Fever: a concept analysis

Fever: a concept analysis Aim. The purpose of this paper is to critically analyse the current state of the science literature in order to develop an accurate conception of fever. Rationale. The measurement of body temperature and treatment of fever have long been considered to be within the domain of nursing practice. What body temperature constitutes ‘fever’, however, is often not clear from nursing protocols or the literature. Methods. Literature for this concept analysis was obtained by computerized searches of PubMed, CINAHL and BIOSYS for the years 1980–2004. Additional sources were obtained after reviewing the bibliographies of the literature identified by the initial search. The Wilsonian method of concept analysis provided the framework for the analysis. Findings. Fever has characteristically been recognized as a cardinal sign of illness and has traditionally had negative connotations for patient well‐being. Substantive advances over the past 20 years in immunology and neurophysiology have expanded understanding of the process of fever. This new knowledge has shifted the perception of fever as part of the acute‐phase response to one of an adaptive nature. This knowledge has yet to be fully translated into changes in the fever management practices of nurses. Conclusions. Consistent usage of terminology in relation to fever should lead to improved and evidence‐based care for patients, and to fever management practices consistent with current research. It is important to use clear language about fever and hyperthermia in discussions and documentation between nurses and among disciplines. By creating clarity in our language, we may help to achieve praxis. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Advanced Nursing Wiley

Fever: a concept analysis

Thompson, Hilaire J
Journal of Advanced Nursing, Volume 51 (5) – Sep 1, 2005
9 pages
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Publisher
Wiley
Copyright
Copyright © 2005 Wiley Subscription Services, Inc., A Wiley Company
ISSN
0309-2402
eISSN
1365-2648
DOI
10.1111/j.1365-2648.2005.03520.x
Publisher site
See Article on Publisher Site

Abstract

Aim. The purpose of this paper is to critically analyse the current state of the science literature in order to develop an accurate conception of fever. Rationale. The measurement of body temperature and treatment of fever have long been considered to be within the domain of nursing practice. What body temperature constitutes ‘fever’, however, is often not clear from nursing protocols or the literature. Methods. Literature for this concept analysis was obtained by computerized searches of PubMed, CINAHL and BIOSYS for the years 1980–2004. Additional sources were obtained after reviewing the bibliographies of the literature identified by the initial search. The Wilsonian method of concept analysis provided the framework for the analysis. Findings. Fever has characteristically been recognized as a cardinal sign of illness and has traditionally had negative connotations for patient well‐being. Substantive advances over the past 20 years in immunology and neurophysiology have expanded understanding of the process of fever. This new knowledge has shifted the perception of fever as part of the acute‐phase response to one of an adaptive nature. This knowledge has yet to be fully translated into changes in the fever management practices of nurses. Conclusions. Consistent usage of terminology in relation to fever should lead to improved and evidence‐based care for patients, and to fever management practices consistent with current research. It is important to use clear language about fever and hyperthermia in discussions and documentation between nurses and among disciplines. By creating clarity in our language, we may help to achieve praxis.

Journal

Journal of Advanced Nursing – Wiley

Published: Sep 1, 2005

References

  • Effects of ibuprofen on the physiology and survival of hypothermic sepsis
    Arons, Arons; Wheeler, Wheeler; Bernard, Bernard; Christman, Christman; Russell, Russell; Schein, Schein; Summer, Summer; Steinberg, Steinberg; Fulkerson, Fulkerson; Wright, Wright; Dupont, Dupont; Swindell, Swindell
  • Fever: its history, cause, and function
    Atkins, Atkins
  • Factors affecting mortality of gram‐negative rod bacterermia
    Bryant, Bryant; Hood, Hood; Hood, Hood; Koenig, Koenig
  • Cooling effects and comfort of four cooling blanket temperatures in humans with fever
    Caruso, Caruso; Hadley, Hadley; Shukula, Shukula; Frame, Frame; Khoury, Khoury
  • Cooling by convection vs. cooling by conduction for treatment of fever in critically ill adults
    Creechan, Creechan; Vollman, Vollman; Kravutske, Kravutske
  • Fever in the neurosurgical patient
    Cunha, Cunha; Tu, Tu
  • Implications of fever in the critical care setting
    Cunha, Cunha; Digamon‐Beltran, Digamon‐Beltran; Gobba, Gobba
  • The rise and demise of fever nursing
    Currie, Currie
  • Thermoregulation and the pathogenesis of fever
    Dinarello, Dinarello
  • Elevated body temperature independently contributes to increased length of stay in neurologic intensive care unit patients
    Diringer, Diringer; Reaven, Reaven; Funk, Funk; Uman, Uman
  • Acetaminophen: more harm than good for chicken pox
    Dorn, Dorn; DeAngelis, DeAngelis; Baumgardner, Baumgardner
  • Fever and immunoregulation: hyperthermia, interleukins‐1 and −2, and T‐cell proliferation
    Duff, Duff; Durum, Durum
  • Fever management practices: what pediatric nurses say
    Edwards, Edwards; Courtney, Courtney; Wilson, Wilson; Monagha, Monagha; Walsh, Walsh
  • Nursing care for the feverish patient
    Emmouth, Emmouth; Mansson, Mansson
  • Current concepts in the nature and treatment of fever
    Fletcher, Fletcher
  • Perceptions of fever among adults in a family practice setting
    Fletcher, Fletcher; Creten, Creten
  • Adverse effects of aspirin, acetaminophen, and ibuprofen on immune function, viral shedding, and clinical status in rhinovirus‐infected volunteers
    Graham, Graham; Burrell, Burrell; Douglas, Douglas
  • Fever: when to leave it alone
    Griffin, Griffin
  • Current nursing practices in fever management
    Grossman, Grossman; Keen, Keen; Singer, Singer; Asher, Asher
  • Evidence‐based practice: fever‐related interventions
    Henker, Henker
  • The febrile response in critical care: state of the science
    Holtzclaw, Holtzclaw
  • Managing fever in HIV disease
    Holtzclaw, Holtzclaw
  • Febrile core temperature is essential for optimal host defense in bacterial peritonitis
    Jiang, Jiang; Cross, Cross; Singh, Singh; Chen, Chen; Viscardi, Viscardi; Hasday, Hasday
  • Is fever beneficial
    Kluger, Kluger
  • The adaptive value of fever
    Kluger, Kluger; Kozak, Kozak; Conn, Conn; Leon, Leon; Soszynski, Soszynski
  • Role of fever in disease
    Kluger, Kluger; Kozak, Kozak; Conn, Conn; Leon, Leon; Soszynski, Soszynski
  • Thermal and behavioral effects of lipopolysaccharide and influenza in interleukin‐1 β ‐deficient mice
    Kozak, Kozak; Zheng, Zheng; Conn, Conn; Soszynski, Soszynski; Van Der Ploeg, Van Der Ploeg; Kluger, Kluger
  • The self‐defense mechanism of fever
    Letizia, Letizia; Janusek, Janusek
  • Fever: different types, different causes
    Lohmann, Lohmann
  • Concepts of fever: recent advances and lingering dogma
    Mackowiak, Mackowiak; Bartlett, Bartlett; Borden, Borden; Goldblum, Goldblum; Hasday, Hasday; Munford, Munford; Nasraway, Nasraway; Stolley, Stolley; Woodward, Woodward
  • Fever in hospitalized patients
    McGowan, McGowan; Rose, Rose; Jacobs, Jacobs; Schaberg, Schaberg; Haley, Haley
  • Fever: mechanisms, controversy, and research based interventions
    Miller, Miller
  • A comparison of three methods of managing fever in the neurologic patient
    Morgan, Morgan
  • Practice parameters for evaluating new fever in critically ill adult patients
    O'Grady, O'Grady; Barie, Barie; Bartlett, Bartlett; Bleck, Bleck; Garvey, Garvey; Jacobi, Jacobi; Linden, Linden; Maki, Maki; Nam, Nam; Pasculle, Pasculle; Pasquale, Pasquale; Tribett, Tribett; Masur, Masur
  • Clinical triggers for detection of fever and dehydration
    Pals, Pals; Weinbery, Weinbery; Beal, Beal; Levesque, Levesque; Cunningham, Cunningham; Minaker, Minaker
  • A review of cooling patients with severe cerebral insult in ICU (part 1)
    Price, Price; McGloin, McGloin
    Bookmark
  • Diagnostic accuracy of fever as a measure of postoperative pulmonary complications
    Roberts, Roberts; Barnes, Barnes; Pennock, Pennock; Browne, Browne
  • Pathophysiology of fever part 1: the role of cytokines
    Rowsey, Rowsey
  • Pathophysiology of fever part 2: relooking at cooling interventions
    Rowsey, Rowsey
  • The neurologic basis of fever
    Saper, Saper; Breder, Breder
  • Fever after traumatic brain injury
    Segatore, Segatore
  • Infections related to venous access devices in patients with AIDS
    Settle, Settle; Neff‐Smith, Neff‐Smith; Wan, Wan
  • The efficacy of tepid sponge bathing to reduce fever in young children
    Sharber, Sharber
    Bookmark
  • Antipyresis and fever
    Styrt, Styrt; Sugarman, Sugarman
  • National survey of pediatric fever management practices among emergency department nurses
    Thomas, Thomas; Riegel, Riegel; Andrea, Andrea; Murray, Murray; Gerhart, Gerhart; Gocka, Gocka
  • Hyperthermia following traumatic brain injury: a critical evaluation
    Thompson, Thompson; Tkacs, Tkacs; Saatman, Saatman; Raghupathi, Raghupathi; McIntosh, McIntosh
    Bookmark
  • Fever of unknown origin
    Volker, Volker
  • Fever‐range hyperthermia enhances L‐selectin‐dependent adhesion of lymphocytes to vascular endothelium
    Wang, Wang; Goldman, Goldman; Schleider, Schleider; Appenheimer, Appenheimer; Subjeck, Subjeck; Repasky, Repasky; Evans, Evans
  • Nursing management of fever in children: a systematic review
    Watts, Watts; Robertson, Robertson; Thomas, Thomas
    Bookmark
  • The clinical significance of positive blood cultures: a comprehensive analysis of 500 episodes of bacteremia and fungemia in adults
    Weinstein, Weinstein; Murphy, Murphy; Reller, Reller; Lichtenstein, Lichtenstein
  • Diagnosing fever by touch: observational study
    Whybrew, Whybrew; Murray, Murray; Morley, Morley
  • Fever management: rational or ritual
    Younger, Younger; Brown, Brown

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