Improving fever management of hospitalized children with cancer: barriers, facilitators, and proposed interventions from healthcare providers in Kenya
Rattachement africain : Kenya, us, nl. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Children with cancer in lower-middle-income countries (LMICs) are at increased risk of dying from infections. Prompt treatment of fever episodes improves outcomes, yet poorly described challenges impair management. This qualitative study explored healthcare provider perspectives on barriers to and facilitators of inpatient fever management in children with cancer at a public tertiary referral children's hospital in Kenya. Healthcare providers involved in fever management were recruited. Semi-structured interviews were audio-recorded, transcribed verbatim, and entered into NVivo software. Coding was informed by a theoretical fever framework and the Consolidated Framework for Implementation Research. Thematic analysis and mind mapping identified recurrent themes and subthemes. Strategies were mapped to identified barriers. The sixteen participants included nurses (n = 2), clinicians (n = 6), pharmacists (n = 2), phlebotomists (n = 2), and microbiology laboratory staff (n = 4). We identified three overarching themes: empowerment of healthcare providers and caregivers, the importance of timely management, and teamwork/human resource availability. Healthcare provider attributes served as facilitators: motivation to improve care, eagerness to learn, willingness to change practice, and need for treatment guidance. Factors within the hospital system were barriers, with subthemes including poor communication between cadres, delays in laboratory results, and staffing shortages. Participants suggested knowledge sharing, a treatment guideline, task shifting, and hiring additional healthcare providers as potential interventions. Managing fever episodes in children with cancer is complex, requiring multiple cadres of healthcare providers and caregiver participation. The proposed interventions may overcome barriers, but future studies are needed to assess the effectiveness of these strategies in improving fever management.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Improving fever management of hospitalized children with cancer: barriers, facilitators, and proposed interventions from healthcare providers in Kenya
- Date Crossref
- 09/09/2025
- Éditeur
- Frontiers Media SA
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Moi University Academic Model for Providing Access to Healthcare (AMPATH) Eldoret, Kenya (code pays fourni par la source)Université ou école supérieure
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AMPATH Kenya (code pays fourni par la source)Établissement de santé
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University of Michigan Department of Pediatrics pays non établi dans la noticeUniversité ou école supérieure
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Michigan Medicine pays non établi dans la noticeÉtablissement de santé
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Fogarty International Center pays non établi dans la noticeÉtablissement de santé
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University of Washington Department of Global Health pays non établi dans la noticeUniversité ou école supérieure
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Emma Kinderziekenhuis pays non établi dans la noticeÉtablissement de santé
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Vrije Universiteit Amsterdam Emma Children's Hospital of the Amsterdam UMC pays non établi dans la noticeUniversité ou école supérieure
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University of North Carolina at Chapel Hill Department Pediatrics pays non établi dans la noticeUniversité ou école supérieure
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Riley Hospital for Children pays non établi dans la noticeÉtablissement de santé
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Indiana University – Purdue University Indianapolis pays non établi dans la noticeUniversité ou école supérieure
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School of Arts and Social Sciences Eldoret, Kenya (pays nommé en fin d’affiliation)Université ou école supérieure
Academic Model for Providing Access to Healthcare (AMPATH) — Moi University (Eldoret, Kenya), AMPATH (Kenya) et Department of Pediatrics — University of Michigan, avec 9 autres affiliations. Pays d’affiliation : Kenya.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.