ArticleHospital pediatrics2019
Physicians' and Nurses' Perspectives on the Decision to Perform Lumbar Punctures on Febrile Infants ≤8 Weeks Old.
Article in Hospital pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Associations of system noise with lumbar puncture and hospitalization for young febrile infants: a cross-sectional study.The American journal of emergency medicine · 2026Article
- Variation in management of febrile infants younger than 90 days across London: a retrospective cohort study.European journal of pediatrics · 2026Article
- Determinants of Prolonged Antibiotic Administration in Culture-Negative Evaluations of Early-Onset Neonatal Meningitis: A Retrospective Cohort Study.Antibiotics (Basel, Switzerland) · 2025Article
- Challenges in the Literature Around Context-Sensitive Implementation of Shared Decision Making in Emergency Medicine: A Scoping Review.Open access emergency medicine : OAEM · 2025Review
- "Let Us Take Care of the Medicine": A Qualitative Analysis of Physician Communication When Caring for Febrile Infants.Academic pediatrics · 2024Article
- Physician's conceptions of the decision-making process when managing febrile infants ≤ 60 days old: a phenomenographic qualitative study.BMC pediatrics · 2024Article
- Low adherence to a new guideline for managing febrile infants ≤59 days.Frontiers in pediatrics · 2024Article
- Disparities and implicit bias in the management of low-risk febrile infants: a mixed methods study protocol.BMJ open · 2022Article
- Clinical management and outcomes for febrile infants 29-60 days evaluated in community emergency departments.Journal of the American College of Emergency Physicians open · 2022Article
- Development of an App to Facilitate Communication and Shared Decision-making With Parents of Febrile Infants ≤ 60 Days Old.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2021Article
- Parent-Engaged Development of the Emergency Pediatric Inclusive Communication Framework.Academic pediatricsArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesThere is wide variation in the decision of whether to perform lumbar punctures (LPs) on well-appearing febrile infants ≤8 weeks old. Our objectives were to identify factors that influence that decision and the barriers and facilitators to shared decision-making about LP with parents of febrile infants.
methodsWe conducted semistructured interviews with 15 pediatric and general emergency medicine physicians and 8 pediatric emergency medicine nurses at an urban, academic medical center. Through interviews, we assessed physicians' practices and physicians' and nurses' perspectives about communication and decision-making with parents of febrile infants. Two researchers independently reviewed the transcripts, coded the data using the constant comparative method, and identified themes.
resultsFive themes emerged for factors that influence physicians' decisions about whether to perform an LP: (1) the age of the infant; (2) the physician's clinical experience; (3) the physician's use of research findings; (4) the physician's values, particularly risk aversion; and (5) the role of the primary care pediatrician. Barriers and facilitators to shared decision-making identified by physicians and by nurses included factors related to their perceptions of parents' understanding and acceptance of risks, parents' emotions, physicians' assessment of whether there is clinical equipoise, and availability of follow-up with the primary care pediatrician.
conclusionsDifferences in physicians' values, use of research findings, and clinical experience likely contribute to decisions of whether to perform an LP on well-appearing febrile infants. Incorporation of parents' preferences through shared decision-making may be indicated, although there are barriers that would need to be overcome.
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