Op-127 Are The Concepts Of Childhood Fever Different In German And Turkish Mothers? Results Of A Qualitative Study

Langer T. (Witten), Pfeifer M. (Witten), Schnepp W. (Witten), Ipsiroglu O. (Vancouver), Wilm S. (Witten)
Aim and Purpose: Cultural factors often play an important role in the way patients behave when they are ill. We studied the concepts of childhood fever in German and Turkish mothers living in Germany to gain a deeper understanding of their perception of fever, fears connected to it, strategies to treat it and factors leading to the use of professional services.
Design and Methods: We recruited 20 Turkish and German mothers following theoretical sampling criteria and interviewed them about their experience of childhood fever, their mother role, family context and life in Germany and Turkey, respectively. The questionnaire has been developed in a multidisciplinary group and tested in pilot-interviews. The mothers were interviewed in their homes by German and Turkish native speakers in the language they preferred. The verbatim transcripts are being analysed in a group that comprises multiple professions, German and Turkish cultural background and both sexes. We use a Grounded Theory methodology approach (Strauss & Corbin) for analysis.
Results: The core of all mothers’ experiences is the concern for the child’s well-being. German mothers show a stronger orientation towards metric values whereas some Turkish mothers rely more on their sensual perception. Higher educated mothers consider fever rather as sign of a “well-functioning” body whereas mothers with lower education consider it more as a “threat”. An important finding is the role of the familiarly context as support for the mother or source of conflicts, respectively.
Conclusion: The mothers’ accounts are consistent considering their individual perspective and circumstances. The cultural background is interrelated with educational status, economic situation and familiarly context and can hardly be isolated as an independent factor. From a clinical perspective it is therefore important to avoid cultural stereotyping and promote an individualistic approach to all patients.
Are the concepts of childhood fever different in German and Turkish mothers? Results of a qualitative study