Parental perspectives on inpatient versus outpatient management of pediatric febrile neutropenia

J Pediatr Oncol Nurs. 2011 Nov-Dec;28(6):355-62. doi: 10.1177/1043454211418665.


To describe parent preference for treatment of febrile neutropenia and the key drivers of parental decision making, structured face-to-face interviews were used to elicit parent preferences for inpatient versus outpatient management of pediatric febrile neutropenia. Parents were presented with 4 different scenarios and asked to indicate which treatment option they preferred and to describe reasons for this preference during the face-to-face interview. Comments were recorded in writing by research assistants. A consensus approach to thematic analysis was used to identify themes from the written comments of the research assistants. A total of 155 parents participated in the study. Of these, 80 (51.6%) parents identified hospital-based intravenous treatment as the most preferred treatment scenario for febrile neutropenia. The major themes identified included convenience/disruptiveness, physical health, emotional well-being, and modifiers of parental decision making. Most parents preferred hospital-based treatment for febrile neutropenia. An understanding of issues that influence parental decision making may assist health care workers in planning program implementation and further support families in their decision-making process.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Fever / etiology
  • Fever / therapy*
  • Humans
  • Neutropenia / complications
  • Neutropenia / therapy*
  • Parents / psychology*