Parent empowerment is upheld as a creative strategy to provide a family centred approach in chronic illness care. Empowerment equips parents to voice their concerns, priorities and goals of care among service providers and find some structure to their ever changing lives. However identifying and measuring parent empowerment practices are ambiguous probably due to the subjective nature of the concept. This work discusses the nurses' perceptions about parental struggle in chronic illness such as understanding the child's condition, negotiating a plan of care, monitoring and managing symptoms...