Background: The child health care in Sweden has a health program for children of various ages. Traditionally, the child health nurse would turn to the parents to talk about the child's health and lifestyle habits. This often results in a communication that does not involve the child. To involve the child more, new routines have been implemented during health care visits. The implementation of artifacts, such as puzzles (Bamsepussel) and cartoons, has given the child health nurses tools to communicate more directly with the child. Aim: To describe the child health nurses' experiences of using the Bamse program when communicating with the child during its four-year checkup at the child health center. Method : Child health nurses (n=8) were interviewed during a semi structured interview used openended questions, recorded as digital audio files. Their answers were transcribed verbatim and then analyzed using qualitative content analysis. Results: The child health nurses describes experiences of the Bamse program as timeconsuming, involvement and interaction and a learning tool. Conclusion: The Bamse program tool is effective, and the joy that Bamse conveys creates an environment that leads to child participation and interaction. Bamse is time consuming as it takes time to communicate with the child. The child health nurses experience a sense of purpose and joy through this method of working. In-service training is requested.