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Advising parents when their child has a fever: a phenomenographic analysis of nurses’ perceptions when working at a telephone helpline, at primary care or at a paediatric emergency department in Sweden
Department of Health and Caring Sciences, Linnaeus University Faculty of Health and Life Sciences, Vaxjo, Sweden; Department of Pediatrics, Region Kronoberg, Vaxjo, Sweden.ORCID iD: 0000-0001-6284-5859
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Department of Health and Caring Sciences, Linnaeus University Faculty of Health and Life Sciences, Vaxjo, Sweden. (Vårdande i högteknologiska miljöer)ORCID iD: 0000-0002-5932-6078
Department of Health and Caring Sciences, Linnaeus University Faculty of Health and Life Sciences, Vaxjo, Sweden; Department of Ambulance Service, Region Kronoberg, Vaxjo, Sweden.ORCID iD: 0000-0001-7479-8092
Department of Health and Care, Linkopings universitet, Linkoping, Sweden.ORCID iD: 0000-0002-1281-885X
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2024 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 14, no 1, article id e074823Article in journal (Refereed) Published
Abstract [en]

Objectives

To describe nurses’ perceptions of advising parents when their child has a fever.

Design/method

Inductive, descriptive study with a qualitative, phenomenographic approach.

Participants and setting

A purposive sampling was used. To be included, the 24 online interviewed nurses had to have experience advising parents of febrile children between birth and 5 years of age. They were recruited from three different parts of the healthcare system from four regions in the south of Sweden.

Results

The nurses described advising parents when their child has a fever as four different kinds of balancing acts: balancing between the parents’ story and objective assessment, balancing between listening and teaching, balancing between self-confidence and trust in the expert, and balancing between independence and having someone by one’s side.

Conclusions

Giving advice to parents when their child has a fever is a process where the nurse needs to listen, assess and give advice based on the situation. This requires a correct assessment that depends on the parents’ story. Creating a trusting relationship is perceived as necessary for parents to assimilate the advice that is provided. What dominates are the nurses’ perceptions of the inner qualities required to achieve a balance in the process, for example, the importance of experience and security in their professional role, while it is also necessary to get support from colleagues.

Place, publisher, year, edition, pages
2024. Vol. 14, no 1, article id e074823
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
URN: urn:nbn:se:hb:diva-31637DOI: 10.1136/bmjopen-2023-074823ISI: 001153960500064Scopus ID: 2-s2.0-85183784825OAI: oai:DiVA.org:hb-31637DiVA, id: diva2:1841121
Funder
Region Kronoberg, 969335Available from: 2024-02-27 Created: 2024-02-27 Last updated: 2025-09-24Bibliographically approved

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Gustafsson, Ingrid L

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