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

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 ex...

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Main Authors: Carina Elmqvist, Anders Svensson, Marta Sund-Levander, Emma Westin, Ingrid L Gustafsson
Format: Article
Language:English
Published: BMJ Publishing Group 2024-01-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/1/e074823.full
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author Carina Elmqvist
Anders Svensson
Marta Sund-Levander
Emma Westin
Ingrid L Gustafsson
author_facet Carina Elmqvist
Anders Svensson
Marta Sund-Levander
Emma Westin
Ingrid L Gustafsson
author_sort Carina Elmqvist
collection DOAJ
description 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.
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spelling doaj.art-b31e474705bf463cb4cf339a69ae96a52024-02-25T06:40:08ZengBMJ Publishing GroupBMJ Open2044-60552024-01-0114110.1136/bmjopen-2023-074823Advising 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 SwedenCarina Elmqvist0Anders Svensson1Marta Sund-Levander2Emma Westin3Ingrid L Gustafsson4Department of Health and Caring Sciences, Linnaeus University, Linnaeus University Faculty of Health and Life Sciences, Växjö, SwedenDepartment of Health and Caring Sciences, Linnaeus University Faculty of Health and Life Sciences, Vaxjo, SwedenDepartment of Health and Care, Linkopings universitet, Linkoping, SwedenDepartment of Health and Caring Sciences, Linnaeus University Faculty of Health and Life Sciences, Vaxjo, SwedenDepartment of Health and Caring Sciences, Linnaeus University Faculty of Health and Life Sciences, Vaxjo, SwedenObjectives 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.https://bmjopen.bmj.com/content/14/1/e074823.full
spellingShingle Carina Elmqvist
Anders Svensson
Marta Sund-Levander
Emma Westin
Ingrid L Gustafsson
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
BMJ Open
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
url https://bmjopen.bmj.com/content/14/1/e074823.full
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