{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T21:01:46Z","timestamp":1792789306918,"version":"4.5.0"},"reference-count":53,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Official College of Nurses of the Balearic Islands","award":["P. I. 2021-0441"],"award-info":[{"award-number":["P. I. 2021-0441"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Introduction: Although childhood fever is a common and typically self-limiting clinical presentation, it imposes a substantial emotional and psychological burden on caregivers, especially mothers, primarily due to enduring practices and beliefs that diverge from contemporary evidence-based medical guidelines. Objective: The aim was to investigate how families perceive pediatric fever, identify the factors influencing their caregiving decisions, and examine their experiences across various healthcare settings. Methodology: A qualitative study employing an ethnomethodological approach was conducted at a tertiary care hospital in Spain. The study included ten caregivers (nine mothers and one father) of children presenting with fever. Data were collected through in-depth interviews and field diary observations. Analysis was performed using a combination of inductive and deductive methods, supported by the Atlas.ti 25.0.1 version software. Results: Mothers perceive childhood fever as a disruptive event necessitating rapid decision-making, shaped by emotional responses, prior experiences, culturally transmitted knowledge, and social context. Common caregiving practices included routine administration of antipyretics, application of physical remedies, and early utilization of emergency healthcare services. The caregiver\u2013healthcare professional relationship was characterized by ambivalence, highlighting the need for enhanced health education and greater emotional support for caregivers. Conclusions: Childhood fever represents both a clinical condition and a sociocultural phenomenon. Gaining insight into family practices and beliefs enables the development of more effective, empathetic educational interventions, which can enhance caregiving practices and mitigate parental anxiety. Reporting method: Standards for Reporting Qualitative Research (SRQR) guidelines.<\/jats:p>","DOI":"10.3390\/children12121584","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T09:02:07Z","timestamp":1763974927000},"page":"1584","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Understanding Childhood Fever: A Qualitative Study of Family Attitudes, Emotions, and Caregiving Practices"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9005-9561","authenticated-orcid":false,"given":"Francisco","family":"Vicens-Blanes","sequence":"first","affiliation":[{"name":"Department of Nursing and Physiotherapy, Balearic Islands University, Carretera de Valldemossa, km 7.5, 07122 Palma, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5789-1313","authenticated-orcid":false,"given":"Jes\u00fas","family":"Molina-Mula","sequence":"additional","affiliation":[{"name":"Department of Nursing and Physiotherapy, Balearic Islands University, Carretera de Valldemossa, km 7.5, 07122 Palma, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5740-0572","authenticated-orcid":false,"given":"Rosa","family":"Mir\u00f3-Bonet","sequence":"additional","affiliation":[{"name":"Department of Nursing and Physiotherapy, Balearic Islands University, Carretera de Valldemossa, km 7.5, 07122 Palma, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,11,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Kelly, M., Sahm, L.J., Shiely, F., O\u2019Sullivan, R., McGillicuddy, A., and McCarthy, S. (2016). Parental knowledge, attitudes and beliefs regarding fever in children: An interview study. BMC Public Health, 16.","DOI":"10.1186\/s12889-016-3224-5"},{"key":"ref_2","first-page":"162","article-title":"Parents\u2019 and primary caregivers\u2019 conceptualizations of fever in children: A systematic review of qualitative studies","volume":"22","year":"2019","journal-title":"Nurs. Health Sci."},{"key":"ref_3","first-page":"117","article-title":"Coping with febrile illness in children: A qualitative interview study of parents","volume":"73","author":"Urbane","year":"2019","journal-title":"Proc. Latv. Acad. Sci. Sect. B Nat. Exact Appl. Sci."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"179","DOI":"10.5152\/TurkArchPediatr.2024.23152","article-title":"Parents\u2019 Knowledge and Management of Fever: \u2018Parents Versus Fever!\u2019","volume":"59","year":"2024","journal-title":"Turk. Arch. Pediatr."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"e042609","DOI":"10.1136\/bmjopen-2020-042609","article-title":"Parental assessment of disease severity in febrile children under 5 years of age: A qualitative study","volume":"11","author":"Kuijpers","year":"2021","journal-title":"BMJ Open"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1093\/fampra\/cmg616","article-title":"Childhood illnesses and the use of paracetamol (acetaminophen): A qualitative study of parents\u2019 management of common childhood illnesses","volume":"20","author":"Helseth","year":"2003","journal-title":"Fam. Pract."},{"key":"ref_7","first-page":"4429","article-title":"The maternal experiences of child care with fever: A qualitative study","volume":"5","author":"Salmani","year":"2017","journal-title":"J. Pediatr. Perspect."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"750","DOI":"10.1016\/j.pec.2019.10.004","article-title":"Parents\u2019 experiences and information needs related to childhood fever: A systematic review","volume":"103","author":"Thompson","year":"2020","journal-title":"Patient Educ. Couns."},{"key":"ref_9","first-page":"E1","article-title":"Evaluation of Childhood Fever Management","volume":"18","author":"Bursal","year":"2024","journal-title":"Cocuk Enfeksiyon Derg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1590\/1413-81232021262.40782020","article-title":"Fever in children: Parents\u2019 search for urgent and emergency services","volume":"26","author":"Pitoli","year":"2021","journal-title":"Cienc. Saude Coletiva"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e021697","DOI":"10.1136\/bmjopen-2018-021697","article-title":"Development and evaluation of a hospital discharge information package to empower parents in caring for a child with a fever","volume":"8","author":"Rippen","year":"2018","journal-title":"BMJ Open"},{"key":"ref_12","unstructured":"National Institute for Health and Care Excellence (2019). Fever in Under 5s: Assessment and Initial Management NICE Guideline, National Institute for Health and Care Excellence."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1038\/s41390-024-03047-0","article-title":"Fever education for caregivers in the emergency room (The FEVER study)-an interventional trial","volume":"96","author":"Lynch","year":"2024","journal-title":"Pediatr. Res."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1111\/jocn.15165","article-title":"Fading confidence: A qualitative exploration of parents\u2019 experiences caring for a febrile child","volume":"29","author":"Thompson","year":"2020","journal-title":"J. Clin. Nurs."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e42","DOI":"10.1016\/j.pedn.2024.01.017","article-title":"Randomized controlled study: The effect of video-based distance education for approaching children with fever on parents\u2019 knowledge levels and fever management","volume":"76","author":"Toksoz","year":"2024","journal-title":"J. Pediatr. Nurs."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1111\/apa.13152","article-title":"Knowledge, attitudes and beliefs of parents regarding fever in children: A Danish interview study","volume":"105","author":"Sahm","year":"2016","journal-title":"Acta Paediatr."},{"key":"ref_17","unstructured":"Bandura, A. (1987). Teor\u00eda del Aprendizaje Social, Espasa Libros, S.L.U. [3rd ed.]."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1007\/s10995-023-03593-9","article-title":"Mothers\u2019 Knowledge of Infants\u2019 Fever Management: A National Prospective Study","volume":"27","author":"Gofin","year":"2023","journal-title":"Matern. Child Health J."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Morris, E., Glogowska, M., Ismail, F.A., Edwards, G., Fleming, S., Wang, K., Verbakel, J.Y., Bruel, A.V.D., and Hayward, G. (2021). Parents\u2019 concerns and beliefs about temperature measurement in children: A qualitative study. BMC Fam. Pract., 22.","DOI":"10.1186\/s12875-020-01355-y"},{"key":"ref_20","first-page":"34","article-title":"Fever: Separating fact from fiction","volume":"22","author":"Crocetti","year":"2005","journal-title":"Contemp. Pediatr."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1136\/adc.2008.139949","article-title":"Why is the evidence not affecting the practice of fever management?","volume":"93","year":"2008","journal-title":"Arch. Dis. Child."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1007\/s00431-013-2239-5","article-title":"Paracetamol: A focus for the general pediatrician","volume":"173","author":"Marzuillo","year":"2014","journal-title":"Eur. J. Pediatr."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jped.2013.02.001","article-title":"Antipyretic use in children: More than just temperature","volume":"89","author":"Purssell","year":"2013","journal-title":"J. Pediatr."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"3575","DOI":"10.1111\/jocn.12347","article-title":"Fever in children\u2014A concept analysis","volume":"23","author":"Purssell","year":"2013","journal-title":"J. Clin. Nurs."},{"key":"ref_25","first-page":"431","article-title":"Fiebrefobia","volume":"83","year":"2011","journal-title":"Rev. Cuba. Pediatr."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1542\/peds.2010-3852","article-title":"Fever and antipyretic use in children","volume":"127","author":"Sullivan","year":"2011","journal-title":"Pediatrics"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1136\/archdischild-2014-307483","article-title":"Who\u2019s Afraid of fever","volume":"100","author":"Richardson","year":"2015","journal-title":"Arch. Dis. Child."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1136\/archdischild-2013-305736","article-title":"Parental perspectives on evaluation and management of fever in young infants: An interview study","volume":"99","author":"De","year":"2014","journal-title":"Arch. Dis. Child."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"97","DOI":"10.4103\/2277-9531.139679","article-title":"Mothers\u2019 perceptions of fever in children","volume":"3","author":"Ravanipour","year":"2014","journal-title":"J. Educ. Health Promot."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e13","DOI":"10.1016\/j.pedn.2022.11.024","article-title":"Determining the fever-related knowledge and practices of mothers with children aged 1\u20135 years presenting to a child emergency service with fever complaints in Turkiye","volume":"69","author":"Gulcan","year":"2023","journal-title":"J. Pediatr. Nurs."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"2993","DOI":"10.1007\/s00431-021-04067-2","article-title":"Consensus statements on the information to deliver after a febrile seizure","volume":"180","author":"Loussouarn","year":"2021","journal-title":"Eur. J. Pediatr."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1487","DOI":"10.1007\/s00431-021-04335-1","article-title":"Febrile seizures: Perceptions and knowledge of parents of affected and unaffected children","volume":"181","author":"Rice","year":"2022","journal-title":"Eur. J. Pediatr."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.pedn.2017.11.001","article-title":"Parent\u2019s Experiences of Their Children Suffering Febrile Seizures","volume":"38","author":"Westin","year":"2018","journal-title":"J. Pediatr. Nurs."},{"key":"ref_34","first-page":"969","article-title":"Analysis of the perceptions, knowledge and attitudes of parents towards fever in children: A systematic review with a qualitative meta-synthesis","volume":"32","year":"2022","journal-title":"J. Clin. Nurs."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"826","DOI":"10.1016\/j.ijnurstu.2006.05.002","article-title":"Ethnomethodology: Time for a revisit? A discussion paper","volume":"44","author":"Dowling","year":"2007","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1177\/1744987108090722","article-title":"Ethnomethodological ethnography and its application in nursing","volume":"13","author":"Harper","year":"2008","journal-title":"J. Res. Nurs."},{"key":"ref_37","unstructured":"Bol\u00edvar, A. (1992). Los Contenidos Actitudinales en el Curr\u00edculo de la Reforma. Problemas y Propuestas, Escuela Espa\u00f1ola."},{"key":"ref_38","unstructured":"Freire, P. (1997). Pedagog\u00eda del Oprimido, Siglo XXI Editores. [50th ed.]."},{"key":"ref_39","first-page":"464","article-title":"Di\u00e1rio de Campo e a Rela\u00e7\u00e3o do(a) Pesquisador(a) com o Campo-Tema na Pesquisa-Interven\u00e7\u00e3o","volume":"20","author":"Gavillon","year":"2020","journal-title":"Estud. Pesqui. Psicol."},{"key":"ref_40","unstructured":"Denzin, N., and Lincoln, Y. (2005). The Sage Handbook of Qualitative Research, Sage Publications."},{"key":"ref_41","first-page":"51","article-title":"Aspectos \u00e9ticos en la investigaci\u00f3n cualitativa con ni\u00f1os TT\u2014Ethical aspects in qualitative research with children TT\u2014Aspectos \u00e9ticos na pesquisa qualitativa com crian\u00e7as","volume":"18","year":"2018","journal-title":"Rev. Latinoam. Bioet."},{"key":"ref_42","first-page":"17","article-title":"El Rigor en la Investigaci\u00f3n Cualitativa: T\u00e9cnicas de An\u00e1lisis, Credibilidad, Transferibilidad y Confirmabilidad","volume":"7","author":"Cadenas","year":"2016","journal-title":"Sinop. Educ. Rev. Venez. Investig."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"e003039","DOI":"10.1136\/bmjpo-2024-003039","article-title":"Coming in hot: A qualitative investigation into perceptions of parents and doctors of reasons for the presentation of children with fever to the emergency department in England","volume":"8","author":"Franklin","year":"2024","journal-title":"BMJ Paediatr. Open"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"3757","DOI":"10.1111\/jocn.16593","article-title":"Experiences and practices of mothers with children 0\u20135 age group on fever management: A mixed methods study","volume":"32","year":"2023","journal-title":"J. Clin. Nurs."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1093\/fampra\/cmac080","article-title":"The attitudes and expectation of caregivers of febrile child receiving medical services: A multicenter survey in Thailand","volume":"40","author":"Chulapornsiri","year":"2023","journal-title":"Fam. Pract."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Villarejo-Rodr\u00edguez, M.G., and Rodr\u00edguez-Mart\u00edn, B. (2019). Parental approach to the management of childhood fever: Differences between health professional and non-health professional parents. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16204014"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1111\/jnu.12538","article-title":"Behavior of Parents Seeking Care from Emergency Services Due to Fever in Children","volume":"52","year":"2020","journal-title":"J. Nurs. Scholarsh."},{"key":"ref_48","first-page":"431","article-title":"[Feverphobia: Frecuency and related factors associated]","volume":"81","author":"Kassisse","year":"2024","journal-title":"Rev. Fac. Cien. Med."},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Vicens-Blanes, F., Mir\u00f3-Bonet, R., and Molina-Mula, J. (2024). Discursive Analysis of Pediatrician\u2019s Therapeutic Approach Towards Childhood Fever and Its Contextual Differences: An Ethnomethodological Study. Children, 11.","DOI":"10.3390\/children11030316"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"e13110","DOI":"10.1111\/nhs.13110","article-title":"Discursive analysis of nursing care toward childhood fever and its contextual differences: An ethnomethodological study","volume":"26","year":"2024","journal-title":"Nurs. Health Sci."},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Tavan, A., Monemi, E., Keshavarz, F., Kazemi, B., and Nematollahi, M. (2022). The effect of simulation-based education on parental management of fever in children: A quasi-experimental study. BMC Nurs., 21.","DOI":"10.1186\/s12912-022-00938-7"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1136\/archdischild-2019-318209","article-title":"What matters when managing childhood fever in the emergency department? A discrete-choice experiment comparing the preferences of parents and healthcare professionals in the UK","volume":"105","author":"Leigh","year":"2020","journal-title":"Arch. Dis. Child."},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"O\u2019Brien, B.C., Harris, I.B., Beckman, T.J., Reed, D.A., and Cook, D.A. (2014). Standards for reporting qualitative research: A synthesis of recommendations. Acad. Med., 89.","DOI":"10.1097\/ACM.0000000000000388"}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/12\/12\/1584\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T05:14:35Z","timestamp":1764047675000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/12\/12\/1584"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,21]]},"references-count":53,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["children12121584"],"URL":"https:\/\/doi.org\/10.3390\/children12121584","relation":{},"ISSN":["2227-9067"],"issn-type":[{"value":"2227-9067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,21]]}}}