Nursing management decisions in fever: a mixed-methods approach to understanding

Nurses' fever management is influenced more by embedded routines and clinical culture than by formal knowledge or guideline adherence. Fever phobia and Sepsis Six pressures can contribute to unnecessary intervention, highlighting the need for reflective education and systems-level support for evidence-based practice.The result of this study illustrated the potential for overtreatment in fever care and provides actionable insights to support evidence-informed decision-making in nursing practice. Future initiatives should focus on challenging fever phobia, supporting critical reflection, and aligning practice with current evidence through targeted educational strategies.