.doi.org/10.4094/chnr.2014.20.2.113
  20. Demir F, Sekreter O. Knowledge, attitudes and misconceptions of primary care physicians regarding fever in children: A cross sectional study. Italian Journal of Pediatrics. 2013;38(1):40-46. http//dx.doi.org/10.1186/1824-7288-38-40
  21. Hashikawa, AN, Juhn YJ, Nimmer M, Copeland K, Li SH, Simpson P, et al. Unnecessary child care exclusions in a state that endorses national exclusion guidelines. Pediatrics. 2010;125(5):1003-1009. http:// dx.doi.org/doi:10.1542/peds.2009-2283
  22. Kim SH. Parental knowledge, anxiety and management of children's fever [Master's thesis]. Seoul: Ewha Womans University; 2008. p. 1-58.
  23. Monsma J, Richerson J, Sloand E. Empowering parents for evidencebased fever management: An integrative review. Journal of the American Association of Nurse Practitioners. 2015;27(4):222-229. http:// dx.doi.org/10.1002/2327-6924.12152
  24. Jeong MJ, Shin HA, Kim YH, Lee JH, Lee SJ, Song MR. Development of evidence-based nursing practice guideline for febrile children in emergency room. Child Health Nursing Research. 2012;18(4):214-221. http://dx.doi.org/10.4094/jkachn.2012.18.4.214
  25. Kwak AR, Kim JS. Caregivers' knowledge, concerns and management of pediatric febrile convulsions. Child Health Nursing Research. 2014; 20(3):149-158. http://dx.doi.org/10.4094/chnr.2014.20.3.149
  26. Kwak YH, Kim DK, Jang HY, Kim JJ, Ryu JM, Oh SB, et al. Fever phobia in Korean caregivers and its clinical implications. Journal of Korean Medical Science. 2013;28(11):1639-1644. http//dx.doi.org/10.3346/ jkms.2013.28.11.1639
  27. Betz MG, Grunfeld AF. 'Fever phobia' in the emergency department: A survey of children's caregivers. European Journal of Emergency Medicine. 2006;13(3):129-133. http://dx.doi.org/10.1097/01.mej.0000194401.15335.c7
  28. Thomas S, Vijaykumar C, Naik R, Moses PD, Antonisamy B. Comparative effectiveness of tepid sponging and antipyretic drug versus only antipyretic drug in the management of fever among children: A randomized controlled trial. Indian Pediatrics. 2009;46(2):133-136.
  29. Yang YJ, Kwon IS. The effects of childcare teachers' infection prevention knowledge, self-efficacy, and emotional labor on their infection prevention practice. Korean Journal of Child Education and Care. 2016;16(1):79-97. http://dx.doi.org/10.21213/kjcec.2016.16.1.79
  30. Choi EJ, Hwang SY. Effects of case-based small group learning about care of infected children for daycare center teachers. Journal of Korean Academy of Nursing. 2012;42(6):771-782. http://dx.doi.org/10.4040/ jkan.2012.42.6.771

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